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This 55YO female is being followed for asymptomatic dry AMD. Vision is 20/30 OD and 20/25 OS. Optos color imaging shows extensive small drusen with foveal pigment clumping. Fluorescein angiography shows the classic ‘starry sky’ pattern of hyperfluorescent cuticular drusen. Swept-source OCT shows mostly cuticular drusen with arrowhead-like small elevations of the RPE. Learning Points:… Read More

This 58YO highly myopic female presented with 20/400 vision in her left eye. The axial length was 32.45 mm, and her refractive error prior to LASIK surgery was 13D. Widefield OCT scanning (Canon Xephilio SQ) shows a large macular retinal detachment with (or associated to) a full-thickness macular hole, defined as stage 4c according to… Read More

This 58YO diabetic male was seen originally with mild scattered retinal hemorrhages from nonproliferative retinopathy, along with a faint patch of myelinated nerve fiber layer. He presented one year later after waking with new nasal field loss. Vision was 20/70, and he had a new, large, superotemporal subretinal hemorrhage just outside the macula. Following 2… Read More

This 39YO African American male presented with asymptomatic proliferative sickle cell retinopathy with spontaneously avulsed bilateral superotemporal peripheral fibrosed retinal neovascularization (sea fans). A small midperipheral black sunburst lesion is seen superotemporally in his right eye. Swept-source OCT shows variable inner retinal thinning and disorganization of the retinal inner layers (DRIL). Fluorescein angiography shows a… Read More

This 66YO female presented with an asymptomatic left optic nerve coloboma with a large temporal pit. The mildly colobomatous portion of the nerve is enlarged and slightly excavated inferiorly. Vision was 20/25 OD and 20/200 OS. Observation was recommended. Learning Points: Optic pits are most commonly located within or along the inferior-temporal disc margin and… Read More

This 59YO female was initially seen with asymptomatic retinoschisis in her left eye. When examined six months later, the schisis appeared stable. 16 months later, the schisis cavity was slightly enlarged in all dimensions with the formation of an early outer layer hole. Most recently, the outer layer hole enlarged, and the schisis spontaneously mostly… Read More

This 49YO male woke with counting finger vision in his left eye. Fundus photography shows a fresh central retinal vein occlusion (CRVO) with mild retinal hemorrhages. An acute inferior macular branch retinal arterial occlusion (BRAO) is also noted. OCT B-scan shows marked inner retinal hyperreflectivity and severe macula edema. Fluorescein angiography in the venous laminar… Read More

This is a follow-up post from 6/6/22 of a 74YO female who initially presented with a several-week history of progressive vision loss in her right eye. Vision was counting fingers OD and 20/25 OS. There was a known history of metastatic breast cancer when we diagnosed her with bilateral uveal metastases. After three months of… Read More

­­­This 49YOM presented with a one-week history of blurred central vision in his right eye. There was no past medical history. Vision was 20/400 OD and 20/25 OS. Anterior segments were normal. An oval, whitish submacular lesion was noted, and the optic nerve also appeared mildly swollen in the right eye. OCT scanning of the… Read More

This 60YO female was referred for a symptomatic superotemporal rhegmatogenous retinal detachment (RRD) in her right eye. Two large causative retinal tears are seen, both with posteriorly rolled edges. The patient underwent emergent successful pars plana vitrectomy.