What do you think is the diagnosis?

This was an incidental finding in a 60-year-old African-American female. The photographic appearance is fairly typical. OCT and fluorescein angiography testing were performed to confirm the clinical impression. Take a guess in your head. SPOILER ALERT … Diagnosis: Peripapillary Choroidal Neovascularization. Periodically quizzing and challenging yourself to use imagery to stretch your clinical knowledge is a useful tip to learn how to improve pattern recognition skills.