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This 57YO female was referred for asymptomatic macular changes. Vision was 20/20 bilaterally. Triton color imaging shows bilateral confluent central soft drusen and smaller, more peripheral macular drusen. Swept-source OCT shows bilateral, small arrowhead-shaped cuticular drusen. A hyperreflective vitelliform lesion is noted OD, along with some hyperreflective deposits in the outer plexiform layer. Optos fluorescein… Read More

This 58YO female was referred for asymptomatic fundus changes. She gave a history of hypertension and COPD. Vision was 20/40 OU. Anterior segments were normal. Optos color RG imaging shows bilateral multifocal areas of periphlebitis. Although sarcoid-specific bloodwork was negative (angiotensin converting enzyme, serum lysozyme, and soluble interleukin-2 receptor), chest CT showed multifocal, bilateral calcified… Read More

This 63YO male underwent glaucoma filtering surgery with mitomycin C one month earlier at an outside practice. Vision was 20/30, and intraocular pressure was 4. Montage color imaging shows extensive choroidal detachments. He was immediately lost to follow-up. Learning Points: A choroidal detachment is defined by the abnormal presence of fluid or blood in the… Read More

This 59YO female was initially referred to us on 3/23/22 with a 1-year history of vision loss in her right eye. Vision was counting fingers OD and 20/25 OS. Over the past 10 months, a gradually enlarging RPE detachment developed in the left superonasal macula. On 11/8/23, Triton swept-source OCT confirms a highly elevated RPE… Read More

This healthy 26YO male presented with a 4-month history of decreased vision in his right eye. Vision was 20/200 OD and 20/25 in his normal OS. Optos color RG imaging shows a well-defined, 1800-micron, pale, subretinal nodular lesion with surrounding pigment. Triton swept-source OCT shows a hyperreflective subretinal mound, a hyperreflective lesion extending from the… Read More

This 55YO male was referred for an asymptomatic possible retinal detachment in his right eye. Vision was 20/30. Optos color RG imaging shows superotemporal degenerative retinoschisis with two outer-layer holes (OLHs). A broad band of pigmented chorioretinal scarring is noted along the posterior edge of the schisis. OCT scanning through the smaller outer layer hole… Read More

This 36YO female presented with a month of bilateral vision loss, which got worse over the prior 2 days. She also complained of 3 months of headaches and painful urination. Vision was 20/30 OD and 20/120 OS. Multicolor imaging shows bilateral creamy placoid lesions. OCT scanning shows variable ellipsoid zone loss with small hyperreflective material… Read More

This 10YO female was referred for vision loss in her left eye from a macular detachment and optic pit. Vision was 20/20 in the normal OD and 20/80 OS. Color imaging shows a round elevation of the entire macula, which is confirmed on widefield OCT. An optic nerve pit is noted along the inferotemporal edge… Read More

This 39YO male with a history of pigmentary glaucoma underwent goniotomy surgery by an outside practice in his left eye 3 weeks earlier. This eye has been hypotonus since, and vision was 20/150. Optos color RG imaging shows faint diffuse chorioretinal folds throughout the posterior pole. Triton swept-source OCT B-scan shows a thickened choroid with… Read More

This 32YO female was diagnosed at age 3 with Leber congenital amaurosis from a pathogenic RDH12 mutation. Progressive central and peripheral field loss with night blindness began in her late teens. Her brother also has this disorder. Vision was 20/200 OD and hand motion OS. Color photography shows extensive pigmentary changes with intraretinal pigment migration… Read More