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This 37YO female presented with vision of 20/80 OU and classic findings for Stargardt disease, captured with Optos multimodal imaging and Triton swept-source OCT, including bilateral perifoveal yellow subretinal flecks that are variably hyperautofluorescent and variable outer retinal and RPE atrophy. Learning Points: Stargardt disease is an autosomal recessive disorder caused by a mutation in the… Read More

This asymptomatic 34YO male was referred for an asymptomatic lesion just inferior to the right macula. The 2-disc-diameter lesion is hyperpigmented centrally with a scalloped hypopigmented border. Optos fundus autofluorescence (FAF) shows diffuse hypo-FAF of the lesion due to a lack of RPE lipofuscin from the RPE and outer retinal atrophy. Triton swept-source OCT through… Read More

This 64YO female presented with this symptomatic unilateral exudative lesion in her right eye. Vision was 20/200. Optos color imaging shows a small inner retinal yellow-white nodule with inferior subretinal lipid. Triton swept-source OCT shows hyperreflectivity of this nodule with posterior shadowing, surrounding inner retinal fluid, and a hyperreflective macular neovascularization (MNV) located both below… Read More

This 14YO male is surprisingly asymptomatic with visual acuity of 20/30 OD and 20/40 OS. His retinal findings were found on a routine exam. Optos imaging shows large, symmetrically bilateral, scalloped areas of chorioretinal atrophy that spare the central maculae. On fundus autofluorescence (FAF), the scalloped areas of atrophy show hypo-FAF. Swept-source OCT shows outer retinal… Read More

This 25YO male presented with this asymptomatic choroidal mass in his left eye. Vision was 20/20. Optos color imaging shows a large, well-defined variably pigmented lesion with numerous overlying drusen in the nasal fundus. The lesion shows variable hypo- and hyper-autofluorescence. B-scan ultrasonography shows moderate internal reflectivity. It measured 4 mm thick and 13.5 mm… Read More

This 47YO male has 20/30 vision acuity and discrete unilateral inner foveal white dots. He was recently hospitalized with double pneumonia and was significantly immunocompromised. OCT shows foveal hyperreflective deposits extending from the internal limiting membrane (ILM) to the outer plexiform layer. Some hyperreflective material is also noted within the ILM. The right macula was… Read More

This 47YO female presented with bilateral vision loss. She had a seizure 10 days prior, losing consciousness and hitting her head. Upon awakening, she had reduced vision in her right eye and complete central loss in her left. Vision was 20/60 OD and counting fingers at 3 feet OS. Head CT scanning was normal. Triton… Read More

Years earlier, this 44YO female underwent laser demarcation of an asymptomatic inferotemporal rhegmatogenous retinal detachment (RRD). The prior detachment remains well demarcated, but the detachment itself has completely flattened. Some of the causative lattice-related atrophic holes are seen within the area of prior detachment. White without pressure is also noted in the temporal periphery. Learning… Read More

This 34YO female presented with hand motion vision from a progressive diabetic tractional retinal detachment with subhyaloid hemorrhage. She was repeatedly noncompliant with appointment attendance and was lost to follow-up on numerous occasions. The images show the progressive fibrosis and traction that developed over the course of a year. She will now require vitrectomy in… Read More

This 36YO male presented with flashes and a temporal scotoma in his left eye. Vision was 20/20 OD and 20/25 OS. Optos color imaging shows multiple deep retinal white dots scattered throughout the posterior pole, which are hyper-autofluorescent. Swept-source OCT shows nasal loss of the outer retinal bands with some hyperreflective spots. Visual fields show… Read More