Consultant Ophthalmologist
A 64-year-old woman is referred with an abnormal right macular OCT. The findings are diagnostic of torpedo maculopathy - a rare congenital RPE anomaly. An incidental longstanding peripheral retinal tear is also identified in the left eye, requiring no treatment.
Read case →A 77-year-old woman is referred with a vitelliform-like left macular lesion on OCT. Near-infrared fundus imaging of both eyes reveals a characteristic cruciform pigment pattern - diagnostic of butterfly-shaped pattern dystrophy, and a reminder that the image beside the OCT is sometimes the most important one.
Read case →A 27-year-old man is referred after his first OCT reveals an area of apparent RPE absence inferonasal to the right optic disc. The appearance is typical of a conforming focal choroidal excavation - a rare but benign idiopathic finding. Remote diagnosis allowed reassurance without a hospital visit.
Read case →An 87-year-old woman is referred urgently with a working diagnosis of vitelliform macular dystrophy and dot and blot haemorrhages. OCT and careful fundus interpretation point instead to a single unifying diagnosis: an old superotemporal BRVO with secondary ERM and an acquired vitelliform lesion at the fovea.
Read case →A 57-year-old woman is referred with a growing left macular lesion and a hypermetropic shift in visual acuity. Serial OCT demonstrates interval growth of a choroidal lesion with an overlying serous PED, raising a broad differential that includes circumscribed choroidal haemangioma, CSCR spectrum disease, and choroidal melanoma.
Read case →A 52-year-old asymptomatic man is referred after his first macular OCT reveals a raised area temporal to the fovea. The imaging is typical of a choroidal macrovessel - a benign anomalous dilated choroidal vessel that can mimic more sinister pathology. Confident remote interpretation allowed reassurance without a hospital visit.
Read case →An 83-year-old woman with no visual symptoms is found to have a peripapillary haemorrhage and subretinal lesion on left OCT at a routine sight test. The imaging points to an active peripapillary choroidal neovascular membrane - a diagnosis that hinges on OCT and careful consideration of the differential.
Read case →A 64-year-old woman is found to have a right full-thickness macular hole at a routine sight test, with no preceding visual symptoms. Bilateral OCT confirms the diagnosis and reveals a left posterior vitreous detachment - reassuring for the fellow eye and a prompt for direct referral to the vitreoretinal team.
Read case →A 52-year-old lady referred for a left epiretinal membrane. Good acuity and absence of symptoms meant surgical intervention was not indicated — and a direct optometrist-to-consultant email saved a clinic appointment.
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