Retinal Assistant Module Blog

A 68 years old lady systematically free presented with symptoms of distorted vision three months ago on her left with BCVA counting fingers and BCVA in the right eye is 20/20. Clinical examination of her left eye shows the anterior and posterior segment unremarkable. In contrast, in her right eye, the anterior segment exam is unremarkable. Her fundus exam shows myopic changes with completed posterior PVD abnormal foveal reflex. Fundus image Fundus colored photograph shows myopic changes of the posterior pole with macular hole formation and yellow deposits. Fundus image showing full-thickness macular hole  Optical coherence tomography OCT scan shows an absence of operculum along with complete posterior vitreous detachment. OCT features full-thickness foveal defect with increased thickness of surrounding tissue with the cystic formation and some RPE deposits the width of the hole is 732 microns while the height is 522 microns. OCT cross-section showing stage four full-thickness macul...

A 63 years old lady systematically free presented with symptoms of floaters of her right eye minimally distorted vision BCVA in her left eye 20/25, and her vision in the left eye is 20/20. Her left eye's clinical examination: anterior and posterior segment unremarkable while her right eye the anterior segment exam is unremarkable, her fundus exam shows some vitreous opacities and abnormal macular and irregular foveal reflex. Fundus image Fundus colored photograph shows wrinkling of the internal limiting membrane (ILM) and epiretinal formation with vascular tortuosity forming a cellophane maculopathy. However, the fovea has an abnormal shape with suspicion of a macular hole; some of the fundus' anatomical features are masked due to vitreous opacities. Fundus image showing epiretinal membrane forming macular pseudohole Optical coherence tomography OCT scan shows vitreomacular abnormalities in the form of an epiretinal membrane with minimal focal disturbance of inner retinal tissu...