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This healthy 56YO female presented with 1-2 weeks of blurred vision in her left eye. Vision was 20/25 in her normal OD and 20/100 OS. Color imaging shows a diffusely swollen left nerve. Optic nerve Triton swept-source OCT B-scan confirms the diffuse retinal nerve fiber layer edema. A few dots of subclinical hyperreflective lipid are… Read More

This healthy 7YO boy was playing with his older brother while watching their favorite Three Stooges bit about Niagara Falls. Horseplay literally turned into tragedy when they presented to the emergency room with the older brother’s hand impaled into his younger brother’s right eye. Both were immediately taken to surgery, where the attacking brother’s thumb… Read More

This healthy 31YO male presented with 6 months of blurred vision. He was previously diagnosed by a general ophthalmologist with a branch vein occlusion in the OD. Vision was 20/30 in his right eye and 20/20 in his left eye. Color imaging shows active neovascularization extending inferonasally from the nerve, with more distal retinal hemorrhages… Read More

This 46YO female with type 2 diabetes presented with recent bilateral vision loss. Vision was 20/200 OD and hand motion OS. Optos color RGB imaging of her left eye shows a combined tractional-rhegmatogenous total retinal detachment with fibrovascular tissue encircling the macula. Temporally radial outer retinal folds are dragged toward the more succulent, red neovascularization…. Read More

This 58YO female recently noticed difficulties with depth perception. There was no family history of eye disease. Vision was 20/50 OD and 20/80 OS. Genetic testing revealed two heterozygous pathogenic ABCA4 mutations. Optos color RG imaging shows multiple yellow fleck-like lesions throughout each posterior pole. Fundus autofluorescence (FAF) of these flecks shows variable hyper-FAF, with… Read More

This 66YO male was referred for an asymptomatic lesion in his left fundus. Vision was 20/25 in his normal right eye and 20/25 in his left eye. Optos color RGB imaging of the left eye shows a normal optic nerve. Just superonasal to the nerve is a round, colobomatous scar. Triton swept-source OCT through this… Read More

This 31YO male gave a history of scleral buckling surgery in Cuba 14 years earlier. There were no visual complaints, and vision was 20/70. Optos color RGB imaging shows an intruding scleral buckle in the superotemporal periphery. The buckle is covered by bare neurosensory retina with some surrounding hyperpigmented chorioretinal scarring. Externally, the eye was… Read More

This 36YO male presented with asymptomatic findings on fundus examination in his right eye. Vision was 20/25 in his right eye and 20/20 in his normal left eye. Optos color RG imaging shows telangiectatic vessels in the temporal and superotemporal midperipheries. Subretinal lipid is most dense superotemporally. Fluorescein angiography beautifully shows the telangiectasia, including capillary… Read More

This 12YO female complained of several years of daily frontal headaches associated with bilateral blurriness. Vision was 20/25 OU. Color photography of her right eye shows an oval depigmented lesion in the temporal macula. Horizontal B-scan OCT shows outer retinal atrophy overlying the lesion. In the vertical B-scan, the lesion is colobomatous with outer retinal… Read More

This 11YO boy presented with decreased vision in his left eye after his friend’s father thrashed him and was hit in the head 3 days earlier. There was no other sign of bodily injury. Vision was 20/20 in his normal right eye and counting fingers in his left eye. Our patient’s findings are predominated by… Read More