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This 15YO boy presented with 20/200 vision. A large subretinal cysticercosis cyst is noted in the right distal superotemporal macula. There is an overlying rhegmatogenous retinal detachment caused by a small retinal break. Unfortunately, the patient was subsequently lost to follow-up. Learning Points: Ocular cysticercosis is a rare parasitic eye infection caused by a pork… Read More

This 75YO female has been followed for several years with a stable, asymptomatic chronic retinal pigment epithelial detachment (PED) and 20/40 vision. Optos color imaging shows a solid, variably depigmented, round PED in the inferonasal region of the left fovea. Radiating linear pigmentation is noted. Fluorescein angiography shows hyperfluorescent pooling beneath the PED, with blockage… Read More

This healthy 45YO female was referred for macular schisis. Vision was 20/50. Color photography shows an orange-red subretinal lesion nasal to the nerve. Widefield OCT shows an elevated hyporeflective choroidal mass with overlying cystic retinal edema. Subfoveal fluid with cystic fluid in the outer retina is noted in the macula. An en face OCT of… Read More

This 50YO male presented with a superior macula-off retinal detachment from a single retinal tear at the 1 o’clock periphery (image not shown), which was treated with a pneumatic retinopexy. Cryotherapy was applied before injecting the gas bubble, confirming this single break. However, when he returned 2 days later, a new giant retinal tear extended… Read More

This 19YO female has stable 20/200 vision bilaterally with some form of inherited retinal disease (IRD). Color photography shows a central one-disc-diameter area of scalloped atrophy with tiny white dots extending from the peripheral macula to beyond the arcades. OCT shows central neurosensory retinal atrophy with a thin remaining rim of featureless tissue and underlying… Read More

This 77YO female presented on 8/3/21 with asymptomatic bilateral confluent soft drusen. Vision was 20/30 OU. Over the next year, the drusen flattened with secondary drusenoid atrophy. Transmission defects from incomplete outer retinal and RPE atrophy are noted at the most recent visit. Vision was 20/20 OU on the 8/9/22 visit. Learning Points: Drusen commonly… Read More

This 73YOF presented with 1 day of acute vision loss in her right eye. Vision was counting fingers OD and hand motion OS. A large submacular hemorrhage from neovascular AMD occupied the entire right macula. A fibrosed macular scar was noted in her left eye (image not shown). She was scheduled for vitrectomy with anti-VEGF… Read More

This 11YO boy presented with these classic unilateral findings for Coats disease. An ultrawidefield image of the right eye shows scattered submacular and subretinal lipid posteriorly with distal featureless ischemic retina inferotemporally. More peripherally, there are both large vessel changes, including beading and multiple macroaneurysms, with small vessel telangiectatic changes. OCT scanning is remarkably normal… Read More

This 30YO female was diagnosed with idiopathic intracranial hypertension (pseudotumor cerebri) in 2020. Her initial lumbar puncture opening pressure was elevated at 25cm H2O. She was lost to follow-up for about 2 years, when she presented with recurrent headaches, a ‘whooshing’ sound in her ears, and blurred vision. She was off of Topamax for about… Read More

This 85 YO female presented with a retinal arterial macroaneurysm (RAM) with counting fingers vision. The macroaneurysm has ruptured, causing multiple levels of blood shown on fundus photography and fluorescein angiography. The blood is subretinal superiorly, subhyaloid more centrally, and in the vitreous (both red and devitalized). We are observing this patient. Learning Points: A… Read More