Blog

This 37YO female presented with recent vision loss in her right eye. She had a history of prior laser treatment elsewhere several years ago. Vision was 20/30 OD and 20/25 OS. Red preretinal blood was seen in the inferotemporal right macula with partial PRP scarring. One month following a single Avastin injection, the devitalized preretinal… Read More

This 57YO male presented with unilateral optic nerve swelling in his left eye and a few faint nasal macular retinal hemorrhages in his right eye. Vision was 20/40 OD and 20/25 OS. OCT was normal OD and thickened in the nasal outer nuclear layer OS. Visual fields were normal OD and inferiorly depressed, especially inferonasally,… Read More

This 88YO female developed kissing choroidal detachments immediately following Ahmed glaucoma valve placement. The choroidal detachment spontaneously resolved after 1 month once the intraocular pressure normalized. Learning Points: Choroidal detachment is relatively common immediately following glaucoma surgery. Two mechanisms are believed to be at play: hypotony allows fluid to accumulate in the suprachoroidal space and… Read More

This healthy 4YO boy’s father and paternal grandfather have histories for colon cancer. He was referred to us for asymptomatic retinal findings. Optos color and red-channel imaging shows multiple, bilateral, variably comet-shaped, jet-black subretinal lesions. Learning Points: Familial adenomatous polyposis (FAP) is an autosomal dominant syndrome associated with colonic polyps and colorectal cancer. Although typical… Read More

This 48YO female has a history of a previously treated myopic macular neovascularization (MNV) in her right eye, which has remained stable with observation for years. Triton color imaging shows an inactive atrophic foveal scar. Swept source OCT shows an inactive hyperreflective central MNV with adjacent RPE defects. The choroid is severely thinned, consistent with… Read More

This 94YO female had a prior central retinal artery occlusion (CRAO) with vision that returned back to a baseline of 20/100. There was a history of multiple prior strokes, and she was not a surgical candidate. Six months later, she came to see us emergently after waking with severe vision loss in her left eye…. Read More

This 80YOF was initially seen with asymptomatic retinoschisis in her left eye. When examined 1.5 years later on 7/13/21, she remained asymptomatic, but the schisis cavity had enlarged in all dimensions. Another six months later (1/5/22), the schisis cavity continued to enlarge in all dimensions with the formation of an early outer layer hole. Most… Read More

This 82YO female presented with a major superotemporal branch retinal vein occlusion (BRVO) and hand motion vision. She reported decreased vision for over a year. Optos photography shows a major superotemporal BRVO. A plaque of subretinal lipid is seen in the inferotemporal macula. Swept-source OCT through this lipid shows an unusual laminated, subretinal, hyperreflective mound…. Read More

This 67YO male presented with a symptomatic posterior vitreous detachment (PVD). A prominent Weiss ring is beautifully captured in this Optos image. His peripheral retina was normal, and he was asked to return in a few months unless he developed new flashes, floaters, or vision loss. Learning Points: The clinical diagnosis for a complete PVD… Read More

This 51YO presented with counting-fingers vision secondary to a large (600-micron), full-thickness macular hole. Swept-source OCT shows the classic appearance of a hole from a foveal dehiscence, with cystic thickening. A small remnant of the outer retina is adherent to the underlying RPE. Vitrectomy surgery was recommended. Learning Points: En face imaging shows a unique… Read More