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This 72YO female has been followed for years with intermediate AMD. On 3/26/25, she remained asymptomatic with 20/40 vision. Color photography shows confluent central drusen creating a drusenoid PED with a radiating pigment figure, surrounded by large soft drusen. The drusenoid RPE detachment (PED) is confirmed on swept-source OCT. The RPE and outer retinal bands… Read More

This 37YO male presented with one month of decreased vision in his left eye. There was no history of steroid or testosterone use. Vision was 20/20 in his normal OD and 20/40 OS. MultiColor SLO imaging shows a large macular serous detachment extending into the inferior midperiphery, associated with fibrinous subretinal fluid. A horizontal OCT… Read More

This 80YO female was initially referred for asymptomatic retinal findings in her left eye. Vision was 20/25. Optos color RG imaging shows flat pigmented subretinal scarring in the left inferotemporal periphery. Three months later, a subretinal pigmented nodular lesion is noted along with a small dot of temporal blood. Over the following 7 months, this… Read More

This healthy 41YO female presented with 6 months of bilateral vision loss. Vision was 20/240 OD and 20/200 OS. Optos color RG imaging OD shows peripapillary scarring, multifocal large hyperpigmented chorioretinal scars scattered inferiorly and temporally, and some vascular sheathing. A full-thickness macular hole is noted and confirmed on OCT. Fluorescein angiography shows peripapillary leakage…. Read More

This 48YO male with a history of poorly controlled type 2 DM was seen 4 years earlier for an eye examination elsewhere but was immediately lost to follow-up. He presented to us with hand-motion vision in his left eye. Color fundus photography shows florid disc and peripheral neovascularization variably coating the posterior pole. A large… Read More

This previously healthy 29YO female presented with 2 days of sudden vision loss in her left eye. Vision was 20/20 in her normal OD and light perception OS. Color photography shows an acute central retinal artery occlusion (CRAO) with diffuse retinal opacification and a prominent foveal cherry-red spot. The retinal arterioles are markedly attenuated with… Read More

This 26YO male DJ noticed immediate blurred vision in his right eye after looking at a laser disco light during an event 5 days earlier. Vision was 20/120 OD. Color photography shows a small, round, yellow lesion involving or quite close to the foveal center. OCT scanning shows full-thickness foveal disruption and hyperreflectivity. Learning Points:… Read More

This 77YO female presented for routine examination on 2/7/25 with asymptomatic degenerative retinoschisis (DRS) inferotemporally in her left eye. When she returned one year later, the schisis had completely spontaneously flattened. Learning Points: The dynamics of DRS cavities were noted by Byer in 1972 when he reported the first case of spontaneous regression (Arch Ophthalmology… Read More

This 49YO male has a history of MFRP-related retinitis pigmentosa (RP). We have followed him for 13 years with stable findings of bilateral nanophthalmos (+18D hyperopia, axial lengths 14.82mm OD and 15.14 OS), optic disc drusen (ODD), and choroidal folds. He has compound heterozygosity for 2 pathogenic variants in the MFRP gene. Optos color RG… Read More

Optos color RG imaging shows a yellowish, well-circumscribed amelanotic lesion centered in the inferonasal macula. On OCT, the lesion has an internal lamellar, sponge-like architecture, characterized by horizontal hyporeflective lines corresponding to intralesional vascular channels and bony trabeculae. The overlying RPE and retina appear fairly normal. The lesion is markedly hyperreflective on B-scan ultrasonography with… Read More