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This 28YO male noted sudden vision loss in his left eye 1 day earlier, immediately following coughing. Vision was 20/20 in his normal right eye and counting fingers in his left eye. Color imaging shows a large layered sub-internal limiting membrane (ILM) hemorrhage occupying the entire macula. The blood extends inferiorly in the subhyaloid space…. Read More

This 27YO female has been followed for an exudative astrocytic hamartoma in her right eye. Vision is 20/20 bilaterally. She was diagnosed with tuberous sclerosis at age 5 and has been followed closely by neurology. Optos color RG imaging shows a superonasal yellow-and-white lesion with overlying neovascularization and exudates, along with areas of vitreous and… Read More

This 67YO male presented with 20/400 vision in his right eye from a symptomatic macular pucker. Color imaging shows a severe central macular pucker. Triton swept-source OCT shows a variably adherent epiretinal membrane (ERM) with inner retinal hyperreflectivity and thickening, and complete loss of the normal inner retinal structures. The outer plexiform layer (OPL) is… Read More

This 84YO male has a long history of advanced chronic open-angle glaucoma with numerous surgical procedures. For several years, his left eye has had stable hypotony, with an intraocular pressure (IOP) of about 3-6 mmHg. Vision is 20/60. Optos color RG imaging shows an inferotemporal choroidal detachment with chorioretinal folds along its posterior margin. Triton… Read More

This healthy 55YO female presented with about 2 weeks of vision loss in her right eye. Vision was counting fingers OD and 20/30 in her normal left eye. Slit lamp showed moderate anterior granulomatous inflammation. Moderate vitreous debris was noted. Optos color RG imaging shows multifocal white patches of variably confluent outer retinal inflammation extending… Read More

This 77YO male had a history of failed vitrectomy with internal limiting membrane (ILM) peeling and SF6 gas for a long-standing full-thickness macular hole, and presented for a second opinion. Vision was 20/125. Optos color RG imaging shows a persistent macular hole with some underlying subretinal fluid. There is a residual epiretinal membrane (ERM) along… Read More

This 66YO female complained of 2 weeks of vision loss in her right eye. Vision was 20/40 OD and 20/20 in her normal OS. Color imaging shows a circinate area of lipid in the superior macula. Triton swept-source OCT through the superior macula shows several sub-RPE polyps with hyper-reflective subretinal lipid. Scanning through the central… Read More

This 62YO female presented with 3 weeks of vision loss in her left eye. Vision was 20/30. Color imaging shows a large central macular retinal pigment epithelial detachment (PED). Fluorescein angiography shows a somewhat unevenly filling PED, with staining vs leakage along its superonasal edge. OCT scanning shows a large PED, shallow overlying temporal subretinal… Read More

This 45YO male presented with a 4-day history of sudden vision loss in the OS immediately following penetrating trauma while working with a hammer and chisel. Vision was 20/20 in his normal OD and 20/200 OS. Slit lamp examination OS showed a small peripheral self-sealing corneal laceration, an iris defect, and a ‘rosette cataract.’ On… Read More

This healthy 19YO male was seen for routine eye examination. Fundus imaging shows bear-track lesions (grouped congenital hypertrophy of the RPE) inferiorly in his right eye. These lesions hypo-autofluoresce. He had a family history of an aunt with colon cancer. He underwent genetic testing as a child and was fortunately negative for the familial adenomatous… Read More