Blog

MACULAR HOLE DUE TO DIABETIC TRACTION

This 49YO female with type 2 diabetes presented with a several-year history of blurred vision in her left eye. Vision was 20/40 OD and 20/60 OS. Optos RG imaging shows variably fibrosed retinal neovascularization encircling the posterior pole. Fluorescein angiography shows active leakage from these vessels. An area of small neovascularization is present in the… Read More


VALSALVA RETINOPATHY

This 39YO male presented with a 3-day history of sudden floaters and central scotoma in his left eye following heavy lifting. Vision was 20/20 in his normal right eye and 20/20 OS. Color fundus imaging shows multi-layered hemorrhages in the posterior pole, including vitreous, subhyaloid, sub-internal limiting membrane (ILM), Henle’s layer, and deep intraretinal or… Read More


CRB1-RELATED FOVEOSCHISIS

This healthy 12YO girl was referred for bilateral macular changes. She was having some mild subjective central vision loss. Vision was 20/40 OD and 20/30 OS. There was no ocular family history. Color photography shows symmetrical radiating foveoschisis. OCT scanning shows central outer nuclear layer schisis with milder, more peripheral inner nuclear layer schisis. Learning… Read More


CHOROIDAL HEMANGIOMA

This 35YO female was referred for an asymptomatic left macular lesion. Vision was 20/20 in her normal right eye and 20/30 in her left eye. Optos color RGB imaging shows a perfectly round subretinal lesion centered in the temporal macula, extending just beneath the macular center. Swept-source OCT shows a thickened choroidal lesion without overlying… Read More


HIGH MYOPIA

This 58YO male with a history of degenerative myopia presented with 6 months of vision loss in his right eye. He was blind in his left eye following vitrectomy surgery 7 years earlier. Vision was counting fingers OD. Color photography shows severe variably pigmented atrophic myopic degeneration. An area of orange coloration is seen within… Read More


ACUTE POSTERIOR MULTIFOCAL PLACOID PIGMENT EPITHELIOPATHY (APMPPE)

This healthy 25YO female presented with 3 weeks of painless vision loss, especially in her left eye. Vision was 20/20 OD and 20/100 OS. There was a moderate bilateral granulomatous anterior uveitis. The vitreous was clinically free of cells. Color photography shows bilateral creamy subretinal macular placoid lesions. OCT scanning shows variable loss of the… Read More


HIGH MYOPIA

This 63YO female with severe high myopia underwent bilateral cataract surgery many years ago, along with successful vitrectomy for retinal detachment in her right eye. Vision was 20/50 OD and 20/30 OS. Color imaging shows bilateral myopic peripapillary atrophy and macular pigmentary loss. Swept-source OCT shows a dramatically thinned or absent choroid and full-thickness, thinned… Read More


CHOROIDAL NEVUS MISDIAGNOSED AS CENTRAL SEROUS

This 71YO female was referred for further treatment of chronic idiopathic central serous chorioretinopathy (ICSC) of her right eye, for which she had previously received unsuccessful anti-VEGF therapy at another institution. Vision was 20/100 OD and 20/20 in her normal left eye. Fundus photography shows a variably pigmented, minimally thickened peripapillary choroidal nevus that extends… Read More


IDIOPATHIC MACULAR NEOVASCULARIZATION (MNV)

This 23YO male presented with a recent loss of vision in his left eye. Vision was 20/60. Optos color RG imaging shows a depigmented subretinal lesion in the superior fovea with overlying dots of blood and radiating retinal striae. Fluorescein angiography shows a well-defined superior extrafoveal macular neovascularization (MNV). Swept-source B-scan OCT through this lesion… Read More


ANGIOID STREAKS

This 42YO female with a known history of pseudoxanthoma elasticum (PXE) presented with new central flashes in her right eye. Vision was 20/25 OD and 20/30 OS. Optos color RG imaging shows large, irregularly dilated’ angioid streaks’ radiating outwards from each optic nerve. A pigmented macular neovascularization (MNV) with some subretinal blood is noted in… Read More