Blog

TAMOXIFEN RETINOPATHY

This 56YO female was referred for asymptomatic macular findings. The referring doctor mentioned that she may have retinal changes from the Tamoxifen that she was taking for over 3 years for breast cancer. Vision was 20/50 OD and 20/40 OS. Optos color RGB imaging shows numerous tiny inner retinal crystalline deposits scattered throughout each fovea…. Read More


FROSTED BRANCH ANGIITIS

This healthy 16YO female presented with several days of bilateral blurred vision. There was no past ocular or medical history. Vision was 20/25 OD and 20/30 OS. Anterior segments were normal. Optos imaging of her right eye shows a frosted branch appearance to a retinal vein in the superior midperiphery, with more diffuse vasculitis seen… Read More


RPE TEAR

This 73YO female presented with acute vision loss in her right eye. Vision was 20/40 OD and 20/30 OS. There was a several-year history of type 2 diabetes with mild bilateral nonproliferative diabetic retinopathy. Optos imaging shows a large vertical area of depigmentation in the distal superotemporal macula. There is a serous detachment surrounding this… Read More


ATYPICAL RETINAL CAVERNOUS HEMANGIOMA

This healthy 5YO boy was referred for an asymptomatic retinal lesion in his left eye. Vision was 20/25 OU. Optos color RGB imaging shows unusual temporal changes involving the venous vascular tree. Prominent dilated and tortuous retinal veins drain the supero- and inferotemporal periphery before merging into a single vessel more posteriorly. Surrounding these larger… Read More


LATTICE DEGENERATION

This 68YO male presented with asymptomatic lattice degeneration bilaterally. He remembered getting a laser to one of his eyes many years earlier at an outside practice. Optos imaging of his left eye shows a near ora to ora view of scattered circumferential pigmented lattice lesions. Laser scarring surrounds an area of lattice with atrophic holes… Read More


POST-FEVER DENGUE RETINITIS

This 15YO boy had a 3-week history of Dengue fever followed by severe vision loss in his right eye. Vision was counting fingers OD and 20/20 in his normal left eye. Color imaging shows Purtscher-like central macular findings of acute inner macular ischemic whitening with retinal hemorrhages. OCT scanning shows retinal thickening with increased inner… Read More


OUTER RETINAL FOLDS/CORRUGATIONS

This 51YO male presented with this acute temporal macula-off rhegmatogenous retinal detachment (RRD). Vision was 20/200. Optos color RGB imaging shows an RRD with corrugated outer retinal folds. These folds are best seen with the green channel. Swept-source OCT shows how these findings involve just the outer retina. The detachment was repaired with vitrectomy the… Read More


POSSIBLE CELIAC RETINAL NEOVASCULARIZATION

This 55YO female presented with asymptomatic peripheral retinal vascular findings. She has a history of high myopia and celiac disease. Vision was 20/20 OU. Optos imaging of the OD shows telangiectatic vessels in the inferotemporal periphery with angiographic leakage in this region and superotemporally. Two similar areas are noted inferotemporally in the OS. Vertical UWF-OCT… Read More


RETINAL TEAR + BRVO

This 63YO female presented with symptomatic flashes and floaters in her left eye. Optos color imaging shows a retinal tear just inferior to the nerve. An ischemic branch retinal vein occlusion (BRVO) is noted inferiorly. A posterior vitreous detachment (PVD) was noted clinically. Fluorescein angiography confirmed the inferior ischemic BRVO with some small areas of… Read More


TRIAMCINOLONE-MOXIFLOXACIN (TriMoxi)

This 68YO male presented with symptomatic floaters 10 days following uneventful ‘no-drop’ cataract surgery with Trimoxi. Optos color RGB imaging shows clumps of white triamcinolone suspended in the inferior vitreous. Learning Points: Our practice, along with many others, offers ‘no drop’ cataract surgery as a convenience to our patients. Instead of needing to take postoperative… Read More