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This healthy 63YO male was referred for cataract surgery in his right eye. He had a lifelong history of poor vision in his left eye. Vision was 20/60 OD and counting vision OS. Color fundus imaging and OCT of the right eye show a grey inferotemporal optic nerve pit. Marked peripapillary scarring surrounds the left… Read More

This 13 YO girl presented with bilateral blurred vision. Vision was 20/80 OD and 20/60 OS. Fundus photography shows variably coalescent, scalloped areas of bilateral chorioretinal atrophy extending from the distal maculas into each periphery. The large outer choroidal vessels are dramatically imaged within these areas of atrophy on fluorescein angiography. OCT showed bilateral cystoid… Read More

This healthy 62YO male presented with a several-year history of bilateral vision loss. There was no family history of eye disease. Vision was 20/400 OU. Optos color RG imaging shows bilateral, symmetrical peripapillary and macular pigmentary changes extending into the gutters towards the inferior peripheries. Intraretinal pigment migration (spicules) is noted inferiorly. On fundus autofluorescence… Read More

This 42YO male with type 2 diabetes presented with 1 week of vision loss in his left eye. Vision was 20/40 OD and 20/100 OS. Optos color RGB imaging shows a large patch of variably fibrosed retinal neovascularization extending from the temporal macula into the inferior midperiphery. Vertical macular striae are drawn towards the neovascularization… Read More

This 41YO male presented with a 2-day history of acute vision loss in his right eye. Vision was counting fingers OD and 20/20 in his normal OS. Fundus photography shows an acute central retinal artery occlusion (CRAO) with a pale, opaque inner retina and a cherry-red spot. The retina immediately adjacent to the radiating perifoveal… Read More

This 63YO male with history of idiopathic central serous chorioretinopathy (ICSC) with secondary macular neovascularization OD and lattice degeneration OU presented with new floaters in his right eye. He was scheduled for an anti-VEGF injection for the right eye on a treat-and-extend protocol the same day. Vision was stable at 20/100 OD and 20/20 OS…. Read More

This 59YO female underwent iodine-125 plaque therapy in 2010 for a uveal malignant melanoma (MM) in her right eye. The tumor initially regressed and has remained stable with yearly examinations since. Vision has been stable at counting fingers due to a secondary branch retinal vein occlusion and radiation retinopathy. In June 2023, she presented with… Read More

This 32YO female has a known history of an unspecified inherited retinal disease (IRD) diagnosed elsewhere 3-4 years earlier. Genetic testing was negative. She has difficulty seeing in the dark and avoids night driving. More recently, she’s aware of a midperipheral ring of bilateral vision loss. Vision was 20/20 OU. Optos color RG imaging is… Read More

This healthy pregnant 32YO female presented with recent mild central vision loss in her right eye. Vision was 20/40 OD and 20/30 OS. Optos color RGB imaging shows an anomalous right optic disc with an optic pit both nasally and temporally. Triton swept-source OCT shows both pits and subretinal fluid extending from the nerve nasally…. Read More

This healthy 9YO boy was referred for asymptomatic retinal changes in his right eye. Vision was 20/25 OU. The left eye was normal. Optos color RG imaging shows a greenish hyperpigmented lesion in the macula extending into the superior midperiphery. Diffuse macular thickening is noted on swept-source OCT. En face imaging offers another multimodal perspective…. Read More