Blog

This 66YO female was examined following successful vitrectomy three months earlier for a macula-off, rhegmatogenous retinal detachment (RRD). Vision improved from a preoperative 20/200 to 20/40 postoperatively. OCT scanning shows multifocal areas of intraretinal and subretinal fluid (SRF). Four months later, vision remains at 20/40, and all areas of the SRF are shrinking. Learning Points:… Read More

This 72YOM was examined with asymptomatic intermediate AMD bilaterally. Vision was 20/40 OD and 20/50 OS. Color imaging of his left eye initially shows mostly large, soft drusen and pigment clumps. Swept source OCT shows a RPE detachment (PED) with overlying hyperreflective foci. He returned over a year later without new symptoms, despite vision dropping… Read More

This 65YO female presented with 2 weeks of paracentral vision loss in her left eye. Vision was 20/25. Optos color RGB imaging shows multilayered hemorrhages in the nasal and superior macula, including preretinal and subretinal blood. Swept-source OCT through the preretinal and subretinal areas confirms the locations of the blood. Fluorescein angiography shows a blockage… Read More

This 66YO female was seen for a diabetic retinopathy screening. She had a prior history of age-related macular degeneration (AMD). There were no visual symptoms. Vision was 20/40 OD and 20/30 OS. Optos color RGB imaging shows moderate non-proliferative diabetic retinopathy (NPDR) with some scattered retinal hemorrhages and nerve fiber layer infarcts. Some focal areas… Read More

This 33YO female has a known history of retinitis pigmentosa (RP) and congenital neurosensory hearing loss. Her nyctalopia and peripheral vision loss are stable, and vision was 8/20 OD and 15/20 OS. Color photography of both eyes shows symmetrical pigmentary changes and intraretinal pigment migration (bone spicules) extending from the peripheral maculas into the retinal… Read More

This 85YO female presented with recent vision loss in her right eye. Vision was 20/200 OD and 20/40 OS. Fundus photography of her right eye shows granular foveal pigmentary changes with a few faint, medium-sized drusen in her left eye. Swept-source OCT OD shows a shallow, irregular elevation of the foveal RPE with visible Bruch’s… Read More

This 45YO female with type 1 diabetes responded beautifully to full panretinal photocoagulation (PRP) for her proliferative diabetic retinopathy (PDR). When examined 6 weeks following completion of her PRP, faint fibrotic neovascularization was noted along the inferotemporal arcade. Vision was 20/400 from residual central edema that was being treated with ongoing anti-VEGF therapy. Unfortunately, she… Read More

This 36YO female presented with unilateral vision loss in her left eye. She denied any systemic symptoms except for headaches for 3 months. Vision was 20/70 in her right eye and 20/25 in her left eye. Optos color imaging shows severe optic nerve head edema, a foveal lipid star, dilated and tortuous vessels, and a… Read More

This 57YO female has a long history of vision loss in her left eye following blunt trauma years earlier. Vision was hand motion OS. Optos color RGB imaging shows a large chronic macular hole with surrounding pigmentary changes. There are several hyperpigmented choroidal ruptures just temporal to the hole. Chorioretinal scarring with intraretinal pigment migration… Read More

This 27 YO technician working without eye protection in a dermatology laser clinic presented with sudden, painless vision loss and floaters in his right eye. Vision was 20/40. Optos color imaging shows vitreous blood emanating from the site of laser injury in the super midperiphery. A rim of subretinal blood surrounds the lesion. Fresh laser… Read More