Blog

In 2011, this 27YO female was recently hospitalized and treated with intravenous amphotericin. Upon discharge, she was examined for vision loss in her left eye. Vision was hand motion. Color photography shows a thickened yellow subfoveal lesion that extends through the full-thickness retina on OCT. One week later, vision improved to counting fingers, and the… Read More

This 83YO female presented for a retinal examination without a new complaint. There was a known history of Stargardt disease from a pathogenic ABCA4 mutation. Vision was stable at 20/200 OD and 20/400 OS. Optos color RG imaging shows bilateral macular atrophy with yellow subretinal flecks more peripherally. Fundus autofluorescence (FAF) shows hypo-FAF from the… Read More

This 76YO male was referred for an asymptomatic lesion in his right fundus. Vision was 20/30. Optos color RG imaging shows a lumpy, elevated subretinal yellow-white nodular lesion in the superotemporal midperiphery. OCT scanning through this lesion shows marked lumpy scleral elevation with distortion of the overlying choroid and retina. This lesion was markedly hyperreflective… Read More

This healthy 67YO female was examined for a symptomatic posterior vitreous detachment in her right eye. She was previously visually asymptomatic, and vision was 20/25 OU. Optos color RGB imaging shows several large irregular drusen in the nasal right macula and faint drusen in the superotemporal left macula. Triton swept source OCT shows a relatively… Read More

This 22YO female presented with a lifelong history of stable severe bilateral vision loss, congenital nystagmus, and a prior inoperable retinal detachment in her left eye. There was no past medical or family history of eye disease. Optos color RGB imaging of her right eye shows temporal dragging of the disc and vessels from a… Read More

This 83YO female presented with recent vision loss in her left eye. There was a prior history of a branch retinal vein occlusion (BRVO), for which she received scatter laser elsewhere 8 years earlier. Vision was 20/60 OS. Color photography shows superotemporal macular telangiectasia with likely retinal venous macroaneurysms (RVMs). Fairly dense lipid is noted… Read More

This 76YO female presented with blurred vision in her right eye for one month. Vision was 20/60 in her right eye and 20/30 in her left eye. Color photography shows a ruptured retinal arterial macroaneurysm (RAM) causing multiple layers of blood. The blood is subretinal, intraretinal, and preretinal. Some scattered lipid flecks are noted centrally… Read More

This 64YO male presented with recent central vision loss in his right eye. Vision was 20/40. Color imaging shows a large central macular retinal pigment epithelial detachment (PED). Triton swept-source OCT through the central portion of the PED shows underlying hyporeflectivity. Scanning through the inferior portion shows a hyperreflective type 1 macular neovascularization (MNV) with… Read More

This 48YO female with a history of psoriatic arthritis presented on 10/25/22 with painful anterior scleritis. Vision was 20/20. The patient was started on 50mg of prednisone and slowly tapered off by rheumatology. She returned on 7/19/23 with pain behind her right eye. Vision was 20/20. Color imaging shows subtle chorioretinal folds in the superior… Read More

This 65YO male underwent vitrectomy surgery with silicone oil 5 years earlier for a complex rhegmatogenous retinal detachment with proliferative vitreoretinopathy. Vision has remained at counting fingers since the surgical repair, and he presented for his annual visit without new complaints. Optos RG imaging shows innumerable tiny droplets of emulsified silicone oil coating the posterior… Read More