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This healthy 5YO boy’s parents noticed that his right eye was wandering for a few weeks. Vision was 20/200 OD and 20/20 in the normal OS. Color fundus photography shows a large choroidal coloboma occupying the central and temporal macula. The underlying outer choroidal vessels are visible. His systemic examination was normal. Serologic testing for… Read More

This 76YO female presented with asymptomatic optic nerve findings in her left eye. Color imaging shows somewhat opaque retina with some inner retinal hemorrhages along the nasal aspect of the nerve. OCT shows a partial PVD extending to the nerve with vitreopapillary traction and secondary thickening of the peripapillary nerve fiber layer. Observation was recommended…. Read More

This 31YO female underwent successful scleral buckling surgery about 7 years earlier. Optos color RGB imaging shows a broad encircling buckle. Cryotherapy scarring is noted inferior to the buckle. Multiple demarcation lines with some intraretinal pigment migration are noted within the region of the prior detachment. Learning Points: The normal neurosensory retina remains attached to… Read More

This 35YO male presented with 1 month of vision loss in his right eye. There was no past medical history. Vision was 20/40 OD and 20/20 in his normal OS. MultiColor imaging shows a markedly swollen optic nerve with extensive multifocal deep, white-centered retinal hemorrhages. OCT shows marked mostly outer retinal edema extending from the… Read More

This healthy 29YO female was referred for asymptomatic bilateral retinal findings. Vision was 20/40 OU. Optos color RG imaging shows a large area of variably atrophic and fibrotic subretinal scarring inferotemporally OD, with a smaller area of scarring temporally OS. The scarring in her left eye has a more triangular appearance. Toxocara canis ELISA bloodwork… Read More

This 51YO female presented with one month of flashes and vision loss in her left eye. Vision was 20/20 in her normal OD and counting fingers OS. When asked about any rashes, she showed us her palms. What’s your diagnosis?? Triton color imaging of the left posterior pole shows mild optic nerve swelling, with some… Read More

This 60YO female was referred for asymptomatic scarring in her left eye. Vision was 20/50 OD and 20/40 OS due to early bilateral cataracts. Small macular drusen were noted bilaterally. Optos color RG imaging of her left shows multifocal variably pigmented scars below the inferotemporal arcade. A magnified inferotemporal view shows a retinal vein diving… Read More

This 17YO male presented with 1 week of bilateral vision loss. Vision was counting fingers OU. Bilateral white-centered and preretinal hemorrhages are noted. The fundus detail is decreased bilaterally due to breakthrough vitreous blood. Bloodwork revealed severe anemia with a hemoglobin of 5.3 g/dl. Vitamin B12 level was decreased at 160 pg/ml (normal 187-833). Based… Read More

This 50YO female with a history of type 2 diabetes was referred for new floaters. Several years earlier, we began panretinal photocoagulation (PRP) for proliferative diabetic retinopathy (PDR), but she had been lost to follow-up. Optos color RG imaging shows dense asteroid hyalosis with a hazy inferior preretinal hemorrhage. Fluorescein angiography (FA) shows significant retinal… Read More

This healthy 31YO male presented with about 2 weeks of vision loss in his right eye. He also complained of mild headaches over the prior month. Vision was counting fingers OD and 20/20 OS. Fundus photography OD shows an opaque ischemic retina temporal to the disc, just sparing the fovea. Evidence of prior arterial occlusions… Read More