Blog

This 28YO female was referred for an asymptomatic funduscopic finding. Vision was 20/20 OU. Color imaging shows a superior retinal venous malformation. This vessel drains nearly the entire macula as it extends into the inferotemporal midperiphery. Some mixed foveal drusen are also noted. Learning Points: Retinal vessels virtually always respect the horizontal meridian. Retinal venous… Read More

This 19YO obese female presented with 2 weeks of headaches, dizziness, and blurred vision. Vision was counting fingers OD and 20/400 OS. Blood pressure was 129/91. Optos color RGB imaging shows severe bilateral optic disc swelling. The lumbar puncture opening pressure was extremely elevated at 43cm H2O, establishing the diagnosis of idiopathic intracranial hypertension (pseudotumor… Read More

This 35YO diabetic male underwent prior vitrectomy surgery for a diabetic traction retinal detachment (TRD) five years earlier. Vision was stable at 20/40. Optos color RG imaging shows fine macular striae extending superiorly towards the area of prior traction. Triton swept-source OCT 3D reconstruction and inner retinal en face show differing perspectives of these inner… Read More

This 9YO female had a known history of Stargardt disease at the time of examination on 11/19/21. Prior genetic testing revealed two pathogenic ABCA4 mutations. On 11/19/21, color photography, fundus autofluorescence, and OCT en face of the outer retina are fairly normal except for some faint hyper-FAF flecks outside the macula and faint hyperreflective macular… Read More

Just a cool intraoperative photo of a posteriorly dislocated cataract. Unfortunately, we don’t have any further clinical information for this patient.

This 48YO HIV positive male on highly active antiretroviral therapy (HAART) presented with 2 months of vision loss in his left eye. His last CD4 count was 81. Vision was 20/20 OD and counting fingers OS. Multicolor imaging shows active cytomegalovirus (CMV) retinitis with retinal detachment extending superiorly from the optic nerve into the superotemporal… Read More

This 81YO female presented with acute vision loss in her right eye. Vision was light perception. Optos color RG imaging shows an acute central retinal artery occlusion (CRAO) with opaque white retina surrounding the preserved central fovea (‘cherry red spot’). A stagnant blood column is noted inferiorly with box-carring. OCT scanning shows a thickened and… Read More

This 42YO previously healthy male presented with one week of bilateral decreased vision. Vision was 20/100 OD and 20/200 OS. Color photography shows an extensive bilateral nerve fiber layer and deep white-centered retinal hemorrhages. Layered macular sub-internal limiting membrane (ILM) hemorrhages are noted as well, with some yellow devitalized blood in the temporal left macula…. Read More

This 55YO female with type 2 diabetes has involuted proliferative diabetic retinopathy (PDR) following full panretinal photocoagulation. Optos color RG imaging shows residual disc (NVD) and peripheral retinal neovascularization (NVE). Optos Silverstone swept-source OCT through disc and temporal macular neovascularization shows active vitreous traction on the residual vessels. There is no traction on small, reddish… Read More

This healthy 10YO girl was referred for asymptomatic findings on retinal examination. There was no ocular family history. Vision was 20/40 OU. Optos color RG imaging of the right eye shows innumerable subretinal yellow-white dots extending from outside each macula into the midperiphery. These dots are most evident in green-channel imaging. Identical findings were noted… Read More