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Central Serous Chorioretinopathy A patient presented with blurry vision associated with distortion OS. Self-referred to Bascom Palmer. VA: OD: 20/20 and OS: 20/200. Imaging work up was significant for OCT, showing subretinal fluid, choroidal thickness and elevation map. Fluorescein angiography reve…

Fundus photos showing sub-retinal angiogenesis with hemorrhage. OCT with pigment epithelial detachment and outer-retinal atrophy. Autofluorescence with a guttering pattern of the atrophy typical with CSR.

Central Serous Retinopathy A 48-year-old female presents with a history of chronically decreased vision in her right eye. Multimodal imaging reveals serous macular detachment, thickened choroid, and focal areas of late leakage on fluorescein angiography. The left eye has pigmentary changes in the p…

Choroidal Change Post Internal Carotid Stenting The purpose is to report the changes in choroidal thickness (CT) and the choroidal vascularity index (CVI) measurements using widefield SS-OCT imaging in a patient undergoing treatments that should alter choroidal blood flow. Patient underwent 12x12mm…

Choroidal Metastasis Consistent with Renal Cell Primary A 57-year-old male presented to clinic with a one-week history of red line in his vision OS. The patient was noted to have a history of left nephrectomy for renal cell carcinoma that was diagnosed after a metastatic lesion was detected in the …

Fundus photo with hypopigmented patch with choroidal thickening temporally. B-scan demonstrates the fundus thickening with mild hyperdensity.

The multicolored appearance is due to needle shaped polychromatic peptide crystals in the cortex or nucleus of the lens. These are not generally visually significant.

Chronic External Progressive Ophthalmoplegia A 36-years-old female patient presents to pediatric ophthalmology clinic at BPEI for a second opinion regarding progressive bilateral ptosis and exotropia. The patient has a history of progressive bilateral ptosis OS>OD and limitation of ocular moveme…

This patient is known to have XLRS and is 80 years old. Over time the macula schisis has led to central atrophy and pigmentary changes. The OCT shows schisis cavities and thinning of the retina.

Patient with a history of pathological myopia and retinal detachment in the fellow eye. Has been stable with a large chronic retinal detachment. There are two demarcation lines noted in the macula. The vision is preserved.

Temporal horseshoe tear with localized retinal detachment. It was demarcated with laser retinopexy and has remained stable.

The pseudocyst (yellow arrow) can be a signal that the retinal detachment is chronic. The ultrasound helps to clearly define the fluid filled cavity. It is thought that these are formed by schisis cavities in the outer plexiform layer. If closure of the primary break is not possible, or if the pseu…

Chroroidal Osteoma is a rare benign tumor characterized by the presence of cancellous bone within the peripapillary choroid

Slit lamp photo with white tumor growing into the sulcus inferior temporally. The Ultrasound Biomicroscopy shows a medium density mass in the ciliary body. The patient had known stage 4 lung cancer.

Circumscribed Choroidal Hemangioma A patient presented with blurry vision OD. VA 20/40 OD and 20/20 OS. DFE significant for elevation along the superior arcade. Imaging workup significant for OCT showing foveal involving serous retinal detachment OD. FA and ICG showed hyperfluoroescent lesion super…

Closed-Globe Ocular Trauma An 18-year-old female presents to BPEI ER after sustaining injuries to the eye from a motor vehicle accident. The patient was diagnosed with a closed-globe injury and had subsequent traumatic angle-recession glaucoma, vitreous prolapse, and traumatic cataract. She also ha…

In this condition, vasculitis of both arteries and veins, with translucent exudation, gives a similar appearance to the frosted branches of a tree. (Yellow arrow). Superior nasally, there is also the classic retinal whitening with retinal hemorrhages, also known as a “pizza pie fundus”.

RetCam photo with a bullous exudative retinal detachment. Angiography shows area of engorged vessels, telangiectasias and neovascularization. Ultrasound with moderate dense vitreous opacities and no calcifications. Surgery with external drainage was required for treatment.

Coats' Disease with Secondary Pseudoangiomatous Acquired Retinal Gliosis A healthy 6-year-old female was referred after she failed her school vision screening in the right eye. Exam revealed a visual acuity of count fingers (CF) at 1 foot in the right eye. Slit lamp examination was unremarkable. Fu…

Combined Hamartoma of the Retina and Retinal Pigment Epithelium A 19-month-old girl with an unremarkable prenatal and infantile history presented with esotropia of the left eye and was found to have a vascularized mass concerning for retinoblastoma. Examination under anesthesia revealed a charcoal …