Blog

This 56YO male presented with a major inferotemporal ischemic branch retinal vein occlusion (BRVO) in his right eye and 20/40 vision. Despite the deceptively good vision, Optos ultra-widefield imaging showed marked ischemia throughout the distribution of the occlusion, which fortunately spared the central macula. A row of collateral vessels extends along the superior edge of… Read More

This 48YO healthy male presented with two months of progressive loss of vision in his left eye. Vision was 20/50 OD due to a subcapsular cataract and 20/100 OS with a clear lens. Anterior segments were normal. Optos color RG imaging of the left eye shows a diffuse orange-red leopard spot appearance to the fundus… Read More

This 62YO female presented with an acute counting-fingers central retinal artery occlusion. Emergent stroke workup revealed a silent acute lacunar infarct. The retinal opacification completely resolved 2 months later. New fine collateral vessels were noted on the nerve. Vision remained at counting fingers. Learning Points: Collateral vessels are dilated, pre-existing vessels that bypass an occlusion…. Read More

This 54YO male with proliferative diabetic retinopathy (PDR) and retinal neovascularization was evaluated with Optos multimodal imaging. Optos color RG imaging shows active neovascularization in the inferotemporal macula. The neovascularization is best seen in the green channel, which isolates the RPE and neurosensory retina. The blood vessels virtually disappear with the red channel, which is… Read More

This 39YO male with a known history of pseudoxanthoma elasticum presented on 2/19/14. Findings were bilateral at this, and subsequent visits, so only his right eye images will be shown and discussed. Color photography shows nasal yellowish subfoveal pigmentary changes with a peaux d’orange appearance temporally. Some peripapillary angioid streaks are noted. OCT shows hyperreflective… Read More

This 28YO female has a known history of Bietti crystalline dystrophy and was without new visual complaints. Vision was 20/50 OD and 20/40 OS. Fundus imaging of her right eye shows extensive subretinal crystalline deposits primarily in the posterior poles, with tiny subretinal pigment clumps more peripherally. OCT scanning shows hyperreflective dots overlying the RPE-Bruch’s… Read More

This 43YO female presented for a routine examination. There was a history of pathological myopia. Vision was 20/70 OD and 20/60 OS. Optos color imaging shows peripapillary scarring with a morning-glory optic disc, including a large disc, a central glial tissue area, and numerous straight, radiating vessels. Observation was recommended. Learning Points: Morning glory syndrome… Read More

This 40YO male with a known 10-year history of chronic myeloid leukemia complained of vision loss in his left eye for 3 weeks. Vision was 20/20 OD and hand motion OS. Fundus examination revealed marked bilateral optic nerve swelling, with the left eye greater than the right eye, and some nerve fiber layer hemorrhages along… Read More

This 55YO female with type 2 diabetes presented for a routine follow-up without visual complaint. Vision was 20/30 bilaterally. MultiColor imaging of her right eye shows a localized traction retinal detachment (TRD) in the distal superotemporal macula. The TRD is much less obvious with Optos color RG imaging. The source of the traction is a… Read More

This 52YO female presented with one week of bilateral vision loss. She has multiple cats at home. Vision was 20/80 OD and counting fingers OS. Optos color RG imaging shows an area of inferonasal macular inner retinal opacification OD, and a superiorly swollen left optic nerve with a superonasal macular lipid star. Fluorescein angiography shows… Read More