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This 75YO female presented with an acute counting fingers central retinal artery occlusion. Triton color imaging shows a small area of papillomacular sparing, and swept-source OCT shows inner retinal hyperreflectivity. The retinal opacification completely resolved 10 weeks later with the development of extensive disc collaterals. Vision at counting fingers. Learning Points: Collateral vessels are dilated,… Read More

This 46YO male presented with recent vision loss in his left eye. Vision was counting fingers. Optos color RG imaging shows a superotemporal macula-off rhegmatogenous retinal detachment (RRD). The anterior flap of the causative tear encompasses an entire lattice lesion. The posterior edge of the tear has a posteriorly-rolled edge, indicating early Grade B proliferative… Read More

This 31YO male suffered a paint gun injury to his right eye when he was 12YO. Vision has since been stable and poor in this eye. Vision was 20/200. Optos color RG imaging shows temporal peripheral scarring with intraretinal pigment migration. A large macular hole with surrounding pigmentary changes is noted on Triton color imaging… Read More

This 16YO male presented with stable bilateral vision loss since childhood, with new floaters in his right eye for 2 weeks. There was no ocular family history. Vision was 20/200 OD and 20/60 OS. His right eye shows a large area of inferotemporal combined retinoschisis-rhegmatogenous retinal detachment (RD) extending up to the inferotemporal arcade. Subretinal… Read More

This 56YO female underwent successful vitrectomy surgery for a rhegmatogenous retinal detachment (RRD) 1 month earlier. Optos color RG imaging shows an unusual double-bubble with different reflections of the attached inferior retina.

This 48YO male presented with one month of vision loss in his left eye. He was diagnosed elsewhere with idiopathic central serous chorioretinopathy. Vision was 20/20 in his normal OD and 20/40 OS. Pseudocolor SLO imaging shows a round serous macular detachment, which is confirmed on OCT. The outer nuclear layer has a schisis-like thickening…. Read More

This previously healthy 8YO boy presented with sudden vision loss in his right eye 10 days earlier. Vision was counting fingers. Pseudocolor SLO imaging shows diffuse inner retinal whitening, sparing the central macula. OCT scanning shows a somewhat thickened and markedly hyperreflective inner retina. Cardiac 2D Echo and MRA of the head and neck were… Read More

This healthy 7YO girl has been followed since she was 3YO for a benign congenital hypertrophy of the RPE (CHRPE) lesion. The CHRPE has shown subtle yet definite concentric enlargement, as well as redistribution of the lesion’s central pigmentation. Continued observation was recommended since these lesions have virtually no malignant potential. Learning Point: Although historically… Read More

This healthy 30YO male was referred for an asymptomatic retinal lesion in his left eye. There was no family history of eye disease. Vision was 20/25 OU. Optos color RGB imaging shows a nodular, calcified retinal lesion with surrounding atrophic chorioretinal scarring. Topcon swept-source OCT scanning shows a disorganized retina overlying the hyperreflective calcifications, which… Read More

This healthy 33YO male was referred for asymptomatic lattice degeneration in his left eye. Optos color RGB imaging shows a circumferential patch of midperipheral superotemporal paravenous lattice. The large retinal vessels within the lesion are fibrosed. A small atrophic retinal hole is noted along its inferior edge. Observation was recommended. Learning Points: Lattice lesions have… Read More