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This 21YO male presented with immediate vision loss after being hit with a cricket ball in his right eye one day earlier. Vision was 20/60. Fundus photography shows a subretinal hemorrhage in the nasal macula, a small rim of surrounding subretinal fluid, and a more temporal ill-defined commotio retina. OCT scanning shows hyporeflective retinal elevation… Read More

This 19YO female presented with a chronic history of unilateral vision loss in her right eye. Vision was 20/100 OD and 20/20 in her healthy left eye. Color imaging shows extensive vascular changes in the inferotemporal retina, including retinal telangiectasia, macroaneurysms, vascular beading, sheathed vessels, and featureless ischemic retina. The central macula is hyperpigmented with… Read More

This 79YO male was referred for asymptomatic macular findings in his right eye. Vision was 20/20. Color imaging shows a shiny, mostly nasal and inferior, macular pucker with a small, irregular macular pseudohole. Small dots of retinal blood vs telangiectasia are seen nasally. OCT scanning shows an adherent macular pucker, a vertical foveal contour, and… Read More

This 63YO male complained of vision loss in his left eye following left carotid endarterectomy. His blood pressure was markedly elevated perioperatively, but he reported feeling better. Blood pressure was 175/101 when seen by his doctor one week earlier. Vision was 20/25 OD and 20/200 OS. Hypertensive retinopathy was noted bilaterally, with scattered retinal hemorrhages… Read More

This 36YO male gave a 2-year history of immediate vision loss in his right eye following an accidental 1064nm YAG laser exposure. Vision was 20/80. Optos color imaging shows a small, round, mostly atrophic foveal scar, which is variably hypoautofluorescent. OCT scanning shows a degenerative lamellar macular hole (LMH) with focal loss of the underlying… Read More

This 51YO female presented with a recent history of floaters in her left eye. There was no significant past ocular or medical history. Vision was 20/30 OS, and the right eye was normal. Optos RG imaging shows clumps of vitreous floaters over the posterior pole, extending into the inferior periphery. A few retinal hemorrhages are… Read More

This 50YO female was referred for possible bilateral retinal detachments. Vision was 20/30 OD and 20/40 OS. Optos color RGB imaging shows bullous, symmetrical inferotemporal retinoschisis. The innumerable inner-layer holes are best seen in the green channel. Learning Points: Degenerative retinoschisis is virtually never prophylactically treated (see Byer 1986;93:1127-1137). Patients can rarely develop a combined… Read More

This 36YO male was referred for asymptomatic unilateral fundus findings. He had a history of retinal reattachment surgery 13 years earlier. Vision was 20/40. Optos color RGB imaging shows chorioretinal scarring with diffuse intraretinal pigment migration within the area of prior detachment, giving the appearance of pseudo-sector retinitis pigmentosa (RP). A demarcation line courses through… Read More

This healthy 24YO female was referred for asymptomatic OCT findings. Color macular photography is normal, although swept-source OCT through each macular center reveals a flat foveal contour. Learning Points: Fovea plana is characterized by the absence of the foveal pit, which is formed embryologically by the inner retinal tissues and vasculature being displaced centrifugally. It… Read More

This healthy 41YO female presented with an asymptomatic lesion in her left eye. Vision was 20/20 bilaterally. She is a -7.00 myope. Color photography shows a serpiginoid-like choroidal atrophic tract extending from the superior macula into the temporal midperiphery. OCT shows a large dilated choroidal vessel corresponding to this lesion with some pockets of overlying… Read More