Blog

This diabetic male had been followed for over 5 years in our practice, receiving PRN intravitreal injections for diabetic macular edema. On 8/10/22, he presented with a large superotemporal subretinal hemorrhage in his right eye that progressed into the macula (not shown). Vitrectomy with evacuation of the subretinal blood was performed. Three months later, an… Read More

This 68YO female was seen on 8/20/20. Vision was 20/70 OD and 20/40 OS. Although there were no visual complaints, OCT scanning showed bilateral defects in the EZ bands, along with some temporal outer retinal atrophy OD. She returned two years later, complaining of gradual vision loss OU, although vision was stable at 20/70 OD… Read More

This 14YO boy presented with these asymptomatic and unilateral findings in his left eye. Vision was 20/50. Fundus imaging shows a large vertical oval of retinal elevation extending from the superior macula into the inferior midperiphery. This fluid connects to an inferotemporal optic nerve pit. OCT scanning shows subretinal fluid, cystic fluid mostly in the… Read More

This 72YO female presented on 2/22/22 with counting-finger vision in her left eye. OCT scanning at the initial visit shows severe center-involved diabetic macular edema (CI-DME) with shallow subretinal fluid. Anti-VEGF therapy was started. One month later, vision remained at counting fingers. The retinal thickness had improved, but a new outer macular hole was noted…. Read More

This 57YO female was referred for an asymptomatic branch retinal vein occlusion (BRVO) in her right eye. Vision was 20/30. Optos color imaging shows a normal right macula, with large active retinal neovascularization extending along and distal to the inferotemporal arcade. Six weeks after the inferior scatter laser, the neovascularization regressed dramatically and virtually completely…. Read More

This healthy 27YO male presented with a few days of a paracentral scotoma in his right eye. Vision was 20/25 OD and 20/20 OS. Color imaging shows a small inferonasal foveal area of inner retinal opacification. Swept-source OCT through this region shows inner retinal hyperreflectivity. An additional, larger subretinal lesion is noted in the inferonasal… Read More

This 58YO female presented with 2 weeks of blurred vision in her left eye. There was no past medical history. Vision was 20/40 OD and 20/200 OS. Optos color imaging shows multifocal, creamy-yellow subretinal lesions bilaterally. The lesions are more confluent, extending beneath the left fovea. The smaller of these lesions is fairly silent on… Read More

This 62YO male presented with 1 month of vision loss in his left eye. Vision was 20/30 OD and 20/60 OS. Multicolor imaging of his left eye shows a giant RPE tear extending from the inferior macula into the superotemporal midperiphery, along with a much smaller tear just inferior to the macula. The beds of… Read More

This 75YO male presented with chronic stable central blurriness. Vision was 20/150 OU. Color photography of his right eye shows superior foveal pigment loss with inferior yellowish, vitelliform material, with more atrophic foveal changes in his left eye. Fundus autofluorescence (FAF) shows the vitelliform material to be dramatically hyper-autofluorescent OD, with a more speckled hypo-FAF… Read More

This 63YO female presented with several weeks of peripheral vision loss in her left eye. Vision was 20/40. Optos color imaging shows a large, mostly amelanotic, mushroom-shaped choroidal lesion extending from just nasal to the nerve into the midperiphery. Intrinsic large vessels are noted. The lesion measured 11.5 × 14.5 mm in lateral dimensions. Ultrasonography… Read More