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This healthy 44YO female was found to have this asymptomatic retinal finding in her left eye during a routine examination. The right eye was completely normal. Optos color RG imaging shows a torpedo-shaped area of depigmentation in the temporal macula. The lesion is hypo-autofluorescent. OCT scanning shows variable outer retinal and RPE atrophy. Learning Points:… Read More

This 17YO boy presented with a few days of mild bilateral blurred vision. Vision was 20/40 OU. MultiColor imaging shows central radiating foveal schisis, and larger areas of schisis extend beyond the arcades. OCT scanning confirms foveal schisis and more peripheral macular schisis. Identical findings were noted in the left macula (not shown). Learning Points:… Read More

A 5-month-old girl and a 4-month-old boy were referred at different points in time for severe microphthalmia of their left eyes. They were both full-term babies without any systemic or neurological abnormalities. Consanguinity was reported between the parents of both babies (both were first cousins). Their right eyes were normal. Their left eyes were severely… Read More

This healthy 36YO male presented with 1 week of unilateral vision loss. Vision was 20/400 OD and 20/20 OS. Optos color RGB imaging OD shows a major inferotemporal branch retinal vein occlusion (BRVO) with severe confluent retinal hemorrhages and a frosted appearance to the major vessels. The occlusion does not seem to arise from a… Read More

This healthy 41YO female was referred for an asymptomatic lesion in her left eye. Vision was 20/25 in her normal right eye and 20/25 in her left eye. Ocular examinations were normal except for a round nodular amelanotic elevated lesion abutting (and possibly involving) the left superonasal optic nerve. Swept-source OCT shows diffuse hyperreflectivity of… Read More

This 70YO male with type 2 diabetes presented with these asymptomatic OCT findings that made our day. Vision was 20/25. World Smile Day is celebrated on the first Friday of October each year, a tradition that began in 1999. The day was created by Harvey Ball, the commercial artist who designed the iconic yellow smiley… Read More

This 46YO male presented with a several-week history of unilateral vision loss. Vision was 20/20 in his normal left eye and counting fingers in his right eye. Optos color RGB imaging shows a mostly round foveal scar with a few temporal blood dots. Triton swept-source OCT scanning shows the normal foveal architecture replaced by full-thickness,… Read More

This 23YO male presented with bilateral proliferative diabetic retinopathy (PDR). Vision was 20/60 OD and 20/80 OS. Multimodal imaging of his left eye highlights an area of retinal neovascularization along the superotemporal arcade. Which modality do you feel best images the neovascularization? Or are they all complementary? MultiColor imaging shows the lacy active red vessels… Read More

This healthy 42YO male was referred for an asymptomatic retinal lesion in his right eye. There was no family history of cancer or eye disease, although he had no knowledge about his birth father. Vision was 20/30 OD and 20/20 in his normal left eye. Optos color RGB imaging shows an active endophytic retinal capillary… Read More

Color photography of this 48YO female’s right eye shows a major superotemporal branch retinal vein occlusion (BRVO) with foveal blood. A prominent nerve fiber layer infarct (cotton-wool spot, CWS) is present in the superonasal macula. OCT scanning shows diffuse hyperreflective inner retinal thickening through the CWS and some central foveal fluid in the outer nuclear… Read More