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This 64YO male presented with one year of decreased vision in his left eye. Vision was 20/20 in his normal OD and 20/200 OS. Optos color RGB imaging shows sheathing and ischemia throughout the posterior pole, sparing the superotemporal quadrant. Collateral vessels are noted on the nerve. Triton swept-source OCT shows diffuse inner retinal thinning… Read More

This 16YO female has a known history of oculocutaneous albinism with a lifelong history of photophobia and decreased vision bilaterally. Vision was 20/70 OU. Horizontal nystagmus was noted, along with bilateral iris transillumination defects. Fundus photography shows bilateral marked choroidal hypopigmentation with foveal hypoplasia. Learning Points: Albinism is a group of genetic disorders characterized by… Read More

This 30YO male presented with persistent decreased vision in his left eye two months following blunt ocular trauma. While incarcerated, he sustained blunt head and ocular trauma during a physical assault resulting in his head striking a bunk bed. Vision was counting fingers OS. Fundus photography shows a diamond-shaped giant macular hole. Following vitrectomy, internal… Read More

This 70YO female with a history of Type 2 diabetes presented with 2 weeks of vision loss in her right eye. Vision was counting fingers OS and 20/30 OS. Optos color RGB imaging of her right eye shows a whitish placoid subretinal macular and peripapillary lesion with nerve swelling and peripapillary hemorrhages. Multifocal macular and… Read More

This 51YO male has a history of intellectual developmental disorder, arterial hypertension, polydactyly of his right hand (surgery as a child) and foot. He has complained of poor vision, photophobia, and dyschromatopsia since childhood. Vision was 20/400 OU. Optos color RG imaging of his right eye shows faint foveal pigmentary changes. These are more prominent… Read More

This 16YO male presented with acute vision loss in his left eye 3 days earlier following blunt trauma from a tennis ball. Vision was counting fingers. Fundus photography shows diffuse thin subretinal blood with multiple choroidal ruptures. Observation was recommended. Vision improved to 20/200 at 6 weeks, with resolution of all blood. Mild granular pigmentary… Read More

This 32YO diabetic male presented with profound vision loss following rhino-orbital-cerebral mucormycosis, for which he had undergone orbital exenteration 8 months earlier. Vision was no light perception with a fixed and mid-dilated pupil. Color photography shows a pale nerve with blood on and surrounding the disc, with a striking narrow white vascular tree. OCT angiography… Read More

This 45YO female has a history of osteogenesis imperfecta (OI) and complained of several weeks of central vision loss in her right eye. Two months earlier, she was hospitalized following a fall in which she hit the left side of her face, resulting in a concussion and intracranial hemorrhage. Vision was counting fingers OD and… Read More

This 49YO female complained of 2 months of distorted and blurred vision in her right eye and was referred for a possible uveal malignant melanoma (MM). Vision was 20/200 OD and 20/40 in her normal OS. Optos color RG imaging shows a hyperpigmented subretinal lesion measuring 10.8×8.6 mm centered beneath the superotemporal arcade. However, both… Read More

This healthy 43YO male presented with inferotemporal field loss in his right eye for 2 weeks. Vision was 20/20 OU. Pseudocolor SLO imaging shows a superonasal macula-on rhegmatogenous retinal detachment (RRD) with two prominent retinal cysts. OCT confirms the retinal detachment with cystic outer retinal fluid within the detachment and within the outer margin of… Read More