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This 51YO male has been followed for years with self-limited episodes of idiopathic central serous retinopathy (ICSC). Optos color imaging of both eyes shows regions of inferior pigmentary loss, most pronounced in the OS. These findings are much more dramatic on fundus autofluorescence. Swept-source OCT shows variable bilateral loss of the outer retinal bands. Outer… Read More

This 49YO female presented with asymptomatic macular changes. Vision was 20/30 OD and 20/40 OS. There was no past medical history and no family history of eye disease. Color imaging shows tiny yellow perifoveal dots, which are somewhat better seen with red-free imaging. OCT scanning is unremarkable. Learning Points: Benign yellow dot maculopathy was reported… Read More

This 55YO female has been followed for years with macular pattern dystrophy-type changes due to pseudoxanthoma elasticum (PXD). Vision is 20/25 OU. Color imaging shows variable mild pigmentary changes. Optos fundus autofluorescence imaging shows variable hyperautofluorescent flecks with variable angiographic staining. Some staining angioid streaks are noted in her right eye. Learning Points: Retinal findings… Read More

This 47YO female was examined for a routine eye examination. Although she initially denied any visual complaints, further questioning revealed a long history of peripheral vision loss. Vision was 20/20 in each eye, and the following findings were symmetrical and bilateral. Color imaging of the right nerve shows severe optic disc drusen (ODD), which are… Read More

This 28YO male with a history of type 1 diabetes was referred for asymptomatic retinal findings. He noticed some recent floaters in his right eye. Vision was 20/50 OU. Color photography shows severe bilateral proliferative diabetic retinopathy. The right eye has a large area of active disc neovascularization, venous beading, and white vessels temporally indicating… Read More

This healthy 23YO male was referred for bilateral asymptomatic retinal lesions. Scattered patches of grouped subretinal depigmented lesions resembling bear tracks are noted in each eye. Learning Points: These congenital albinotic spots of the retinal pigment epithelium or “polar bear tracks” are sharply circumscribed chalky white lesions with similar size and shape. They appear to… Read More

This 22YO healthy female presented with a year or two of mildly symptomatic problems with distance vision. Vision was 20/25 OD and 20/30 OS. There was no family history of eye disease, and her hearing was normal. Optos color imaging shows bilaterally symmetrical doughnut-shaped rings of subtle pigmentary changes around each macular center. Fundus autofluorescence… Read More

This 45YO female with a known history of sickle SC disease presented with intermittent bilateral floaters following a COVID infection four months earlier. Vision was 20/40 OD and 20/16 OS. Optos color imaging shows bilateral temporal fibrosed retinal neovascularization (sea fans) associated with some localized vitreous blood. The right eye had a significant epimacular membrane… Read More

This 65YO presented complaining of difficulty seeing at a distance for some time. She gave a history of radial keratotomy in both eyes about 20 years prior. There was no significant past medical history or family history of eye disease. Vision was 20/60 OD and 20/70 OS. Optos color imaging shows mild symmetrical pericentral pigmentary… Read More

This 38YO healthy female presented with one day of peripheral vision loss in her left eye after an episode of forceful vomiting from a migraine headache. Vision was 20/30 OS. Optos color imaging shows a dark, round, localized suprachoroidal hemorrhage in the superior midperiphery surrounded by subretinal blood. The right fundus was normal (not shown)…. Read More