Blog

This 35YO male underwent uneventful cataract surgery in his left eye at an outside facility about two weeks earlier. On postoperative day 4-5, he developed mild blurring and floaters, raising suspicion for early postoperative endophthalmitis. He underwent vitreous tap with intravitreal vancomycin and ceftazidime. Although he noticed initial mild symptomatic improvement, over the next 5-7… Read More

This 88YO female was diagnosed with age-related macular degeneration elsewhere. Vision was 20/400 OD and 20/50 OS. Optos color RGB imaging OD shows a round area of subfoveal pigmentary changes with extensive drusen-like lesions extending outwards from the peripheral macula. Fundus autofluorescence (FAF) shows central hypo-FAF with a ring of hyper-FAF around this foveal lesion…. Read More

This 8YO boy presented with 2 days of vision loss in his left eye following a firecracker injury. Vision was 20/200 OS. MultiColor SLO imaging shows a blister of foveal fluid with an overlying dot of foveal blood, and more superotemporal subretinal blood. OCT scanning shows foveal subretinal fluid with overlying hyperreflectivity from the blood…. Read More

This 32YO male complained of decreased vision in his right eye for 2 weeks. Vision was 20/20 OD and 20/20 in his normal OS. Fundus fluorescein angiography shows a broad zone of temporal midperipheral leaking retinal telangiectasia with capillary dropout and distal temporal ischemia. Larger retinal vessel anastomoses are present at the border of the… Read More

This 55YO male was referred for an acute posterior vitreous detachment with symptomatic retinal tears. Vision was 20/25. Optos color RGB imaging shows several patches of lattice degeneration extending from the 10 to 1:30 o’clock meridians associated with multiple retinal tears. Some inferior vitreous hemorrhage was noted (not shown). Immediate prophylactic laser photocoagulation was applied… Read More

This asymptomatic 26YO male presented for a routine eye examination. Vision was 20/20. Clinical biomicroscopy and MultiColor scanning laser ophthalmoscope (SLO) imaging are normal except for faint hyperpigmentation in the inferior macula. OCT in this region shows a dome-shaped hyporeflective lesion with an anterior hyperreflective border. Retromode imaging shows a well-defined hyporetroreflective lesion. Learning Points:… Read More

This 48YO was on pentosan polysulfate sodium (PPS, Elmiron) for interstitial cystitis for 2-3 years, but discontinued this drug 2 years earlier. Vision was 20/30 bilaterally. Fundus color imaging shows bilateral ill-defined macular pigmentary changes. Swept-source OCT shows variable loss of the ellipsoid zone, outer segment bands, and RPE with clumps of hyperreflective material involving… Read More

This 65YO female presented with 5 days of acute vision loss in her left eye. Vision was 20/20 in her normal OD and 20/400 OS. Color photography shows a large subretinal hemorrhage occupying the entire macula, along with a smaller preretinal hemorrhage. A somewhat fibrosed retinal arterial macroaneurysm (RAM) is noted within the preretinal blood…. Read More

This 22YO male presented with a 1-week history of blurred vision in his left eye. His sister had been undergoing treatment for pulmonary tuberculosis 1 year ago. She also had a history of Takayasu arteritis requiring renal artery embolization and was on multiple immunosuppressants. Vision was 20/20 OD and 20/25 OS. Color photography shows multifocal… Read More

This 80YO female noticed sudden vision loss in her left eye. When examined the next morning, vision was 20/400. Optos color RG imaging shows an inferiorly dislocated intraocular lens (IOL) with surrounding capsular material settled over the inferior retinal periphery. She underwent successful IOL explantation with a secondary anterior chamber IOL.