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This 89YO male presented with 2 days of acute and severe vision loss in his right eye. Vision was no light perception. Optos color RGB imaging shows an acute central retinal artery occlusion (CRAO) with a cherry-red spot and a stagnant blood column, best seen superiorly as box-carring of the column. Fluorescein angiography shows profound… Read More

This 64YO diabetic male presented with asymptomatic retinal findings in his left eye. Vision was 20/40 OU. Optos color RGB imaging shows superior subretinal and sub-RPE blood. Optos Silverstone widefield swept-source OCT through this lesion shows prominent multiple choroidal polyps. Subretinal pigmentary clumping temporal to the blood likely represents findings from absorbed subretinal blood. Moderate… Read More

This healthy 10YO boy presented several hours after being hit in his left eye with a Nerf ball. Vision was 20/25. Optos color RGB imaging shows subretinal whitening with associated retinal hemorrhages in the inferotemporal periphery. Optos Silverstone swept-source OCT shows at least two outer retinal hyperreflective bands in the uninvolved retina, which merge into… Read More

This 66YO male presented with sudden vision loss in his left eye. Vision was 20/30 in his normal right eye and counting fingers in his left eye. Optos color RG imaging shows a central retinal vein occlusion (CRVO) with mild retinal hemorrhages in all quadrants, except for more moderate hemorrhages superotemporally. A secondary superior branch… Read More

This 53YO female presented with 20/80 vision in her right eye from a macular branch retinal vein occlusion (BRVO) with macular edema. The edema resolved following a single injection of a Lucentis biosimilar. She was then lost to follow-up for 8 months, when she returned with 20/20 vision. Extensive inferonasal macular collateral vessels are seen… Read More

This 10YO boy was referred for vision loss immediately after getting hit in his left eye by a soccer ball 7 days earlier. Vision was 20/70. Fundus photography shows scattered intra- and preretinal hemorrhages with a large confluent area of commotio retina superiorly and temporally. Widefield OCT shows a partial-thickness macular hole with the external… Read More

This 84YO male was referred for an asymptomatic macular lesion in his right eye. He was a +6 diopter hyperope. Vision was 20/30 in his right eye and 20/30 in his left eye. Optos color RG imaging shows a subretinal, mostly depigmented lesion in the superior macula. Triton swept-source OCT shows a hyporeflective outer choroidal… Read More

This 52YO female was referred for a possible retinal detachment in her left eye. There were no visual symptoms. Optos color RGB imaging shows inferotemporal retinoschisis with numerous inner retinal refractile dots. Optos California swept-source OCT confirms schisis with splitting of the outer plexiform layer. Learning Points: Degenerative retinoschisis is an age-related splitting of the… Read More

This healthy 6YO boy presented with diminished vision noticed by his parents and teacher. There was no family history of eye disease. Vision was 20/200 OU. Fundus photography shows fairly symmetrical, creamy, pale subretinal lesions encircling each posterior pole. The margins of these lesions have a somewhat irregular hyperpigmented border. OCT shows outer retinal thinning… Read More

This 28YO healthy male was referred for asymptomatic findings on retinal examination in his left eye. Vision was 20/20 in his normal OD and 20/20 OS. Optos color RGB imaging shows scattered temporal lipid and telangiectatic vessels. A large macroaneurysm is noted. The retina distal to the lipid is featureless and clinically ischemic. Fluorescein angiography… Read More