Interesting Retinal Cases

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02/27/2026

OCT diagnosis, round 2 🥊

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02/24/2026

OCT isn’t just imaging. It’s pattern recognition. Master the patterns and the scan tells you the story.

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02/15/2026

Rapid fire diagnosis 🔥

I am wearing color Rose Quartz!
👕: All-Day Scrub Zip Polo
👖: All Shift Scrub Jogger

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02/11/2026

Unlocking a super useful Optos comparison tool that most people don’t know about! Save this!

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02/03/2026

CWS Vs Exudates Vs Drusen

Cotton Wool Spot:
- White to gray
- Superficial
- Feathery, ill-defined borders
- OCT: localized swelling of the RNFL

Exudates:
- Yellow’ish
- Dot like, fuses together when multiple near by
- OCT: in the middle of the retina, hyper reflective, causes underlying shadowing

Drusen:
- Yellow’ish
- Well defined, can fuse together
- Has a pattern, typically by the macula
- OCT: Below the RPE, uniformly medium reflectivity

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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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