Blog

This 53YO male came in for an initial examination since both of his sons and one of his nephews have been followed by us for years with familial exudative vitreoretinopathy (FEVR). Both sons developed peripheral retinal neovascularization that responded well to scatter laser. Their father was visually asymptomatic. Optos color imaging shows normal posterior poles… Read More

This 34YO male presented with recent vision loss of counting fingers vision in his left eye. He gave a history of prior ocular toxoplasmosis. Optos color imaging shows opaque and white retina temporal to the fovea. Swept-source OCT shows the clinical retinitis involving full-thickness retina and is markedly hyperreflective. The underlying choroid is markedly thickened…. Read More

This 52 YO female presented to the clinic with vision of counting fingers OD and 20/25 OS. She reported that her vision had decreased 3 weeks earlier. Color imaging shows a somewhat pigmented macular neovascularization (MNV) with associated subretinal blood. Swept-source OCT shows a hyperreflective, laminated type 2 (located above the RPE) MNV. Overlying fibrinous-appearing… Read More

This 63 YO female originally presented in 2019 with a history of a major superotemporal branch retinal vein occlusion (BRVO). Successful macular laser was performed for macular edema. When initially examined, a midperipheral retinal venous macroaneurysm (RVM) with some surrounding lipid was noted. This RVM has been observed due to its distant location from the… Read More

This 84 YO female with macular degeneration presented with acute vision loss of counting fingers vision in her right eye from neovascular AMD (nAMD). Fundus photography shows a large central subretinal hemorrhage. Swept-source OCT shows the hyperreflective subretinal blood, which shadows the underlying choroid. Sub-RPE blood vs a type-1 (located beneath the RPE) macular neovascularization… Read More

This 64YO male presented with acute flashes and floaters in his right eye. Optos imaging shows a patch of pigmented lattice superotemporally, associated with a retinal tear and atrophic hole. The breaks were surrounded with laser photocoagulation. Learning Points: Retinal detachment occurs in 1 in 10,000 people per year. Lattice is found in 10% of… Read More

This 38YO diabetic female was initially seen on 8/27/21 with extensive dry macular lipid in her left eye and proliferative diabetic retinopathy. Vision was 20/40. Panretinal photocoagulation was recommended. Unfortunately, she was lost to follow-up until she returned on 8/15/22 with 20/200 vision from a traction retinal detachment. The lipid spontaneously absorbed. Vitrectomy surgery was… Read More

This 45YO male underwent vitrectomy with silicone oil for a recurrent rhegmatogenous retinal detachment (RRD). Although the retina remained attached, he developed a severe macular pucker postoperatively. Removal of the silicone oil with membrane peeling is planned in the near future. Learning Points: Macular pucker following vitrectomy for RRD develops clinically in about 10% of… Read More

This 79YO female presented with acute inferior paracentral vision loss in her right eye. Vision was 20/50. A large blister of dark subretinal blood was noted just inferior to the optic nerve. A few small areas of more distal red subretinal blood were seen. An inferior macular branch retinal artery occlusion likely accounted for her… Read More

This 67YO female presented with a symptomatic vitreous floater that started about 6 months earlier when she developed a symptomatic retinal tear. The break was treated elsewhere with laser photocoagulation, and on subsequent visits, she was told the treatment was successful and looked perfect. However, Optos imaging in our office shows otherwise. A large tear… Read More