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This 42YO male with high myopia was referred for asymptomatic optic nerve changes. Vision was 20/30 OD and 20/25 OS. Optos color RG imaging shows bilateral peripapillary atrophy. Clinically, this scarring is markedly excavated from the surrounding retinal plane. Triton swept-source OCT confirms peripapillary staphyloma. Localized retinal detachments are noted bilaterally, particularly within the nasal… Read More

This 23YO male was referred for a second opinion regarding a traumatic intraocular foreign body that occurred about 5 months earlier. The patient said he was pumping a large truck tire when the tube detached from the valve on the wheel. Metal powder then shot up from the ground and hit the eye. The initial… Read More

This 67YO female has a known history of Plaquenil toxicity. Her bilateral 20/200 vision and macular findings have been stable since discontinuing this medication 30 years ago. Triton color imaging and swept-source OCT show classic findings for severe hydroxychloroquine toxicity, including an oval area of foveal pigment loss and outer retinal atrophy. Most patients will… Read More

This 57YO male presented with 3 weeks of blurred vision in his right eye. Vision was 20/40 OD and 20/25 OS. Optos color RG imaging shows bilateral plaques of whitish deep retinal discoloration. Fundus autofluorescence (FAF) shows multifocal MEWDS-like hyper-FAF spots scattered throughout each fundus. Triton swept-source OCT shows an indistinct temporal foveal ellipsoid zone… Read More

This 73YO male presented with this asymptomatic amelanotic lesion inferior to the right optic nerve. Optos fundus autofluorescence (FAF) shows overlying hyper-FAF with some dendritic radiating lines of hyper- and hypo-FAF extending inferonasally. Triton swept-source OCT scanning through this region shows hyperreflective scleral thickening, which compresses the overlying choroid and elevates the retina. Learning Points:… Read More

This 17YO male was in a car accident several weeks earlier with a whiplash injury. He noticed mild vision loss in his right eye since. Vision was 20/30. Color imaging shows a somewhat linear area of foveal pigment loss. OCT scanning of this region shows an outer foveal microdefect with adjacent hyperreflectivity along its temporal… Read More

This 80YO male was referred for bilateral macular findings. He was without new visual complaints. Vision was 20/70 OD and 20/200 OS. Optos color RG imaging shows bilateral foveal pigment loss with coarse intraretinal pigment migration. The changes are mostly hypo-autofluorescent. Triton swept-source OCT shows atrophy and disorganization of all retinal layers in the central… Read More

This 84YO female received an intravitreal Eylea HD injection in her right eye on 12/28/23 for macular edema from a branch retinal vein occlusion. She presented on 1/18/24, complaining of waking several days earlier with severe painless vision loss in this eye. She denied trauma or Valsalva. Vision was counting fingers, and intraocular pressure was… Read More

This healthy 33YO male presented with a 1-week history of vision loss in his left eye. Vision was 20/20 in his normal right eye and 20/60 in his left eye. Optos color RGB imaging shows a superior macular branch retinal vein occlusion (BRVO) with relatively confluent inner retinal hemorrhages and superiorly located nerve fiber layer… Read More

This 72YO male was followed for many years with stable intermediate AMD. On 9/11/19, he presented with a new symptomatic retinal pigment epithelial detachment (PED) with 20/30 vision. Fluorescein angiography shows an uneven-filling PED with a nasal hypofluorescent notch. A large PED is confirmed on OCT scanning. He initially did well with monthly Eylea injections…. Read More