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This 27YO male was referred for two distinct and asymptomatic pigmented fundus lesions. Optos color imaging shows a small, flat choroidal nevus and a larger, flat patch of congenital hypertrophy of the RPE. The color image best shows the color difference between these lesions, with the CHRPE lesion appearing jet-black compared with the nevus. The… Read More

This 69YO male presented with a few months of blurred vision in his left eye. Vision was 20/40 in his normal right eye and 20/100 in his left eye. Scattered deep retinal hemorrhages are noted temporally. Fluorescein angiography shows temporal midperipheral microaneurysms, more distal ischemia with vascular leakage, and moderate cystoid macular leakage. Since our… Read More

This 58YO male has an extremely complicated past ocular history beginning with pseudoexfoliative glaucoma with a steroid response. Following cataract surgery in 2012, his intraocular lens dislocated in February 2016, requiring vitrectomy with a secondary anterior chamber implant. Pseudophakic bullous keratopathy developed, requiring DMEK surgery in July 2018. His intraocular pressure subsequently increased, eventually requiring… Read More

This 68YO male patient presented with peripheral choroidal detachments following placement of a Baerveldt shunt 1 week earlier. Vision was counting fingers, and pressure was 1 mmHg. All wounds were secure, and the anterior chamber was formed. Learning Points: Choroidal detachment is relatively common immediately following glaucoma surgery. Two mechanisms are believed to be at… Read More

This 44YO female was referred for asymptomatic retinal changes in her right eye. Vision was 20/20 in her normal right eye and 20/30 OS. Optos color imaging shows chorioretinal scarring surrounding the left optic nerve, extending more nasally with intraretinal pigment migration. Fundus autofluorescence (FAF) shows hypo-FAF corresponding to the clinical chorioretinal scarring, with a… Read More

This 11YO male presented a few hours after being hit in his right eye with a toy gun. Optos color and green channel imaging show a broad area of commotio retina in the superotemporal periphery. Vision was 20/20. Learning Points: Commotio retinae is caused by direct, blunt eye trauma. The outer retinal whitening is due… Read More

This 44YO male patient presented with a 2-week history of bilateral vision loss. He denied any past medical history. Vision was 20/150 OD and 20/50 OS. Optos imaging shows bilateral optic nerve swelling, flame-shaped retinal hemorrhages, and macular lipid. Swept-source OCT shows bilateral subretinal fluid extending from the nerve into the macular centers. A plaque… Read More

This 82YO female was maintaining 20/40 vision in her left eye with intravitreal Eylea every 8 weeks for neovascular AMD. She was then lost to follow-up, with new blood and 20/50 vision. Swept source OCT shows new subretinal fluid. The hyperreflective sub-RPE type 1 macular neovascularization is elevated above a hyporeflective prechoroidal cleft. Fortunately, vision… Read More

This 80YO diabetic female gave a history 0f prior retinal lasers elsewhere about 20 years earlier. Vision was 20/30 OD and 20/80 OS. Optos color and fundus autofluorescent imaging show heavy bilateral panretinal photocoagulation (PRP) and macular laser scarring. Swept source OCT shows variable disorganization of the retinal layers and outer retinal atrophy. Visual fields… Read More

This 80YO female presented with a 2-day history of floaters and vision loss in her left eye. She had mild hyperopia prior to cataract surgery 5 years earlier. She had a history of diet-controlled type 2 diabetes. Vision was 20/100 OD and 20/30 OS. Fundus Optos color imaging, fundus autofluorescence, and OCT of her right… Read More