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This 62YO male presented with acute vision loss of 20/400 in his left eye. He gave a history of thermal laser in this eye about 25 years earlier for ocular histoplasmosis. Color photography shows opaque macular fluid with some dots of superior subretinal blood. OCT map shows central and superior retinal thickening. OCT B-scan through… Read More

This 49YO male presented with acute vision loss of 20/400 in his right eye from an idiopathic macular neovascularization (MNV). Color photography shows shallow foveal fluid with some areas of subretinal blood. Swept-source OCT shows outer macular edema, shallow subretinal fluid, and radiating hyperreflective lines (pitchfork sign). These radiating lesions are uniquely visualized with en… Read More

This 75YOF was seen in 2018 with non-neovascular AMD and a central pigment epithelial detachment (PED). Vision was 20/25. She returned on 9/8/20 with 20/40 vision with mild enlargement of the PED. She complained of decreased vision when seen nearly one year later. Vision had dropped to 20/80. The PED had enlarged to involve full-thickness… Read More

This 32YO female with type 1 diabetes was examined with no visual symptoms, and vision was 20/30 OD and 20/20 OS. Macular photography shows a foveal cyst and mild peripheral macular hemorrhages, and OCT scanning shows central and temporal cystic edema with trace subfoveal fluid. Due to the lack of symptoms and good vision, we… Read More

This 88YO female presented with recent vision loss in her right eye. Vision was 20/50. Optos color imaging shows an unusual appearing superotemporal branch retinal vein occlusion (BRVO). Confluent inner retinal hemorrhages are noted in the superonasal macula, with milder deep retinal blood more superiorly. Unusual dots of intraretinal blood are also noted nasally and… Read More

This healthy 23YO female presented with incidental findings of bilateral prominent cilioretinal arteries. Optos imaging shows a superior cilioretinal vessel in her right eye. There are two cilioretinal vessels in her left eye, which collectively seem to supply the entire central macular region. Learning Points: The inner two-thirds of the neurosensory retina is supplied by… Read More

This 73YO male presented with acute inferotemporal visual field loss. Optos imaging shows an acute extramacular branch retinal artery occlusion (BRAO) caused by a likely platelet-fibrin embolus just superonasal to the optic nerve. The distal retina is somewhat opaque, and the blood column is stagnant superiorly. This patient had acute retinal ischemia (defined as acute… Read More

This 11YO adopted boy presented with a history of poor vision in his left eye since birth. He was referred for an abnormal-appearing left optic nerve. Vision was 20/20 OD and hand motion OS. Although the left nerve clinically is hypoplastic with a surrounding scleral ring, color imaging failed to capture these disc findings. However,… Read More

This 78YO male presented with counting finger vision in his right eye. He had a prior CRVO in his left eye, causing hand motion vision. Optos color imaging shows mild to moderate bilateral scattered retinal hemorrhages. Fluorescein angiography shows fairly good perfusion with leaking vessels OD with severe diffuse ischemia OS. Swept-source OCT shows severe… Read More

This 41YO female presented with acute bilateral central vision loss. Fundus photography shows very faint reddish-brown wedge-shaped lesions radiating from each fovea. Swept-source en face imaging of the outer retina shows multiple hyporeflective wedge-shaped lesions radiating from the macular centers. OCT B-scanning shows bilateral areas of outer nuclear layer thinning with hyperreflectivity associated with disruption… Read More