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This 74YO male was seen for a routine eye examination. He told us he had a laser procedure on his right eye 18 years ago. Based on this image, what type of laser was it? Fundus photography shows a normal macula except for an area of depigmentation in the temporal fovea. Swept-source OCT through this… Read More

This healthy 13YO female was referred for asymptomatic vascular changes in her right eye. Vision was 20/20 OU. Optos color RGB imaging shows a prominent superotemporal retinal vein that crosses into the inferotemporal retina. As it descends temporally, it arborizes into numerous smaller branches. There was no leakage angiographically. Neurologic imaging of our patient was… Read More

This 60YO male presented with an abrupt, painless loss of vision in his right eye 1 week earlier. There was no prior ocular history or recent history of trauma. Vision was 20/30 in his right eye, and 20/20 in his normal left eye. Fundus photography shows patches of mostly inner-peripapillary ischemia, with deeper ischemia throughout… Read More

This 13YO girl has a history of congenital deafness, autism, and ADHD. Vision was 20/30 OU. Color imaging shows bilateral and symmetrical moth-eaten pigmentary changes with an oval area of foveal hyper-autofluorescence. Fundus autofluorescence (FAF) visualizes endogenous fluorophores, compounds that spontaneously fluoresce without an external dye. The main fundus fluorophore is lipofuscin, which resides within… Read More

This 60YO female presented with 1 month of vision loss in her right eye. Vision was 20/100 OD and 20/40 OS. Fundus photography of her right eye shows a large macular hole with some nasal pachydrusen. There was an old branch retinal vein occlusion without macular drusen in her left eye (image not shown). Fluorescein… Read More

This 63YO male, who is undergoing treatment for leukemia, presented with one day of acute vision loss in his right eye. He was recently discharged from the hospital for chemotherapy-induced pancytopenia. His CBC showed: WBC 0.5, HgB 5.6, and Platelets 2. Vision was counting fingers OD. Fundus imaging shows sub-internal membrane (ILM) hemorrhage. The OCT… Read More

This 53YO female presented with these asymptomatic macular changes. She denied any family history of eye disease. Vision was 20/30 OD and 20/25 OS. Optos color RG imaging shows extensive mixed drusen throughout the right posterior pole. The drusen hyper-autofluoresce. OCT B-scan shows the sub-RPE drusen indenting and extending into the outer nuclear layer and… Read More

This 55YO male presented with relatively asymptomatic inferior field loss in his left eye. Color imaging of the left nerve and macula shows a few small areas of disc neovascularization (NVD) and a fibrosed arteriole superiorly. Optos color RG imaging shows an irregularly dilated superotemporal major retinal vein and a featureless superior retina. Fluorescein angiography… Read More

This 27YO female with a history of uncontrolled type 1 diabetes presented with bilateral vision loss. Vision was 20/40 OD and 20/200 OS. Fluorescein angiography shows severe capillary loss that extends through the central macula. The remaining vessels are telangiectatic, especially bordering the areas of frank loss, and an area of leaking disc neovascularization is… Read More

This healthy 8YO boy presented for a routine eye examination. Vision was 20/20 in his normal right eye and 20/30 in his left eye. Fundus photography shows telangiectatic vessels in the temporal macula associated with surrounding lipid. The lipid is particularly dense centrally. OCT scanning shows temporal, mostly outer retinal edema. The macular center looks… Read More