Blog

This 48YO male presented with these creamy yellow-white choroidal lesions scattered throughout each posterior pole. Vision was 20/25 OU. Fluorescein angiography shows mild optic nerve leakage, particularly in the left eye, and mild scattered venous staining/leakage in the left eye. Learning Points: This disease was appropriately described and named by Drs. Ryan and Maumenee (Am… Read More

This 77YO female presented with this completely asymptomatic yet prominent retinal vascular loop. Observation was recommended. Learning Points: These benign congenital prepapillary vascular loops can be unilateral or bilateral. Although usually just an incidental finding, they can rarely cause a branch arterial or venous occlusion (see Retinal Cases Brief Rep 2014:8;124-126 and Ophthalmology 2020;127:124-126). They… Read More

This 56YO African American male presented with floaters in his right eye and a history of sickle cell anemia. Vision was 20/30 OU. A mild vitreous hemorrhage was noted inferiorly, along with an area of suspected peripheral retinal neovascularization. There were several areas of midperipheral black sunburst lesions. Fluorescein angiography confirmed a patch of retinal… Read More

This patient has a classic morning glory optic disc, including a large disc, an area of central glial tissue, and numerous straight radiating vessels. Learning Points: Morning glory syndrome is typically unilateral and shares some similarities with optic disc coloboma and juxtapapillary staphyloma. This abnormality gets its name from its striking resemblance to the Morning… Read More

This 65YO male developed inferior field loss in his right eye immediately following cardiac valve replacement on 6/10/22. Vision was 20/30 when he presented to our office 10 days later. Optos imaging shows patches of inner retinal opacification in the nasal macula and around the nerve, consistent with Purtscher ’s-like retinopathy. Several weeks later, the… Read More

This 51YO female received prior intravitreal injections in her right eye about 5 years earlier, but was subsequently lost to follow-up until she was referred to our office. She felt that her vision had been stable and poor in each eye for years. Vision was counting fingers OD and 20/200 OS. Optos color imaging of… Read More

This 54YO male patient has a long history of Coats disease. Vision was 20/400 when he was referred to our practice on 9/9/21. Unfortunately, he was lost to follow-up for almost a year because of his fear of doctors. Vision decreased to hand motion. Optos color imaging shows his funduscopic appearance at the initial and… Read More

This 72YO male presented with acute superior field loss from an acute branch retinal artery occlusion (BRAO) in his right eye. The causative calcific embolus is seen originally along the inferior optic nerve margin. Three days later, the plaque moved further downstream. This patient had acute retinal ischemia (defined as acute BRAO, central retinal artery… Read More

This 51YO male’s retinal vasculature turned creamy white from very high triglycerides. His original triglyceride levels were around 4,200 mg/dL. After 6 months of systemic treatment, his triglyceride levels decreased to 3,100 mg/dL. His blood returned to a normal red color, and his retinal vessels normalized in appearance. Learning Points: Lipemia retinalis is a rare retinal manifestation… Read More

This 72YO male presented with longstanding decreased vision in his right eye. Vision was counting fingers due to a fibrosed scar from neovascular age-related macular degeneration (nAMD). Optos imaging shows a central fibrosed macular scar with superior and inferior subretinal blood. Triton swept-source imaging shows multiple cool findings from this single neovascular lesion. Superiorly, the… Read More