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This 40YO hypertensive male presented with gradual vision loss in his right eye. Vision was 20/200 OD and 20/20 in his normal OS. Color imaging shows central and temporal macular lipid and telangiectasia. Fundus fluorescein angiography shows a superotemporal branch retinal vein occlusion (BRVO) with superonasal and temporal collateral vessels. A retinal venous macroaneurysm (RVM)… Read More

This 51YO male has a history of bilateral central retinal vein occlusions for which he has been receiving intravitreal injections. On examination on 12/21/23, vision was stable at 20/70 OD and 20/200 OS, with new elevated multifocal choroidal lesions noted bilaterally. Looking back through his prior imaging, these lesions were faintly evident 3 months earlier,… Read More

This 42YO female with type 2 diabetes was referred for asymptomatic diabetic macular edema (DME). There was no family history of ocular disease. Vision was 20/40 OD and 20/20 OS. Optos color RGB imaging shows diffuse coarse subretinal hyperpigmentations throughout each posterior pole. Fundus autofluorescence (FAF) shows variable hyper- and hypo-FAF from these pigmentary changes,… Read More

This 28YO male with a known history of Von Hippel-Lindau (VHL) recently moved to our area. He received prior anti-VEGF injections and thermal laser for a retinal capillary hemangioma in his right eye. Optos color RGB imaging shows a regressed endophytic capillary hemangioma in the superotemporal midperiphery. The tumor is supplied and drained by dilated,… Read More

This 71YO female with type 2 diabetes presented diabetic macular edema (DME) and lipid exudates. Triton swept-source OCT shows central foveal thinning with surrounding cystic edema. Vision was 20/60. Thermal macular laser was applied. Six months later, the edema completely resolved following this single treatment, with near total resolution of the macular lipid. A partial… Read More

This intraoperative photograph shows a rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) with a star fold superotemporally. A full-thickness macular hole surrounded by its luteal pigment is dragged towards the PVR. The macular hole and detachment were repaired with vitrectomy. Learning Points: PVR, which consists of cellular membranes growing on either retinal surface,… Read More

This 59YO female presented with acute vision loss in her left eye. Vision was counting fingers. Optos color RGB shows a multi-layered macular hemorrhage, including preretinal, intraretinal, and subretinal blood. The causative ruptured retinal arterial macroaneurysm (RAM) is noted within the preretinal blood inferonasally. The surrounding neurosensory retina is somewhat opaque from a secondary inferior… Read More

This 54YO female was referred for asymptomatic retinal changes. Vision was 20/30 OD and 20/20 OS. Visual fields showed bitemporal hemianopia. What is your diagnosis? Optos color RG imaging shows pigmentary changes with intraretinal pigment migration extending superiorly, nasally, and inferiorly from the optic nerves. These changes are hypoautofluorescent and appear as angiographic window defects…. Read More

This 67YO female underwent a couching procedure for a left cataract in 2018. Cataract surgery with a posterior chamber IOL OD was performed in 2020, and 2 months later, the cataract surgeon referred her to us for evaluation of the couched lens OS. Vision was 20/40 OS with a +10.00 diopter lens. She was lost… Read More

This 20YO female presented with 2 weeks of decreased vision in her left eye. Vision was 20/25 in her normal right eye and 20/60 in her left eye. Color imaging shows foveal fluid with an amelanotic subfoveal lesion. OCT angiography (OCTA) shows a small subfoveal macular neovascularisation (MNV). An OCT B-scan shows a type 2… Read More