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This 40YO female presented with recent vision loss in her left eye. Vision was 20/20 in her normal right eye and counting fingers in her left eye. Triton color imaging shows an amelanotic choroidal lesion occupying virtually the entire macula. There is a small dot of central blood. Swept-source OCT shows a markedly thickened choroid… Read More

This 60 YO female presented with counting fingers vision from a large central and superior submacular hemorrhage. OCT scanning shows variable subretinal blood and subretinal fluid along with an RPE detachment. There are no drusen. Pars plana vitrectomy with drainage of the subretinal blood was performed. TPA was not used. Postoperatively, there is virtually no… Read More

This 65YO male presented with light perception in his left eye secondary to a very chronic total rhegmatogenous retinal detachment (RRD). Optos color imaging captured the detachment, which was fairly stiff due to diffuse proliferative vitreoretinopathy (PVR). Two posterior retinal breaks are seen. The retina was successfully reattached with vitrectomy, inferior retinectomy, and silicone oil…. Read More

This 26YO female presented with bilateral disc and peripheral retinal neovascularization from proliferative diabetic retinopathy. Vision was 20/50 OD and 20/200 OS. Panretinal photocoagulation was started in each eye. She was then lost to follow-up for a year, when she returned with a somewhat unusual elevated patch of fibrosed disc neovascularization in her left eye…. Read More

This 60YO male presented with 20/400 vision in his left eye due to radiation retinopathy caused by prior photon radiation treatment for brain cancer 10 years earlier. Fundus photography shows some small scattered inner retinal hemorrhages and exudates. Fluoroscein angiography shows superonasal foveal retinal telangiectasia, with mild scattered inferior microvascular changes. OCT shows central and… Read More

This 88YO female presented with counting fingers vision in her right eye from a symptomatic superior hemiretinal vein occlusion (HRVO). Optos imaging shows moderate superior hemispheric inner retinal hemorrhages, and fluorescein angiography shows a well-perfused occlusion. OCT scanning showed moderate central macular edema (not shown). Anti-VEGF therapy was started. Learning Points: Branch retinal vein occlusions… Read More

This 67YO female has a history of branch retinal vein occlusion (BRVO) in her left eye. Asymptomatic degenerative retinoschisis was also present bilaterally. Vision was 20/33. She had received prior scatter laser and intravitreal injections about 3 years earlier. Fortunately, all findings remained stable despite loss to follow-up due to the COVID pandemic. Clarus 500… Read More

This 79YO male presented with a major superotemporal branch retinal vein occlusion (BRVO) and counting fingers vision. Fundus photography shows superior macular hemorrhages with inner retinal ischemia (cotton-wool spots) and some nasal lipid. The vessels, especially around the superotemporal fovea, are nonperfused. The clinically suspected foveal ischemia is confirmed on OCT angiography. Spectral-domain OCT shows… Read More

This 45YO female with type 2 diabetes presented with bilateral proliferative diabetic retinopathy (PDR). Vision in her left eye was 20/200 due to severe foveal ischemia, which is best seen on fluorescein angiography. Leaking disc and peripheral neovascularization are also seen angiographically. The macula was also edematous on OCT scanning (not shown). An incidental finding… Read More

This 25YO female was referred for an asymptomatic rhegmatogenous retinal detachment (RRD) in her left eye. The detachment had an unusual oval shape that did not reach the ora, with a small causative break. Fundus autofluorescence (FAF) shows variable hyper-FAF throughout the detachment, likely due to unmasking of the underlying RPE by dysfunctional photoreceptors. Various… Read More