Blog

This 27YO female has a known history of choroideremia and is heterozygous for a pathogenic CHM mutation. Vision was 20/150 OD and 20/30 OS. Color imaging shows large, symmetrically bilateral, scalloped areas of chorioretinal atrophy that spare the central maculae. Some peripheral areas of intraretinal pigment migration (bone spicules) are noted as well. OCT scanning… Read More

This 34YO male presented with pain and vision loss immediately following a metal-on-metal injury at work. Vision was light perception. Slit lamp examination revealed a corneal laceration and traumatic cataract. B-scan ultrasonography and CT scanning revealed an intraocular foreign body (IOFB). The patient was immediately taken to surgery for corneal wound repair, lensectomy, and vitrectomy…. Read More

This 41YO male with type 2 diabetes complained of vision loss for 5 months. He was recently hospitalized for severe systemic hypertension. Vision was counting fingers OD and 20/60 OS. Optos color RG imaging shows bilateral venous beading and extensive cotton wool spots. Diffuse central edema is noted on Triton swept-source OCT, and severe ischemia… Read More

This healthy 8YO girl was referred for an asymptomatic retinal finding in her right eye. Vision was 20/30 in her right eye and 20/30 in her left eye. Anterior segments were normal. Optos color RG imaging shows a superior choroidal coloboma that almost extends to the disc margin. An incidental patch of myelinated nerve fiber… Read More

This patient presented with a spontaneously posteriorly dislocated intraocular lens (IOL). The lens was explanted, and a secondary scleral-fixated lens was placed. Unfortunately, we don’t have any further clinical information.

This 97YO male has a history of counting-finger vision in his left eye due to foveal macular atrophy. On 2/29/24, vision was 20/40 in his non-exudative right eye. He presented on 3/12/24 with sudden vision loss OD and new hand motions vision. Optos color RGB imaging shows fairly dense central subretinal blood, with surrounding radiating… Read More

This 52YO female underwent vitrectomy for a hand motion, macula-off rhegmatogenous retinal detachment on 1/25/21. Despite successful reattachment, vision was counting fingers postoperatively, in part due to a severe macular pucker identified on 8/4/21. An ectopic secondary macular hole was present in the inferotemporal macula. Vitrectomy surgery with membrane peeling was performed on 10/14/21. One… Read More

This 29YO male presented with bilateral optic disc drusen (ODD). Vision was 20/40 OD and 20/30 OS. The drusen are markedly hyper-autofluorescent. The retinal nerve fiber layer is variably thickened and thinned. Humphrey visual fields show scattered defects OD with a full field OS. Observation was recommended. Learning Points: Optic disc drusen (ODD) are refractile… Read More

This healthy 32YO male presented on 4/23/24 with 2 months of decreased vision in his left eye. Family history was negative. A prior workup by a prior doctor was negative, including protein electrophoresis and homocysteine levels. He failed a short trial of oral steroids. Vision was 20/20 in his healthy right eye and counting fingers… Read More

This 36YO male presented with 10 days of vision loss in his left eye. One month earlier, he was diagnosed with disseminated tuberculosis (TB), peritonitis, and pleural effusion, and was placed on systemic antitubercular therapy (ATT). Vision was 20/20 in his normal right eye and counting fingers in his left eye. Fundus photography shows a… Read More