Retinal Hub Posts

This patient was referred to me for deterioration in her vision due to a cataract. Whilst the cataract indeed did contribute to her poor vision , an examination and OCT investigation of the macula ( now used routinely as part of my pre-surgical work up for cataract surgery ) , also shows a macular schisis.

This patient has a very interesting fundus appearance , there is a cobblestone like pattern of RPE pigmentation in the far to mid periphery. This is most prominent in her right eye and is ofcourse completely benign. In cases of similar bilateral lesions , one may need to consider retinal dystrophies as a potential differential…

A quick case highlighting the importance of a retinal peripheral fundus examination. This patient is myopic and has some changes of myopia in the posterior pole but it is only when the peripheral retina is examined carefully that we note a few interesting chorioretinal lesions.

This was sent to me recently as it looked a little atypical for a retinoschisis and was promptly referred . Its suspicios features are the variation in colour and pigment change that makes it suspicous for a choroidal mass lesion.

This man was referred to see me by a colleague . He had reduced vision in the left eye to 6/24 and unable to be refracted. A thoughtful optometrist , queried a previous diagnosis of ?amblyopia and referred him on. Although he did not appear to have any co-morbid disease such as hypertension or diabetes…

I always find it a challenge to capture this pretty pathology on camera… 45yo female , asymptomatic of floaters. As you have encountered I’m sure, this is often the case!

There has been some recent discussion around Ocriplasmin – trade name Jetrea- a recombinant protease with activity against fibronectin and laminin, components of the vitreoretinal interface. It is used for treatment of symptomatic vitreomacular adhesion, via intravitreal injection, for which it has recently been approved for use in Australia. Sometimes controversial as a single treatment…

This is a case that an optometrist recently sent me . A middle aged man , no apparent change in vision but an unusual pigmentation/ depigmenation to the retina. Focus on the pale subretinal lesions. A similar appearance in the fellow eye ( not shown). A case of birdshot chorioretinoapthy -at present inactive.

This 10year yo otherwise well boy presented with what appeared to be optic nerve swelling in both eyes. A work up for papilloedema including neuro-imaging , infective screening , lumbar puncture and opening CSF pressure was done showing no anomalies. Without active treatment vision is returning and the disc and retinal oedema appears to be…

To a retinal specialist, the importance of a fundus fluorescein angiogram (FFA) as a follow up investigation is commonplace. What isn’t so routine is expecting to find something that you weren’t quote convinced was present on examination of a patient’s retinal fundus. I share the following post with you as I was somewhat surprised by…