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Persistent Fetal Vasculature This patient with past ocular history of leukocoria was referred forretinal evaluation. Ophthalmological evaluation under anesthesia was notable for a cataractous lens with spherical appearance,anterior segment dysplasia andpersistence of the iridohyaloid vessels and tu…

Retinal Cavernous Hemangioma with Vitreous Hemorrhage A five-week-old full-term male with a history of seizures and birth trauma underwent ophthalmology screening. Initial eye examination revealed vitreous hemorrhage. Subsequent examination under anesthesia with multi-modal imaging revealed vitreou…

Simple Corectopia An otherwise healthy patient without past ocular history presented with left eye irregular pupils since birth and no associated symptoms. The birth history was unremarkable. The examination under anesthesia was notable for visual acuity based on Teller Acuity Cards was approximate…

Slipped Medial Rectus Muscle A patient with history of childhood esotropia presented to our clinic. She reported experiencing binocular visual confusion/jumping images and eye pain in the right eye. The patient was previously treated with prism glasses. Her exam was notable for a comitant esotropia…

A patient with slipped right medial rectus 5 days after recession of medial rectus muscle in both eyes, intraoperative images showing slipped muscle.

Sturge Weber Syndrome An infant presented to clinic as a referral due to a cloudy right cornea and port wine birthmark. The parents did not notice any abnormal behavior from the infant. The patient’s intraocular pressure was 28 and 14, but limited exam was possible in the office setting. An exam …

The temporal toxocara lesion led to sub retinal exudation, macular fold and tractional retinal detachment. Surgery was performed with pars plana vitrectomy.

Fundus photo with central and peripheral retinal atrophy as well and bone spicule RPE changes. This patient also had characteristic hearing loss.

Fundus photo with retinal arteriovenous malformation emanating from the nerve. FA shows filling of the vessels without leakage. MRI is needed to assess for intracranial AVMs.

This is congenital retinal dystrophy is caused by a mutation in the retinoschisin (RS1) gene, which encodes for a protein that functions in cellular adhesion. The fundus photo shows a macular stellate pattern caused by schisis or splitting of the retinal layers at the level of the outer plexiform l…