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This 43YO male presented with a 1-week history of sudden decreased vision in his right eye. He denied any Valsalva maneuver. Vision was 20/70 in his right eye and 20/30 in his left eye. Color imaging shows a foveal yellow sub-internal limiting membrane (ILM) hemorrhage. Fundus autofluorescence (FAF) shows intense hyper-FAF. Spectral domain OCT shows… Read More

This 33YO female with type 2 diabetes was in the process of being treated with intravitreal Eylea, macular laser, and panretinal photocoagulation (PRP) for bilateral center-involved diabetic macular edema and proliferative diabetic retinopathy (PDR). She presented on 6/8/23 with recent vision loss OD and was overdue for this visit because of numerous medical issues. Vision… Read More

This healthy 25YO male presented with 3 weeks of vision loss in his left eye from active idiopathic central serous chorioretinopathy (ICSC). Vision was 20/20 in his normal OD and 20/110 OS. A cilioretinal vessel originates within the inferotemporal aspect of the nerve and arches inferiorly. Fluorescein angiography reveals that this cilioretinal artery supplies the… Read More

This 36YO male presented with one week of vision loss in his right eye immediately following a bungee cord injury. Vision was 20/60. Optos color RG imaging shows areas of subretinal blood surrounding the inferior optic nerve and superotemporal macula. Multiple choroidal ruptures are evident. On Triton swept-source OCT, the superotemporal choroidal rupture appears as… Read More

This healthy 18YO female presented with recent vision loss in her right eye. Vision was 20/40 OD and 20/30 OS. Fundus photography shows angioid streaks extending around and radiating outwards from each optic nerve. The posterior pole has a diffuse orange skin (peaux d’orange) appearance. A fibrosed macular neovascularization (MNV) encircles the right nerve and… Read More

This 27YO male presented with 10 days of floaters and photophobia in his right eye. He was tentatively diagnosed with tuberculosis (TB) several days earlier and sought a second opinion with us. Recent Mantoux skin testing was markedly positive (20 mm induration), and QuantiFERON-TB Gold was positive as well. Vision was 20/20 bilaterally. Fundus photography… Read More

Color photography of our patient’s eyes shows partially scrambled Best lesions. OCT scanning through the superior lesion shows a mostly hyporeflective elevation of the neurosensory retina, with shaggy hyperreflective material along the posterior edge of the outer segments. OCT scanning through the inferior lesion shows hyperreflective layering of the vitelliform material. Learning Points: Best disease… Read More

This 7YO girl presented with blurred vision in her esotropic left eye, which had previously been treated with patching of her normal right eye. Vision was 20/20 OD and 20/50 OS. Refraction was +0.25 +0.25 x180 OD and +1.00-1.50 x60 OS. Color imaging of her left eye shows a fibrotic stalk that extends from the… Read More

This 20YO female presented with sudden vision loss in her left eye that followed a 1-week febrile illness. Vision was 20/20 in her normal right eye and 20/30 in her left eye. Multicolor imaging shows marked disc edema with surrounding retinitis, frosted branch vasculitis, and a nasal macular star. OCT shows marked nasal macular retinal… Read More

This 68YO male presented on 12/11/23 with a several-day history of a paracentral scotoma in his right eye. Vision was 20/30 OD and 20/25 in his normal OS. Triton color imaging shows an area of retinal opacification in the superior macula. This area is hyperreflective on swept-source OCT. The lesion gradually resolved over several months…. Read More