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This 10YO boy complained of needing frequent changes of his glasses. Vision was 20/20 OD and 20/30 OS. He was a -8D myope OD and -6D myope OS. Corneal topography was consistent with keratoconus. Color imaging shows symmetric, multiple, discrete yellow-white fleck lesions involving the entire fundus except the maculae. A patch of inferior lattice… Read More

This 12YO boy presented with a few days of painless vision loss in his left eye. He had COVID one week earlier. There was no prior medical history. He was on no systemic medications. Vision was 20/30 in his normal right eye and 20/50 in his left eye. Optos color RG imaging of his left… Read More

This healthy 27YO female has a known history of lattice degeneration with atrophic holes. She is completely asymptomatic, and vision is 20/20 OU. Optos color RGB imaging of her left eye shows patches of inferotemporal lattice degeneration. Optos California Silverstone swept-source OCT through a lesion containing an atrophic retinal hole reveals classic findings, including retinal… Read More

This 58YO male with type 2 diabetes has long-involuted proliferative diabetic retinopathy (PDR) following full panretinal photocoagulation (PRP). He has no visual complaints, and vision is 20/50 OS. Optos color RGB imaging shows a diffuse macular pucker with striae extending nasally towards the nerve and temporally into the distal macula. A condensation of elevated fibrosed… Read More

This 28YO female with type 1 diabetes recently received bilateral full panretinal photocoagulation (PRP), completing treatment several months earlier. Despite this, active neovascularization encircles the major arcades, extending into the midperipheries, clinically and angiographically. She was visually asymptomatic with vision of 20/25 OD and 20/30 OS. There was no edema or traction on OCT (not… Read More

This 46YO female was referred for a possible retinal detachment. She had no visual complaints. Vision was 20/20 OD and 20/20 in her normal OS. Optos color RGB imaging shows a bullous superotemporal retinoschisis. Numerous inner-layer holes are seen. Optos Silverstone ultrawidefield OCT shows splitting of the outer plexiform layer, confirming a schisis. Learning Points:… Read More

This otherwise healthy 8YO male presented with a chronic history of vision loss in his right eye. Vision was counting fingers OD and 20/25 OS. Fundus photography shows dragging of the optic nerve and macula temporally towards an area of dilated, anomalous retinal vessels. Widefield OCT of the right shows an adherent epiretinal membrane elevating… Read More

This 17YO male presented with bilateral vision loss and pain on eye movements 1 week following a COVID-19 infection. There was no prior ocular or medical history. Vision was 20/70 OD and 20/50 OS. Color imaging of the right eye shows a large temporal retinal venous malformation. This vessel shows angiographic laminar filling without leakage…. Read More

This 38YO male presented with floaters in each eye. He denied any past medical history. Vision was 20/20 OU. Fundus photos show multifocal patches of variably pigmented chorioretinal scarring throughout each posterior pole. OCT scanning in each eye shows variable outer retinal atrophy and ellipsoid disruption. Unfortunately, fundus autofluorescence and fluorescein angiography are not available…. Read More

The 9YO girl presented with a known history of persistent fetal vasculature (PFV) since age 4. She was the product of a normal, full-term pregnancy. Vision was 20/400 OU. She also has congenital nystagmus. Color photography shows bilateral fibrous stalks extending from the optic disc to the posterior lens capsule. The stalks are hyperreflective on… Read More