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This 73YO male presented with 8 months of gradual vision loss in his right eye.  Vision was 20/200 OD and 20/25 in his normal OS. Color photography shows a yellowish, refractile amelanotic occupying nearly the entire macula. Some areas of increased pigment are noted centrally, along with some blood inferonasally. On OCT, the lesion has… Read More

This 50YO male presented with 1 year of decreased vision in his right eye. He had been treated elsewhere with intravitreal injections for cystoid macular edema. Vision was 20/200 OD and 20/20 in his normal OS. Pseudocolor SLO imaging shows a possible serous macular detachment with a large macular pseudohole. A possible pit is noted… Read More

This 56YO developmentally delayed male presented with seeing a “black spot” in his right eye. He was monocular with a phthisical left eye from unclear etiology. Vision in his right eye was decreased to 20/400 from his baseline of 20/70 at his prior visit. He was largely nonverbal and difficult to examine due to extreme… Read More

This 13YO boy presented 2 days following a slingshot injury to his right eye. Vision was counting fingers. Color photography shows an opaque white discoloration below the retina throughout the posterior pole. Diffuse faint commotio retinae is also noted in the superior retinal periphery. There is a large choroidal rupture inferior to the macula, along… Read More

This 43YO male underwent a vitrectomy elsewhere for a diabetic traction retinal detachment about 5 months earlier. Vision was 20/400. Optos color RGB imaging shows a large, round silicone oil droplet in the superior midperiphery. This bubble acts like a convex lens, magnifying the details of the underlying retina. Suspended within and along the edges… Read More

This 37YO female presented with a 10-day history of pain in both eyes and 9 years of poor vision OU. She was diagnosed elsewhere 10 years earlier with chronic vitritis, which was treated with oral steroids. Vision was counting fingers OU. There were bilateral posterior subscapular cataracts that were not considered visually significant. Pseudocolor SLO… Read More

This 42YO female presented without complaint. Vision was 20/20 in her normal OD and 20/20 OS. Color fundus photography of the left eye reveals a well-defined, densely pigmented, jet-black lesion arising from the optic disc and extending slightly into the peripapillary retina. On OCT, the elevated lesion is hyperreflective with complete posterior shadowing. Learning Points:… Read More

This 19YO male was referred for progressive vision loss and hemeralopia since early childhood. Ocular family history was negative, although his parents were consanguineous. Vision was 20/40 OU. Color photography of his right eye shows an oval to tear-drop shaped area of central and nasal macular atrophy with clumps of more distal subretinal pigmentation. Fundus… Read More

This healthy asymptomatic 27YO female presented for a routine eye examination. Ocular family history was negative. Vision was 20/20 OU. Color photography of her left eye shows extensive, larger, well-defined drusen throughout the central macula. These drusen show a rim of hyper-fundus autofluorescence (FAF) with a central hypo-FAF core. The temporal foveal hyperreflective drusen are… Read More

This 68YO male presented with severe vision loss in his right eye for several weeks. There was a known history of metastatic lung adenocarcinoma. Vision was light perception OD and 20/20 in his normal OS. Color photography shows variably confluent, creamy-yellow subretinal lesions scattered within the macula and extending into the midperiphery. OCT scanning shows… Read More