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This 22YO male medical student gave a history of relatively rapid bilateral central vision loss 6 years earlier. His symptoms have been stable since, and he continues to function well visually, personally, and academically. Color imaging shows a bullseye of pigmentary loss around each fovea. The area of pigment loss is hypo-autofluorescent. OCT scanning shows… Read More

This 43YO female was recently discharged from the hospital for severe hypertension. She told us she was hospitalized for about a month and a half, with treatment including a medically induced coma. Vision was 20/200 OU. Color imaging shows bilateral retinal lipid extending from the maculas into the midperipheries. Swept source OCT shows bilateral central… Read More

This 41YO female presented with recent bilateral paracentral scotomas and blurred vision. There was no prior ocular or past medical history. Vision was 20/50 OD and 20/100 OS. Optos color RG imaging shows faint wedge-shaped lesions radiating outwards from each macular center. OCT B-scanning shows variable patchy hyperreflectivity extending from the outer plexiform layer into… Read More

This 53YO female with type 1 diabetes received bilateral panretinal photocoagulation (PRP) for proliferative diabetic retinopathy (PDR) about 30 years previously from an outside practice. She presented for her yearly retinopathy examination, and vision was stable at 20/200 OD and 20/30 OS. Optos color RGB imaging shows bilateral confluent PRP scarring extending from within the… Read More

This 44YO female with a diagnosis of chronic anterior uveitis in the left eye presented with visual acuity of 20/60 and cystoid macular edema recalcitrant to topical and periocular steroids. We treated her with an intravitreal dexamethasone implant (Ozurdex). Optos imaging one week later revealed an unusual vertical orientation of the implant, ‘standing proud’ near… Read More

This 61YO female has been followed for several years for asymptomatic unilateral degenerative retinoschisis in her right eye. Vision is 20/30. Optos color RGB imaging shows a large posterior outer layer hole with surrounding pigment. Innumerable small inner-layer holes are noted more peripherally within the inferotemporal schisis cavity. Learning Points: Degenerative retinoschisis is virtually never… Read More

This Eyecare Clinic (in Brescia, Italy) case was submitted by Barbara Parolini, Veronika Matello, Giulia Freschi, and Roberta Penzani. This 48YO highly myopic male presented for a sudden drop in vision. Vision was 20/100 OD and 20/20 in OS. Color photography shows a blunted macular reflex. Widefield OCT shows a conical-shaped staphyloma of the entire… Read More

This 79YO female was referred for asymptomatic retinal findings. She has a history of diet-controlled type 2 diabetes. Optos color RG imaging shows scattered, round, deep retinal hemorrhages, some with white centers. Most of the midperipheral hemorrhages are much more extensive in her right eye. Bloodwork, including CBC, serum viscosity, and serum protein electrophoresis, was… Read More

This 42YO 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 patches of variably pigmented lattice degeneration in the inferotemporal midperiphery. At least one atrophic retinal hole is noted in the superior-most lesion. The retinal veins… Read More

This 41YO female complained of increasing difficulties with dark adaptation and night vision. Vision was 20/25 OU. Color imaging shows bilateral, multifocal, partially scrambled vitelliform lesions. The superior scrambled aspect of each lesion on OCT shows subretinal hyporeflectivity, and the inferiorly layered vitelliform material is hyperreflective. The inferior vitelliform material is markedly hyper-autofluorescent with Optos… Read More