Blog

This 60YO female developed hypotony in her left eye following a Baerveldt implant. Chorioretinal folds are seen on the Optos color photo and are more pronounced in the green channel. OCT shows the unilateral radiating left macular folds. Although pressures were initially almost zero for about 2 months postoperatively, they have since risen to about… Read More

This 39YO male presented to our clinic with a known history of sex-linked retinoschisis. Vision was 20/100 OU. Optos color and green channel images show faint radiating foveal cystic changes bilaterally (only right eye shown). Swept-source OCT scanning shows prominent splitting of the inner nuclear layer. Learning Points: Although historically taught as involving the nerve… Read More

This patient presented with some beautifully imaged findings for proliferative diabetic retinopathy (PDR). A wide-angle photograph shows active disc neovascularization (NVD), a venous loop, a few small patches of distal macular peripheral neovascularization (NVE), and distal retinal ischemia. A magnified image of the nerve shows the NVD. Although venous loops are not generally included in… Read More

This 22YO female presented with a large temporal patch of dark without pressure (DWP), white without pressure (WWP), and a small round patch of congenital hypertrophy of the RPE (CHRPE). None of these findings is of concern, but we thought it was cool that all of them are associated with each other at this single… Read More

This 59YO female patient presented with variable mostly peripheral submacular blood in her right eye and counting fingers vision. Optos imaging shows the extent of the subretinal blood, which is dark superiorly and yellow inferiorly. Triton swept-source OCT shows variable outer retinal and subretinal hyperreflective material from resolved submacular blood, and this is seen clinically… Read More

This 40YO female presented with 20/70 vision OD from a chronic central retinal vein occlusion (CRVO). The hemorrhages are virtually limited to the temporal periphery. Triton color imaging shows optic nerve collaterals. Ultrawidefield Optos fluorescein angiography shows good posterior pole perfusion, nasal peripheral telangiectasia, and a sharp margin of infero-temporal peripheral ischemia. Central cystoid edema… Read More

This 45YO female presented with bilateral optic nerve colobomas. Vision was hand motion OD and 20/25 OS. Triton swept-source OCT shows a relatively featureless retina spanning the coloboma. The much smaller left nerve coloboma also contains an inferotemporal optic disc pit. The pit is also quite evident on OCT. The left nerve has a morning… Read More

This 32YO female presented with a macula-off rhegmatogenous retinal detachment (RRD) in her right eye. There were innumerable temporal retinal holes. The detachment was successfully repaired with vitrectomy surgery. Her asymptomatic left eye showed extensive temporal lattice lesions with atrophic holes, and prophylactic laser was recommended.

This eye shows a severely contracted and complex epimacular membrane in a patient who recovered from prior endophthalmitis. Unfortunately, we don’t have any further clinical information.

This 64YO man presented with 1 year of gradual severe bilateral vision loss. Vision was counting fingers at 5 feet OU. Retinal examinations showed fine subretinal pigmentary changes with tiny whitish dots throughout the extramacular retina, best visualized as hypoautofluorescent spots on Optos ultra-widefield autofluorescence. Triton swept-source OCT shows profound loss of the outer segment… Read More