Retina and Vitreous Diseases

The patient presented with a RAM and sub-macular hemorrhage. Treatment was with pars plana vitrectomy, sub-retinal tissue plasminogen activator injection and 26% SF6 gas. The hemorrhage resolved with some photoreceptor changes, but no fibrosis and the patient regained 20/40 vision.

Scleral and Subretinal Abscess with Endophthalmitis A patient presented with blurry vision and pain after scleral buckle removal. He had a remote history of retinal detachment with primary scleral buckling. He had persistent inflammation that did not improve with topical steroids or tap and inject …

Secondary Vitreoretinal Lymphoma A patient presented to the clinic with two years of intermittent blurry vision and vitreous hemorrhage of the left eye. Shortly before presentation, he had been diagnosed with diffuse large B-cell lymphoma based on biopsy of an enlarged axillary lymph node. The pati…

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…

Severe Non-Proliferative Diabetic Retinopathy with Cystoid Macular Edema A 65-year-old male with diabetic retinopathy and CME presented to the BPEI retina clinic for continued management of his chronic ocular condition. His care was complicated by an inability to submit to ocular examinations in th…

Fundus photos and FA with retinal non perfusion, peripheral hemorrhages, and crystalline like retinopathy and both eyes. The OCT retina shows multiple small areas of hyperreflectivity.

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 …

Sorsby Macular Dystrophy We present the case of a 33-year-old male who presented with visual distortions in the left eye. Visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fundus examination revealed reticular pseudodrusen in both eyes, and a choroidal neovascular membrane in the …

Sterile Endophthalmitis Post-injection sterile endophthalmitis is an acute intraocular inflammation of the vitreous cavity that resolves without the need of intravitreal antibiotics and/or vitreoretinal surgery. Differentiating between infectious and sterile endopthalmitis is often difficult and no…

(A) Fundus photo montage showing superonasal sub-retinal gas in the left eye on POD 1 after pneumatic retinopexy. (B) Single frame fundus photo showing the same. (C) Fundus photo montage on POD 7 showing resolution of the sub-retinal gas bubble with observation alone.

Submacular Hemorrhage An 82-year-old woman presents for follow-up for macular degeneration. Her vision in the right eye at the time of presentation is 20/60. After loss to follow-up due to Covid-19, the patient presents with decreased vision in the right eye secondary to a submacular hemorrhage. He…

Submacular Hemorrhage Secondary to Age-Related Macular Degeneration A patient presented with enlarging central scotoma in his left eye for 2 days prior. He has a history of wet AMD in his right eye that is under active anti-VEGF therapy. Diagnosis was new conversion to wet AMD in his left eye with …

A 40-year-old female with headaches, hearing loss and a superior scotoma in the right eye. Fundus photo with multiple inferior branch retinal artery occlusions. Angiography with non-filling of the inferior arterioles and capillary dropout in the area of the infarct. MRI showed scatter FLAIR lesions…

Susac Syndrome A patient with a history of a central retinal artery occlusion presented with acute vision loss in his right eye and was found to have a branch retinal artery occlusion. A fluorescein angiogram showed retinal vasculitis of both eyes and the patient was diagnosed with Susac Syndrome. …

Syphilitic Uveitis A 64-year-old male presented to the VA Eye Clinic with painless vision loss in the right eye. He was found to have vitreous hemorrhage, thought to be secondary to a hemorrhagic PVD, which was observed. Over several weeks, the patient’s vision worsened and his vitreous became mo…