Blog

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

This 33YO diabetic male presented with vision of 20/30 OD and 20/100 OS. Optos color imaging shows bilateral severe posterior pole retinal hemorrhages and nerve fiber layer infarcts. Florid disc neovascularization is noted bilaterally. Marked venous beading is noted in each eye, and a large venous loop is noted in his right eye. The peripheral… Read More

This 64YO diabetic female presented with asymptomatic severe nonproliferative diabetic retinopathy (NPDR) in her left eye. Vision was 20/40. Optos color imaging shows venous beading inferonasally. Fluorescein angiography shows severe retinal ischemia with venous staining. Our patient’s ischemia was localized just to one quadrant with good perfusion elsewhere, so we are following her closely. Learning… Read More

This is a follow-up to our 2/5/21 and 4/28/21 posts of a patient with bilateral optic nerve coloboma with optic pit maculopathy in his left eye. On 2/5/21, vision was 20/70 with an optic pit and macular fluid. Despite the mostly peripheral fluid, the macular center was normal except for a trace amount of subretinal… Read More

This 60YO male presented with hand motion vision in his right eye from an inferior hemiretinal vein occlusion (HRVO). Optos color imaging shows white and sheathed retinal vessels inferiorly and extensive temporal collateral vessels. Fluorescein angiography confirms the marked clinical ischemia. There was no neovascularization. OCT scanning shows marked diffuse macular edema. The patient refused… Read More

This 43YO female was seen in 2019 by a general ophthalmologist at an outside practice with somewhat subtle paracentral outer retinal atrophy. Vision was 20/20 without symptoms. She was taking Plaquenil for 8 years for rheumatoid arthritis. Unfortunately, these OCT findings for early Plaquenil toxicity were missed. She was subsequently lost to followup until she… Read More

This 87YO patient presented with vision of 20/200 OD and counting finger vision OS from bilateral active neovascular AMD (nAMD). The right macula has a few dots of central and superior macular blood. OCT scanning shows a type 1 macular neovascularization (MNV, located below the RPE) adherent to an overlying RPE detachment. A prechoroidal cleft… Read More

This 70YO male presented with counting fingers vision in his right eye due to a large disciform scar with radiating inner retinal folds. The radiating folds appear as corrugations on OCT B-scan and as radiating lines on OCT en face. Learning Points: Disciform scars were the norm for untreated wet AMD prior to the anti-VEGF… Read More

This 33YO male presented with counting fingers bilaterally from Stargardt disease. There was a positive family history for Stargardt, and genetic testing in the past was positive for a pathogenic ABCA4 mutation. Color photographs show a bilateral beaten-bronze appearance at the macular centers, with more subtle pigmentary changes throughout the fundi. Fundus autofluorescence (FAF) shows… Read More

This is a follow-up from our 2/4/22 post of a patient with malignant hypertension. This 22YO male presented on 1/18/22 with subacute vision loss of 20/200 OD and 20/50 OS. Blood pressure was 169/135. Color imaging shows nerve fiber layer infarcts (cotton-wool spots) and mild inner retinal hemorrhages. OCT scanning shows mostly outer macular edema… Read More