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This 67YO male has a history of type 2 diabetes. Vision is 20/40. Optos color imaging is fairly unremarkable, with some mild temporal foveal lipid. However, fundus fluorescein angiography shows foveal ischemia with an enlarged, irregular foveal avascular zone along with more peripheral superotemporal retinal ischemia. Swept-source OCT shows a thinned, relatively featureless inner retina,… Read More

This 78YO male was referred for asymptomatic fundoscopic changes. Vision was 20/25 OD and 20/30 OS. He had a history of laser treatment in his left eye decades earlier. Optos imaging shows bilateral areas of pigmentary loss in each macula, extending inferiorly. A hyperpigmented laser scar is noted in the left superior macula. Fundus autofluorescence… Read More

This 63YOF initially presented with an acute central retinal artery occlusion in her right eye. Emergency stroke referral revealed two prior strokes with a new asymptomatic stroke. She returned two months later. There was subjective visual improvement, although vision remained at hand motion. Although the retinal opacification in general was improving, the perifoveal retina was… Read More

This 27YO female with type 1 diabetes presented with counting fingers vision OD after being lost to follow-up with a new tractional retinal detachment (TRD). Vision and retinal findings were unchanged OS. Vitrectomy surgery was performed one week later. Three weeks postop, vision improved to 20/40, and the retina was completely attached. Residual fibrosed islands… Read More

This 37YO female presented with a symptomatic superior retinal tear in her left eye. The posterior and lateral edges of the break were surrounded with thermal laser. The anterior edges could not be reached with the laser, so these were surrounded with cryotherapy. One week later, pigmented scarring surrounds the treated tear. Three weeks later,… Read More

This 66YO male presented with these asymptomatic unilateral pigmented lesions in his left eye. Learning Points: Group-type congenital pigmented nevi of the RPE (bear tracks) is a relatively rare congenital condition characterized by well-demarcated, hyperpigmented, flat, variably-sized RPE lesions, resembling bear footprints. Histopathologically, these lesions are similar to congenital hypertrophy of the RPE (CHRPE), with… Read More

This 87YOM received thermal laser around a retinal break 23 years earlier. He presented to us without symptoms and 20/30 vision. Optos imaging shows a small inferior congenital hypertrophy of the RPE (CHRPE) with a few tiny additional CHRPE lesions. Confluent variably pigmented laser scarring around a superotemporal retinal break simulates an atrophic CHRPE lesion…. Read More

This 43YO female has a 16-year history of type 1 diabetes, and presented with 3 years of progressive vision loss in her left eye. Vision was 20/20 OD and 20/400 OS. Composite widefield color imaging and OCT of her right eye show moderate retinal hemorrhages, nasal panretinal photocoagulation scarring, and no edema. Widefield OCT angiography… Read More

This 65YO female presented with 20/200 vision in her left eye from a symptomatic full-thickness macular hole. The hole is barely visible funduscopically. Swept-source OCT shows the classic appearance of a hole from a foveal dehiscence with cystic thickening. En face imaging shows a unique and beautiful perspective of the hole. Learning Points: As described… Read More

This 84YO female was found to have a white-centered retinal hemorrhage superonasal to the optic nerve disc. Complete blood count revealed a white blood count of 19,000 and a hemoglobin of 7.9. She was subsequently diagnosed with atypical diffuse large B-cell lymphoma. Learning Points: The term “Roth spot” was named after Dr. Moritz Roth, who,… Read More