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This 33YO female had a severe upper respiratory illness with intense coughing and sneezing. She woke one day earlier with a central scotoma in her left eye. Optos color imaging shows a teardrop-shaped sub-internal limiting membrane (ILM) hemorrhage. Swept-source OCT B-scan shows a hyperreflective sub-ILM lesion with underlying shadowing. En face scanning of the inner… Read More

This 71YO male presented with decreased vision in his left eye one day following a motor vehicle accident with airbag deployment. Vision was 20/100. Color photography shows variable faint patches of outer retinal whitening. Swept-source OCT shows outer retinal and subretinal fluid. Optos fundus autofluorescence (FAF) shows temporal macular hyper-FAF. Fluorescein angiography shows early dots… Read More

This 22YO female presented with blurred vision in her left eye for 2 weeks. Vision was 20/20 in her normal right eye and 20/70 in her left eye. Optos color imaging of her left eye shows multiple faint, deep retinal white dots scattered throughout, which are hyper-autofluorescent. Macular OCT scanning was virtually normal (image not… Read More

This 81YO female presented with 20/200 vision in her right eye from a large full-thickness macular hole. Swept-source OCT shows the classic appearance of a hole from a foveal dehiscence with cystic thickening. Outer retinal bands are noted along the posterior aspect of the hole’s elevated edges, indicating the lack of true tissue loss. This… Read More

This healthy 51YO male presented with asymptomatic lesions in each fundus. Vision was 20/25 OU. Multimodal imaging findings were symmetrical bilaterally. Optos color imaging shows amelanotic subretinal lesions that seem to radiate outwards from each disc. These lesions are mostly hyperautofluorescent with window-type defects on fluorescein angiography. OCT scanning was normal bilaterally (not shown). HLA-A29… Read More

This 70 YO female presented with acute vision loss in her right eye starting 1 day earlier. Vision was 20/70 OD and 20/25 in her normal left eye. Color fundus photography shows an incomplete central retinal artery occlusion (CRAO) with focal areas of acute inner retinal infarcts along with paracentral areas of deeper retinal opacification…. Read More

This 79YO male presented with recent vision loss of 20/400 in his right eye from a fresh branch retinal vein occlusion (BRVO). Layered subretinal blood is noted in the inferior macula. Swept-source OCT through the macular center shows marked cystoid macular edema with underlying subretinal fluid. OCT through the inferior macular subretinal blood shows subretinal… Read More

This 42YO male has a history of high myopia, of -14 diopters OD and -12.5 diopters OS. Vision is 20/60 OU. Color photographs show bilateral macular staphyloma. Swept-source OCT B-scans and 3-D reconstruction more dramatically show the macular staphylomas. Learning Points: A macular staphyloma is a concave posterior bowing of the sclera in patients with… Read More

This 77YO female presented with vision of 20/400 in her left eye from severe vitreomacular traction with a secondary tractional macular detachment. The patient underwent pars plana vitrectomy in January 2021. A few months post-vitrectomy, all traction was relieved, and the detachment was slightly decreased. The detachment gradually resolved over the next year and a… Read More

This 53YO male presented on 12/9/20 with a history of known retinitis pigmentosa (RP). He noticed bilateral blurred vision that had been worsening for about 6 months. Vision was 20/50 OD and 20/30 OS. Optos color imaging shows fairly normal appearing maculas with a fairly-well circumscribed border of pigmentary loss and migration extending anteriorly from… Read More