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This healthy 16YO girl presented with a long history of poor vision in her left eye. Vision was 20/100 in her left eye. Fundus photography of her left eye shows tangles of markedly dilated and tortuous vessels covering the posterior pole. Fluorescein angiography shows no leakage. Brain MRI revealed a cerebral hemangioma next to the… Read More

This 12YO boy has a known history of Best disease, which is being treated with topical dorzolamide for macular edema. He’s noticed some bilateral vision loss over the past 3 years. Vision is 20/25 OU. Color imaging shows yellowing macular pigmentary changes. Fundus autofluorescence (FAF) shows much more pronounced changes with hyper-FAF extending beyond the… Read More

This 70YO female was examined for new flashes and floaters in her right eye and was found to have a retinal tear with localized subretinal fluid at the superonasal equator. Several nearly confluent rows of laser photocoagulation were applied along its posterior and lateral edges, but we could not extend treatment around its anterior margins… Read More

This healthy 19YO female presented with 1 week of blurred vision in her right eye. Vision was 20/80 OD and 20/20 in her normal OS. Color imaging shows multiple superotemporal variably fibrosed macroaneurysms with surrounding lipid that extends towards the central macula. More subtle telangiectasia and lipid were seen in the superior periphery (not shown)…. Read More

This healthy 13YO male presented with a 5-month history of bilateral vision loss. Vision was 20/200 OU. Fundus photography shows bilateral subretinal, variably fibrotic peripapillary scarring that extends outwards with finger-like projections. A foveal hemorrhage is noted in the right macula. More mottled pigmented scarring extends into the right inferior periphery. OCT scanning shows variable… Read More

This 69YO male has stable vision loss in his left eye from an age-related disciform scar. Optos color RGB imaging shows massive subretinal fibrosis occupying virtually the entire macula, which extends into the inferior midperiphery. Optos Silverstone OCT shows markedly thickened hyperreflective subretinal fibrosis. Vision was remarkably 20/400. Continued observation was recommended. Learning Points: Disciform… Read More

This 71YO female was referred for neovascular AMD. She noticed recent vision loss in her right eye and was fairly asymptomatic in her left eye. Vision was counting fingers OD and 20/80 OS. Optos color RGB imaging shows somewhat turbid, yellowish foveal fluid OD and a vitelliform lesion OS. Triton swept-source OCT shows hyperreflective subretinal… Read More

This 37YO female, whose son was diagnosed with choroideremia, was examined in 2000. Color photography shows some mild bilateral pigmentary changes. Over the subsequent 20+ years, her ocular findings have progressed into more typical choroideremia. When last examined in 2021, vision was 20/30 OU. The macula is now atrophic OD with minimal progressive changes OS…. Read More

This 43YO female presented to our office with recent vague symptoms of vision loss OD. She was followed elsewhere since 2006 for a carcinoid lesion metastatic to the right choroid. Her right bronchial carcinoid tumor was treated earlier that year with a right pneumonectomy without systemic treatment. Initial observation of the choroidal lesion was recommended,… Read More

This 13YO girl presented with immediate vision loss in her left eye after looking at a laser pointer one week earlier. Vision was 20/20 in her normal right eye and 20/70 in her left eye. Triton color photography shows an oblique, slightly linear area of foveal pigment loss. Swept-source OCT scans through this lesion show… Read More