Blog

This 49YO female presented with one month of blurred vision. There was no past medical history except for a seizure disorder. Vision was 20/80 OD and 20/120 OS. Fundus photographs show bilateral angioid streaks radiating from each optic nerve. Bilateral fibrosed subfoveal macular neovascularization (MNV) is present, and a small dot of blood is seen… Read More

This 55YO female has a history of type 2 diabetes and moderate nonproliferative diabetic retinopathy. An incidental finding shows bear-track lesions (congenital grouped hypertrophy of the RPE) superonasally in her left eye. These lesions hypo-autofluoresce. Learning Points: Group-type congenital pigmented nevi of the RPE (bear tracks) is a relatively rare congenital condition characterized by well-demarcated,… Read More

This patient presented with 20/200 vision from center-involved diabetic macular edema. Unfortunately, we don’t have any further clinical information for this patient, but we still wish everyone a ‘heart-felt’ Happy Valentine’s Day!

This 71YO female was seen on 2/9/21 with a completely asymptomatic variably adherent macular pucker. Vision was 20/80, and observation was recommended. On 8/24/21, vision improved to 20/40, and the macular traction had decreased. When last examined on 1/18/23, the membrane had completely and spontaneously peeled itself as part of a macular posterior vitreous detachment…. Read More

This 43YO female presented without visual complaint and 20/25 vision bilaterally. She gave a 27-year history of Plaquenil use for lupus. Optos color imaging shows subtle pigment loss surrounding each fovea. Fundus autofluorescence (FAF) shows more obvious changes with perifoveal hyper-FAF nasally and temporally. 10-2 visual fields were normal. Swept-source OCT B-scan imaging shows classic… Read More

This 47YO female presented with two distinct patches of myelinated nerve fiber layer (NFL) along the distal temporal arcades in the right eye. Her ocular examinations were otherwise normal. Learning Points: Myelinated NFL is a relatively uncommon and usually isolated finding present at birth. Most patients are asymptomatic, although some may have a corresponding relative… Read More

This healthy 24YO female presented for a general eye examination. There was no past ocular or medical history. Color imaging of her right eye shows a large dilated retinal vein that drains the entire fundus except superonasally. It also crosses the temporal horizontal raphe into the superotemporal quadrant. Her left eye was normal. Learning Points:… Read More

This 71YO female presented in January 2019 with one month of photopsias in her right eye. Optos imaging shows a large inferior malignant melanoma (MM) extending from the inferior retinal periphery into the posterior pole. The tumor was visible through the pupil at the slit lamp, and sentinel vessels were noted. Ocular melanocytosis was noted… Read More

This 42YO female was referred for a completely asymptomatic branch retinal vein occlusion (BRVO) in her left eye. Vision was 20/20 due to a lack of macular edema or ischemia. Color photography shows classic findings, including a quadrant of dilated tortuous veins with mostly inner retinal hemorrhages. We will initially follow her every 3-4 months… Read More

This 39YO healthy male was referred for an asymptomatic lesion in his right eye. Fundus photography shows an elevated, vascularized lesion covering the superior optic nerve. The lesion was markedly hyperreflective on OCT. On further questioning, there was a strong family history of Von Hippel-Lindau (VHL) disease, including his sister and maternal nephew. Genetic testing… Read More