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This 57YO male presented with 3 weeks of blurred vision in his left eye. Vision was 20/20 OD and 20/40 OS. Anterior segments showed a moderate nuclear sclerotic cataract OS, accounting for his acuity. The left fundus was normal. Color photography shows a large aberrant retinal vein, which crosses the horizontal meridian and drains nearly… Read More

This 71YO white male underwent successful bilateral vitrectomies for rhegmatogenous retinal detachments by us years earlier. He had since moved out of state and was recently diagnosed with neovascular AMD in his right eye, which was treated with an initial anti-VEGF injection one month earlier. After moving back to our area, vision was 20/400 OD… Read More

This 15YO boy presented 1 day following blunt injury to his right eye from a soccer ball. Despite complaints of a central scotoma, vision was 2025. Color photography shows a broad area of commotio retinae extending from the central macula into the superotemporal periphery. OCT scanning shows disruption of the outer retinal bands and shallow… Read More

A 30YO female presented with a 1.5-year history of bilateral floaters and blurred vision. She was diagnosed elsewhere with ‘choroiditis’ and treated with oral steroids and azathioprine, with 2 recurrences. When seen in our office, vision was 20/30 OU. Color photography OD shows extensive, variably confluent, and meandering chorioretinal scarring extending from the disc and… Read More

This 45YO female with a known history of poorly controlled systemic lupus erythematosus (SLE) presented to us for a third opinion with 10 days of bilateral vision loss. Vision was 20/100 OD and 20/200 OS. Ultrawidefield imaging of her left eye shows extensive retinal hemorrhages with a frosted branch appearance to the retinal veins. Marked… Read More

This 53YO male presented with 1 week of sudden vision loss in his right eye. Vision was counting fingers. Fundus photography shows multiple retinal tears extending from 12 to 4 o’clock. There is a macula-off superior and nasal rhegmatogenous retinal detachment (RRD). The image is hazy due to an overlying vitreous hemorrhage. Emergency vitrectomy was… Read More

This 26YO male presented with a history of stable poor vision and inward deviation of his left eye since childhood. Vision was 20/20 OD and counting fingers in his esotropic, microphthalmic OS. Color photography of the right posterior pole shows a round coloboma inferonasal to the nerve, giving the appearance of a pseudo-duplicated disc. OCT… Read More

This healthy 51YO male presented with one month of vision loss in his left eye. Vision was 20/20 in his normal OD and 20/200 OS. Color fundus photography shows an elevated orange-red juxtapapillary tumor along the inferotemporal edge of the optic nerve with associated macular lipid. OCT scanning reveals the lesion to be hyperreflective with… Read More

This healthy 52YO male presented with recent severe vision loss in his right eye. Vision was 20/400 OD and 20/20 in his normal OS. Color photography and Optos RGB imaging show a central retinal vein occlusion (CRVO) with marked retinal hemorrhages and macular edema. Inner blood-filled retinal cysts are noted on funduscopy and swept-source OCT. On… Read More

This 53YO female with a known history of type 2 diabetes was referred for asymptomatic proliferative disease (PDR) in her left eye. Vision was 20/50. Optos color RG imaging shows a large sea fan-shaped area of succulent and flat neovascularization extending from the optic nerve into the nasal midperiphery. Panretinal photocoagulation (PRP) was applied in… Read More