Retina and Vitreous Diseases

Chronic Central Serous Chorioretinopathy in Both Eyes Evolving Into Polypoidal Choroidal Vasculopathy in the Right Eye We present a case of previously diagnosed chronic Central Serous Chorioretinopathy (CSCR) treated with PDT and verteporfin, with complete resolution of the Subretinal fluid (SRF). …

Endogenous Candida Endophthalmitis A patient presented with blurry vision and floaters in the left eye for 2 weeks. His history was notable for a recent hospitalization for a non-healing foot ulcer, for which he underwent wound debridement and bone cultures. He was also being evaluated for suspecte…

Toxoplasma Papillitis A patient with a history of hypertension, hyperlipidemia, and COPD presented with 10 days of painless, progressive blurry vision of the right eye. On initial examination, the patient was found to have anterior chamber inflammation, vitreous inflammation, and a white retinal le…

Pegcetacoplan Associated Exudation A patient presented with gradually decreased vision in her both eyes for several years. She had a history of multiple intravitreal aflibercept injections in her both eyes, with the last one administered 3 years ago. Her exam was notable for visual acuity of 20/50 …

Incipient Non-Arteritic Ischemic Optic Neuropathy A patient presented for routine follow up of age related macular degeneration and was found to have incidental optic disc edema in her right eye without any decrease in vision or other visual symptoms. On further testing she had enlarged blind spot …

Central Serous Chorioretinopathy This is a case of a young man with central serous choroidopathy (CSC) who presented for dysmorphopsia and color vision changes in the right eye. He was found to have subretinal fluid (SRF), RPE changes, pigment epithelial detachment (PED), and a thick choroid on opt…

West Nile Virus Chorioretinitis A patient with a recent history of meningoencephalitis presents with blurry vision and increased number of floaters noted after discharge. During hospitalization, he required IV treatment with Meropenem and Acyclovir due to unclear etiology. Past ocular history was c…

A patient with a history of lymphoma presents to clinic one month after encephalitis. On fundus examination scattered lineal chorioretinal scars are noted.

Bartonella Retinitis A patient presented to the emergency department with 2 days of floaters and pain with ocular movements. He endorsed exposure to stray cats and being scratched by a kitten. Best-corrected visual acuity was 20/20 in both eyes. Anterior segment exam was unremarkable and posterior …

ABCA-4 Retinal Dystrophy A patient with bilateral progressive vision loss presents to the clinic for evaluation. The patient’s initial vision was hand motion in both eyes. Fundus photos shows extensive retinal degeneration, geographic atrophy, and optic nerve pallor. ABCA-4 related retinopathies …

Acute Macular Neuroretinopathy A young patient presents with acute onset of blurry vision and scotoma. Visual acuity is 20/25 in both eyes. Exam reveals hypopigmented patches in the macula of both eyes, as well as a flame hemorrhage in the left. Imaging reveals disruption of the outer plexiform, ou…

Acute Posterior Multifocal Placoid Pigment Epitheliopathy A patient presented with one week of blurred vision. He noted a concomitant headache and cold symptoms as well. He had a history of IV drug use 10 days prior. His visual acuity was 20/100 in the right eye and 20/20 in the left eye. Examinati…

Fundus photo demonstrating confluent creamy yellow-white lesions representing acute posterior multifocal placoid pigment epitheliopathy.

Acute Retinal Necrosis A monocular patient with no past ocular history in the left eye presented with several days of decreased vision in the left eye. On examination he was found to have panuveitis, and there was concern for necrotizing retinitis. He was treated empirically for presumed acute reti…

Presentation with peripheral retinal whitening and perivascular hemorrhages. PCR was positive for HSV. Treatment was with the intravitreal antiviral Foscarnet as well as oral Valacyclovir. On 3 months follow up there was improvement in the retinitis with peripheral atrophy that was laser demarcated…

Acute Retinal Necrosis Secondary to HSV-2 Acute retinal necrosis is a rare entity clinically defined by one or more foci of retinal necrosis in the peripheral retina with circumferential spread and rapid progression in the absence of therapy. It typically includes an occlusive vasculopathy and prom…

Acute Syphilitic Posterior Placoid Chorioretinitis A 56-year-old Hispanic male with past medical history of gout presented to the emergency room with a “purple spot” in his right eye for the last four days. Examination was significant for best corrected visual acuity (BCVA) 20/70, no anterior c…

Acute Syphilitic Posterior Placoid Uveitis An adult patient presented to the Bascom Palmer emergency room for evaluation of five days of bilateral painless vision loss and floaters. On slit lamp examination he did not have any conjunctival injection or anterior chamber cell or flare. Dilated fundus…

Acute Zonal Occult Outer Retinopathy (AZOOR) A patient with a history of photopsias in the left eye for approximately 20 years comes for evaluation due to photopsias now involving both eyes. Concomitantly, the patient also notices scotomas in both eyes. Infectious, immune, and degenerative retinopa…