Blog

This 78YO male presented with a several-month history of decreased vision in his right eye. He had prior bilateral cataract surgery years earlier at an outside practice. Vision was 20/25 OU. His right posterior chamber implant was decentered inferiorly, but the optic remained in the visual axis. The lens subsequently completely dislocated into the inferior… Read More

This 15YO female received prior thermal laser for Coats disease over 10 years earlier and was subsequently lost to follow-up. Right eye vision was counting fingers. Optos color imaging shows subretinal scarring extending from the macula through the superior retinal periphery, nasal and inferior peripheral scarring, scattered peripheral retinal laser scarring, and sheathed vessels. There… Read More

This 32YO female with type 1 diabetes presented with an 18-month history of vision loss in her left eye. Vision was counting fingers. Optos imaging beautifully captures the pre-operative photos of the tractional retinal detachment, caused primarily by fibrosed retinal neovascularization extending in a circular pattern from the nerve along the arcades. The second image shows… Read More

This patient presented with new flashes and floaters in their left eye. Optos imaging shows a tractional retinal tear with a few dots of blood and localized subretinal fluid. Barrier laser was performed to reduce the risk of retinal detachment. Six months later, good laser scarring surrounds the break, which has operculated. In our experience,… Read More

This 72YO male presented with recent difficulties with dark adaptation and 20/60 vision in his right eye. His left eye was enucleated 2 years earlier for a uveal malignant melanoma. Triton color imaging shows multiple yellowish subretinal round lesions scattered around the optic nerve and macula. Triton Swept Source OCT through the fovea shows a… Read More

This 77YO female presented with bilateral idiopathic sclerochoroidal calcification. Learning Points: Sclerochoroidal calcification is a relatively uncommon and benign finding in the elderly population. These yellowish lesions are slightly lumpy and elevated, and usually appear in the mid superior/inferior temporal/nasal quadrants. The lesions are highly reflective on B-scan ultrasonography and visible on CT. These lesions… Read More

This 48YO male gave a history of lifelong poor vision in his left eye. Vision was 20/40 OD and 20/200 OS. Triton color imaging shows a large, round, variably pigmented, excavated macular scar with a few smaller surrounding scars. Swept-source OCT reveals a thinned atrophic retina and RPE overlying a shallow coloboma. Within the coloboma,… Read More

This 45YO female has classic bilateral findings for atrophic ocular histoplasmosis (OHS), including the triad of peripapillary scarring, macular lesions, and scattered peripheral scars. Vision is 20/25 OD and 20/30 OS. All scars stain on fluorescein angiography. We like to add a fourth criterion, a quiet vitreous, to this classic triad. The presence of vitreous… Read More

Eight years earlier, this 42YO female underwent successful retinal reattachment surgery elsewhere with scleral buckling, vitrectomy, and silicone oil. Vision was light perception. Optos imaging shows extensive droplets of emulsified silicone oil. We decided to observe our patient due to the long history of profound vision loss in a pain-free eye. Learning Points: Silicone oil… Read More

This 40YO female gave a 4-5 year history of gradual bilateral vision loss. Vision was 20/70 OD and 20/200 OS. There was no family history of retinal disease. Color imaging shows a round area of central pigment loss OD and a more irregular area of atrophic pigmentary changes OS. Optos fundus autofluorescence (FAF) showed central… Read More