Retina and Vitreous Diseases

Human T-lymphotropic Virus Type-1 Associated Adult T-Cell Lymphoma with Vitreoretinal Infiltration Our patient with a history of HTLV-1 related lymphoma who was in remission for several years presented with decreased vision in the right eye for about 1 week. Initial visual acuity was 20/50 in the r…

Examples of Familial Exudative Vitreoretinopathy.

A patient with atypical presentation of toxoplasma chorioretinitis. Ultra wide field color fundus photograph showing a peripheral retinal whitening with patchy areas of active inflammation underlying a grade 2 vitreous haze in the left eye at presentation. The patient was initially suspected of acu…

A patient with double Torpedo Maculopathy lesions in the left eye. Two lesions are noted inferior to the macula with associated RPE changes and overlying fluid. Funds autofluorescence images show areas of hypofluorescence and hyperfluorescence correlating with the RPE changes on fundus photos.

A patient with premacular hemorrhage secondary to Valsalva retinopathy

Macular Telangiectasia Type 1 - Torpedo Maculopathy This is a case of a middle-aged man presenting with a decrease in vision in his left eye for a period of 2 months. On fundus examination the patient presented with a pigmented macular asymptomatic lesion in the right eye and vascular telangiectasi…

Toxoplasma Chorioretinitis of Left Eye An elderly patient presented with painless decreased vision in the left eye for 1 week while on chemotherapy for stage 3 non-metastatic breast cancer. A review of systems showed a recent foot infection and fungal dermatitis. Prior to presentation, the patient …

Chronic CRVO with Diffuse Exudates A patient presents with vision loss in both eyes that progressively worsens over the course of 11 months to bilateral diffuse exudates with a unilateral exudative retinal detachment. Medical history was most significant for recurrent chronic pancreatitis, hypercho…

Familial Exudative Vitreoretinopathy A child presents to the retina clinic for exotropia. He has no relevant past birth, medical or family history, except that his maternal uncle was blind. His anterior segment exam is normal. Macular dragging with straightening of vessels is noted in the left eye.…

Toxoplasmosis Chorioretinitis A patient with no known past medical or ocular history presents with 1 week of redness and sudden, painless vision loss in the right eye. In the right eye, exam was notable for visual acuity CF, a relative afferent pupillary defect, 3+ anterior chamber cell, 3+ vitreou…

Uveal Effusion Syndrome A patient was referred by an outside provider with a history of decreased vision in the right eye for one year. Their ocular history included glaucoma in both eyes and Fuch’s corneal dystrophy. The visual acuity was 20/200 OD and 20/30 OS. The IOP was 18 OD and 24 OS. The …

Retinal Tear An asymptomatic patient presented for routine ophthalmic examination. The anterior segment examination was significant for cataracts in both eyes. The dilated fundus examination revealed a superotemporal horseshoe tear (HST) with surrounding subretinal fluid in the right eye and was no…

Simultaneous Bilateral Rhegmatogenous Retinal Detachment A patient with a past ocular history of refractive LASIK/PRK surgery and high myopia presented for evaluation of blurred vision in the left eye. The patient noted vision changes starting 2.5 months prior to presentation but had not noted any …

Multifocal Uveal Melanoma in Setting of Oculodermal Melanocytosis A healthy young patient with prior history of myopia OU presents with sudden-onset decreased vision in the right eye. On presentation, patient’s exam was notable for visual acuity of HM in the right eye and 20/20 in the left eye. I…

Proliferative Diabetic Retinopathy A patient presented to Bascom Palmer Emergency Room for vitreous hemorrhage in left eye. Patient subsequently underwent multiple sessions of panretinal photocoagulation followed by one injection in each eye. The patient was followed for six months and then lost to…

Retinitis Pigmentosa (RHO Pro347Leu Mutation) with Intermediate Uveitis Our patient was referred for asymptomatic bilateral cystoid macular edema (CME) found on a routine eye exam. Initial visual acuity was 20/30 in both eyes with normal intraocular pressure. Posterior segment exam revealed 2+ vitr…

Punctate Inner Choroidopathy A patient presented to the Bascom Palmer emergency room complaining of seeing a fixed gray spot out of the right eye for two weeks. Past history was unremarkable. Vision was 20/70 OD and 20/30 OS. Intraocular pressure and pupils were normal. The anterior exam was normal…

This photo demonstrates a large amelanotic yellow/white lesion that appears elevated in the temporal macula with adjacent vasculitis and multifocal hemorrhage. CT scan showed a large hypoattenuating lesion within the right lobe of the liver concerning for a liver abscess. The cultures grew Klebsiel…

A patient presented with night vision loss. The fundus photos showed is RPE hyperplasia and surrounding pigmentary changes. OCT here is diffuse photoreceptor disruption that spares the fovea in addition to area of RPE attenuation along with clumps of RPE deposits