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This 54YO female presented with recent vision loss in her left eye. Vision was 20/400 from an ocular histoplasmosis (OHS) related macular neovascularization (MNV). Optos color imaging shows opaque macular fluid with a few dots of peripheral blood. Multifocal peripheral OHS scars were noted (not shown). Swept-source OCT shows a type 2 MNV (located above… Read More

This 10YO boy was hit in the right eye with a Nerf ball and developed commotio retinae. One month later, the retinal appearance normalized. Vision was 20/20 at both visits. Learning Points: Commotio retinae is caused by direct, blunt eye trauma. The outer retinal whitening is due to shearing of the photoreceptor outer segments. The… Read More

This patient was examined in 1989 and had classic findings of pseudoxanthoma elasticum. Extensive angioid streaks encircle and radiate from the nerves, extending into the peripheral maculas and beyond the arcades. Angioid streaks are usually less dramatic and are often quite easy to miss since their color and orientation mimic the normal retinal vasculature, hence… Read More

This 87YO male presented with recent blurred vision in his right eye. Vision was 20/200 OD. He has a medical history of hypertension and prostate cancer that was successfully treated with radiation 15 years earlier. Optos color imaging shows a creamy white subretinal discoloration in the nasal macula extending inferiorly. Fundus autofluorescence (FAF) shows mostly… Read More

This 92YO female presented with new vision loss of 20/200 in her left eye. She has a history of high myopia, with hand motion vision OD due to a macular staphyloma. Baseline vision in her left eye is 20/40. Fundus photography shows peripapillary and mostly superior macular atrophy. Swept-source OCT shows a posterior staphyloma with… Read More

This 70YO female presented with mild vision loss in her left eye. Vision was 20/50. Optos imaging shows a retinal arterial macroaneurysm (RAM) with surrounding blood. Swept-source OCT shows the hyperreflective RAM in the inner retina. The underlying retina is somewhat thickened. Learning Points: A RAM is thought to occur in a weakened arterial wall… Read More

This 86YO female has a history of atrophic age-related macular degeneration with vision of 20/400 OD and 20/60 OS. Optos imaging of her right eye shows foveal atrophy with surrounding mixed drusen. Multifocal inactive toxoplasmosis scars are noted inferiorly. An inferior retinal vein bifurcates, with a markedly attenuated branch continuing on its path towards the… Read More

This 59YO male has a complicated ocular and medical history, including HIV/AIDS, prior cytomegalovirus (CMV) retinitis that was treated with a ganciclovir implant in the 1990s, multiple retinal detachment surgeries in his right eye, eventually leading to evisceration for a blind and painful eye, and a chronic macular hole in his left eye. Color imaging… Read More

This 33YOF presented in 2017 with a recent history of vision loss in her right eye. She had no past ocular or medical history, nor family history of eye disease. Vision of 20/70 OD and 20/20 OS. Triton color imaging shows extensive, mostly large drusen scattered throughout each macula, extending into the midperipheries. A large… Read More

This 20YO female presented with a 2-month history of vision loss in her right eye. Vision was counting fingers. The macular vessels were dragged temporally with a taut membrane elevating the fovea, as demonstrated on OCT. Fluorescein angiography showed bilateral encircling peripheral ischemia with retinal neovascularization (not shown). Encircling peripheral scatter laser was performed for… Read More