Interesting Retinal Cases

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Interesting Retinal Cases

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01/31/2026

Short case-based pearls with the students today.

• CRVO
• Always assess for macular edema with OCT
• Iris exam, watch closely for NVI not just the fundus → neovascular glaucoma

• Rhegmatogenous RD
• RRD often associated with PVD
• Relative scotoma favors RRD
• Absolute scotoma points toward retinoschisis

• Vitreous Hemorrhage
• Commonly secondary to diabetic retinopathy
• Poor view? Examine the fellow eye if suspecting diabetic retinopathy

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01/29/2026

In a myopic eye, central vision may be well corrected, but relative peripheral hyperopic defocus continues to stimulate axial elongation. The retina interprets this as a cue to grow, and myopia progresses.

Clinical pearls:
• Correcting central refractive error alone does not address the peripheral growth signal.
• Strategies that create peripheral myopic defocus can slow axial elongation during the most active growth years.

Understanding where light focuses matters just as much as how clearly patients see.

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01/26/2026

Retinoschisis vs Retinal Detachment

Retinoschisis
• Splitting of the retina’s inner layers
• Often congenital or degenerative
• Usually asymptomatic or causes mild peripheral vision loss
• Smooth, dome-shaped, immobile appearance
• ОСТ shows intraretinal splitting
• Rarely progresses or threatens central vision

Retinal Detachment
• Separation of neurosensory retina from the RPE
• Often caused by a retinal tear or traction
• Sudden flashes, floaters, or curtain-like vision loss
• Mobile, corrugated appearance on exam
• OCT shows subretinal fluid
• Urgent and vision-threatening if untreated

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01/16/2026

In this series of Quick Diagnosis:

1- Pathological Myopia
2- CNVM
3- Outer Retinal Tubulation
4- Straatsma Syndrome

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I am wearing color Wave 🌊
👕: Helix 1 Pocket Scrub Top
👖: All Shift 5 Pocket Scrubs Jogger

01/13/2026

Another episode of Glaucoma yes or Glaucoma no?

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01/02/2026

Your basic OCT analysis explained from A to Z.

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12/27/2025

Glaucoma yes or glaucoma no? Let’s find out what’s happening to this 59 y/o who presented for his first eye exam.

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12/24/2025

Rapid fire diagnosis Christmas edition 🎄

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12/18/2025

Not every optic nerve anomaly spells trouble. Let’s take a look at these two.

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12/14/2025

Quick fire diagnosis time 🔥

I am wearing color Bonsai!

👕: Helix 1 Pocket Scrub Top
👖: All Shift 5 Pocket Scrubs Jogger

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At

12/08/2025

Not all glaucoma comes with high pressure.
This patient had “normal” numbers… but something else was driving the damage.
A good reminder to look beyond the tonometer.

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12/04/2025

A key part of computer vision syndrome is dry eyes, often showing up as transient blur, irritated/red or tearing eyes and foreign body sensation.

An efficient way to find relief while working on the computer is to use preservative-free artificial tears. I recommend preservative-free for their balanced composition, which helps stabilize the tear film and provide smoother, longer-lasting comfort.

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