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This 45YO healthy male was referred for an asymptomatic lesion in his left eye. Vision was 20/20 OU. Optos color imaging shows an amelanotic subretinal lesion just inferior to the left optic nerve. Fundus autofluorescence (FAF) shows this lesion to be hyper-FAF. Swept-source OCT through this lesion shows a hyperreflective scleral thickening that compresses the… Read More

This 51YO minus 5 diopter myope presented without visual complaint for a routine yearly examination. Vision was 20/25 OU. Both maculas are normal on fundus photo and B-scan OCT. However, en face OCT shows bilateral dilation of the inferior vortex system. The right inferior vortex also drains nearly the entire macula. Learning Points: The choroidal… Read More

This 33YO healthy female complained of 1 to 2 weeks of a blind spot and ring of light in her right eye. She had a recent non-COVID viral illness when her symptoms started. Vision was 20/60 OD and 20/20 OS. Color imaging shows a subfoveal area of central hyperpigmentation surrounded by a ring of pigment… Read More

This 52YO female has a 10-year history of breast cancer and a 3-year history of metastatic pulmonary disease, which is controlled with systemic chemotherapy. She was referred for an asymptomatic lesion in her right eye. Fundus photography shows an amelanotic subretinal lesion inferonasal to the nerve. This lesion faintly hyper-autofluoresces. OCT scanning through this lesion… Read More

This 56YO male with type 2 diabetes presented on 11/9/22 with 20/30 vision OD with both central-involved diabetic macular edema (CI-DME) and proliferative diabetic retinopathy. Optos color and green-channel imaging show a large patch of retinal neovascularization. Two monthly intravitreal injections of Avastin were administered for the CI-DME. On 1/18/23, vision improved to 20/25, and… Read More

This 55YO male presented with a one-week history of a paracentral scotoma in his left eye. Vision was 20/40 OD and 20/60 OS. He gave a history of aplastic anemia, and his hemoglobin was 6.2 when he developed these symptoms. Blood transfusion brought his hemoglobin to over 8. He told us that his blood pressure… Read More

This healthy 46YO male complained of mild bilateral central vision loss for about 5 years. Vision was 20/25 OD and 20/30 OS. Optos color imaging shows subtle central foveal pigment loss. Fundus autofluorescence (FAF) shows these lesions to be hyper-FAF. Swept-source OCT shows small central foveal outer retinal defects, and en face OCT of the… Read More

This 73YO male was seen on 2/10/22 with 20/40 vision and an asymptomatic partial lamellar macular hole from an epiretinal membrane. Cataract surgery was performed on 5/25/22, and vision improved to 20/50 postoperatively. However, on 7/20/22, vision decreased to 20/200 due to a new, extremely tiny full-thickness macular hole and pseudophakic cystoid macular edema (CME)…. Read More

This 37YO female presented with a symptomatic diabetic traction retinal detachment (TRD) extending from the peripheral macula towards the mid-peripheries. Vision was 20/60. An intravitreal Avastin injection was given in preparation for vitrectomy within the week. However, due to work-related reasons, the patient delayed the surgery and returned 2 weeks later, complaining of several days… Read More

This 55YO female was referred for a possible white dot syndrome. She had no ocular symptoms, and vision was 20/30/ OU. There was no family history of ocular disease. Optos color imaging shows multiple yellow fleck-like lesions throughout each posterior pole. Fundus autofluorescence of these lesions shows variable hyper-FAF. OCT scanning shows scattered defects in… Read More