Jonathan C. Tsui, MD » PAMM

Mar 21 2019 by Jonathan C. Tsui, MD

26-year-old female with hypertension presenting with chief complaint of "darkening" in her nasal visual field in the right eye. No flashes, floaters, or vision loss. Va 20/60 and nasal VF defect OD. SD-OCT demonstrated hyperreflectivity in the INL consistent with paracentral acute middle maculopathy. She was referred to her PCP for blood pressure optimization and a cardiovascular work-up. She returned for follow-up two months later with 20/80 OD, 20/20 OS. Repeat SD-OCT demonstrated inner retinal atrophy.

Photographer: Zellers, Diane

Condition/keywords: paracentral acute middle maculopathy

Aug 12 2019 by Jonathan C. Tsui, MD

A 73-year-old Caucasian male presents with asymptomatic unilateral idiopathic sclerochoroidal calcification at the right superotemporal arcade. B-scan demonstrated hyperreflectivity of the lesion. Recent electrolyte testing was unremarkable.

Condition/keywords: idiopathic sclerochoroidal calcification

Dec 17 2019 by Jonathan C. Tsui, MD

A 72-year-old female with uncontrolled hypertension presented with several spots in her vision. Fundus photography demonstrated a retinal macroaneurysm hemorrhage with subretinal fluid and intraretinal heme. Several microaneurysms are present adjacent to an anomalous vein which suggests a possible secondary venous occlusion.

Condition/keywords: retinal macroaneurysm

Feb 7 2020 by Jonathan C. Tsui, MD

A 51-year-old presents with a six-month history of OS vision loss found to be CF at 3'. Fundus exam demonstrated pathologic myopia OS>OD with tilted discs. MRI Orbit Axial T1 images demonstrate significant compatible findings of staphylomas OS>OD.

Condition/keywords: pathologic myopia, staphyloma