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PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

This 37YO female with type 1 diabetes presented with recent floaters in her left eye. It had been over 5 years since her last eye examination. Vision was 20/30 OD and 20/50 OS. Colour photography shows a large flat area of active retinal neovascularisation in the inferotemporal macula of the right eye. Some foveal preretinal… Read More


CONGENITAL HYPERTROPHY OF THE RPE (CHRPE)

This 57YO female was referred for an asymptomatic pigmented lesion in her right macula. On further questioning, she was told there was something in the back of her eye since childhood due to congenital toxoplasmosis. Vision was 20/20 in her right eye and 20/20 in her left eye. Optos color RGB imaging shows a well-defined,… Read More


PURTSCHER-LIKE RETINOPATHY

This previously healthy 29YO female presented to the emergency room with acute bilateral vision loss. Vision was counting fingers OU. Color imaging shows bilateral white patches of inner and mid-retinal ischemia, white narrowed arterioles, and a few inner retinal hemorrhages. OCT scanning shows variable hyperreflectivity within the inner and mid-retinal layers and cystoid edema. Fluorescein… Read More


DIABETIC SUBHYALOID HEMORHAGE

This 71YO diabetic male was examined over a year following completion of panretinal photocoagulation (PRP) for proliferative diabetic retinopathy (PDR). Vision was 20/50. Triton color photography shows no macular edema, and swept-source OCT reveals a detached hyaloid elevated over the macula. He was told that everything looked great and to come back in 6 months…. Read More


FLATTENED DRUSEN CAUSING SECONDARY MACULAR ATROPHY

This 77YO female presented on 8/3/21 with 20/30 vision in her left eye. Optos color RG imaging shows confluent central soft drusen, which are confirmed on Triton swept-source OCT. On 10/4/23, vision was 20/25. The central drusen flattened with secondary drusenoid atrophy. Continued observation was recommended. Learning Points: Drusen commonly remodel over time and their… Read More


CHORIORETINAL FOLDS

This 61YO female presented without a visual complaint. She was a +4 diopter hyperope bilaterally. Vision was 20/200 OD and 20/20 OS. Color imaging and OCT show bilateral chorioretinal folds, which are particularly prominent in her right eye. Foveal pigmentary changes are noted in the central right macula, with OCT disorganization of the central macular… Read More


PROLIFERATIVE DIABETIC RETINOPATHY (PDR)

This 38YO diabetic female was referred for diabetic retinal changes. Vision was 20/50 OD and 20/40 OS. Multimodal imaging shows the often subtle proliferative changes with various perspectives of her center-involved diabetic macular edema (CI-DME). Widefield color imaging shows minimal retinal hemorrhages with a foveal cyst. Upon closer inspection, subtly fibrosed retinal neovascularization is noted,… Read More


SERPIGINOUS CHORIORETINITIS

This healthy 54YO male presented for a second opinion for untreated serpiginous chorioretinitis that was diagnosed 2 years earlier. Vision was 20/20 OD and 20/200 OS. Color imaging shows bilateral chorioretinal scarring that extends outwards from the optic nerves. This scarring is more extensive OS and spares the macular center. On fundus autofluorescence (FAF), this… Read More


MYOPIC MACULAR NEOVASCULARIZATION

This 72YO female recently moved to our area and self-referred herself to establish new retinal care. One year earlier, she received a series of five monthly anti-VEGF injections OD for myopic macular neovascularization (MNV), and felt that her vision was stable since the last injection about 6 months earlier. Vision was 20/60 OD and 20/40… Read More


GLAUCOMATOUS PERIPAPILLARY RETINOSCHISIS

This 70YO male was referred for possible macular edema in his left eye. He underwent a successful vitrectomy for a retinal detachment in his right eye 8 months earlier. He had no visual complaints, and vision was 20/20 OD and 20/25 OS. Intraocular pressure was 14 mmHg OD and 22 mmHg OS. Optos color RG… Read More