Blog

This 45YO female presented with a superior Jack-O-Lantern macula-off retinal detachment in her right eye. The detachment was successfully repaired with vitrectomy and C3F8 tamponade.  

This 41YO male has been followed for years with Coats disease in his left eye. Numerous treatment modalities have been used, including thermal laser, intravitreal anti-VEGF, and Ozurdex (dexamethasone 0.7mg) injections. Most recently, he has received Ozurdex every 3-4 months for the past 2 years. Vision is stable at 20/30. Optos color RG imaging shows… Read More

This 54YO female presented with 3 weeks of vision loss in her left eye. Vision was 20/20 in her normal OD and 20/200 OS. Fundus photography shows devitalized yellow prefoveal blood, some lipid flecks centered in the superotemporal macula, and a tiny fibrosed superior retinal arterial macroaneurysm (RAM). OCT scanning through the fovea confirms the… Read More

This 81YO male has a history of counting-finger vision in his left eye due to a stable age-related fibrosed disciform scar. Color imaging shows a fibrosed disciform scar in the central and superior macula. Triton swept-source OCT through different regions of the scar shows a constellation of interesting findings. The scar is variably hyperreflective, with… Read More

This 64YO female was referred for an asymptomatic macular pucker in her right eye. Vision was 20/200 OD and 20/20 OS. 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. A… Read More

This 14YO boy received thermal laser photocoagulation for an exudative retinal detachment in his right eye from Coats disease about 10 years earlier. There were no new complaints, and vision was stable at 20/400. His normal left eye was 20/20. Optos color RG imaging shows peripheral superotemporal scarring and subretinal fibrosis. A venous retinal-choroidal anastomosis… Read More

This 41YO female presented with headaches, redness, and pain OD for 1.5 months and OS for 2 weeks. She was diagnosed elsewhere with angle closure glaucoma, received a YAG peripheral iridotomy, and started on glaucoma drops. She then saw multiple other doctors who diagnosed her with papilledema. Her CSF opening pressure was 21, and she… Read More

This 75YO male underwent successful macular hole surgery 5 years earlier. Vision was 20/40. Color photography shows scattered mixed drusen. B-scan OCT shows small irregular defects in the inner temporal macula. En face OCT shows extensive dimpling that parallels the nerve fiber layer. Learning Points: Pars plana vitrectomy with membrane peeling is frequently performed for… Read More

This 59YO male has been followed for the past year with asymptomatic peripapillary pachychoroid syndrome (PPS) in his left eye. Vision is stable at 20/25 OU. Optos color RGB imaging shows a normal left macula. Indocyanine green (ICG) angiography is normal OD (not shown), but reveals a dilated vortex system superotemporally that drains nearly the… Read More

This 40YO female presented with vision loss in her left eye for 7 months. Vision was 20/20 in her healthy right eye and hand motion in her left eye. Fundus photography shows an ill-defined, somewhat pale left nerve with peripapillary fluid, subretinal lipid, and foveal pigmentary changes. Disc collaterals are noted. Externally, the left globe… Read More