Blog

This 18YO female presented on 11/1/07 with acute bilateral panuveitis. Moderate vitreous cells were present along with subretinal multifocal yellow-white choroidal infiltrates. Angiographically, these choroidal lesions blocked early and stained late. A frosted-branch pattern of vascular leakage was noted bilaterally. Following a course of oral prednisone, the acute uveitic findings resolved, leaving behind inactive multifocal… Read More

This 46YO visually asymptomatic male presented with bilateral cilioretinal arteries. The inner two-thirds of the neurosensory retina is supplied by the central retinal artery, with the choroid supplying the RPE and photoreceptor layer. Cilioretinal arteries, which arise from the posterior choroidal circulation, are present in up to 50% of individuals, and bilateral in about 25%… Read More

This 45YO female presented with one week of bilateral vision loss. Vision was counting fingers in each eye. Optos color RGB imaging shows symmetrical, discrete subretinal yellow-white placoid lesions occupying each macula. Fundus autofluorescence (FAF), however, shows multifocal hyper-FAF spots extending peripherally to the hyper-FAF macular lesions. Swept-source OCT shows replacement of the outer retinal… Read More

This 10YO boy recently moved to the area with a prior diagnosis of Wyburn-Mason syndrome. Prior neurologic imaging was negative, and he was otherwise healthy. Vision was 20/400 OD and 20/20 in his normal left eye. Optos color RG imaging of his right eye shows tangles of markedly dilated and tortuous vessels covering the optic… Read More

This 41YO male presented with 4 days of severe vision loss in his right eye. Vision was hand motion OD and 20/20 in his normal left eye. Color photography shows multiple focal yellow-white deep retinal lesions with a submacular worm and overlying neurosensory detachment. OCT scanning shows a bacillary layer detachment with various cuts through… Read More

This healthy 24YO male presented with several days of floaters in his left eye. Vision was 20/20 OU. Pseudocolor SLO imaging shows a superotemporal giant retinal tear (extending over 3 clock hours) and detachment. The anterior portion of the tear has multiple jagged edges, and the posterior flap has folded over onto itself. The macula… Read More

This healthy 37YO male with a known history of serpiginous chorioretinopathy presented with a few weeks of decreased vision in his left eye. Vision was 20/30 OD and 20/400 OS. Triton color imaging shows bilateral chorioretinal scarring that radiates outwards from each optic nerve. An area of somewhat opaque active outer retinal inflammation just spares… Read More

This 45YO male presented for a second opinion for bilateral wavy vision for 2 months. He was diagnosed elsewhere with macular neovascularization (MNV) and received two prior anti-VEGF injections (last 10 days earlier). Vision was 20/20 OU. Pseudocolor SLO imaging shows subtle bilateral peripapillary angioid streaks associated with a few retinal hemorrhages. Fundus autofluorescence (FAF)… Read More

This 30YO male presented with 3 weeks of decreased vision. His father has a history of retinitis pigmentosa (RP). Vision was 20/30 OD and 20/80 OS. Pseudocolor SLO imaging shows typical bilateral RP scarring with intraretinal pigment migration extending from the peripheral maculas into the retinal peripheries. Bilateral macular puckers and disc swelling with right… Read More

This 44YO male was referred for recent vision loss from a possible uveal melanoma. Vision was 20/150 in his right eye and 20/20 in his healthy left eye. Optos color RG imaging shows an elevated, pigmented subretinal lesion extending from the inferior macula below the inferotemporal arcade. Fundus autofluorescence (FAF) shows this lesion to be… Read More