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Intraocular Foreign Body A middle-aged patient sustained a penetrating open-globe injury from an alligator bone fragment while hunting. On presentation, visual acuity was hand motions with a large corneoscleral laceration and disorganized intraocular anatomy. Imaging revealed a hyperdense intraocul…

Macular Telangiectasia Type 2 Macular Telangiectasia Type 2 (MacTel Type 2) is a rare, progressive retinal disorder characterized by neurodegeneration of Müller cells, leading to central vision loss and macular atrophy. We present a case of a patient with a 4-year history of gradual, bilateral vis…

Muckle-Wells Syndrome A patient with a past ocular history of retinal vasculitis with subretinal hemorrhage, vitreous hemorrhage, herpetic keratitis, and cataract surgery presented to the emergency room due to sudden onset blurred vision and retrobulbar pain of the left eye. The patient reported lo…

Retinitis Pigmentosa A patient presented with progressive loss of vision since eight years of age. His BCVA in the right eye was 20/300 and the left eye was 20/800. Anterior segment examination showed posterior subcapsular cataract in both eyes. Posterior segment examination showed bony spicule pig…

A patient with bilateral progressive vision loss who presents to clinic for evaluation. Patient's vision loss started in childhood, with initial vision being 20/200 in both eyes. Fundus photos show optic nerve pallor, macular atrophy and extensive pigmentary changes in the periphery. Genetic testin…

A patient presented complaining of decreased vision in the right eye for the past 3-4 months. Best-corrected visual acuity was 20/80 in the right eye. Posterior segment examination revealed a macular hole and cystoid macular edema. (B) Optical coherence tomography demonstrated a macular hole with v…

Cyclodialysis Cleft A patient with a history of sudden vision loss (hand motion) in the left eye following an intravitreal injection for chronic central serous retinopathy (CSR) presented with reduced vision five months later. At the time of presentation, the left eye's visual acuity had improved t…

A patient with Fabry disease. Slit lamp photos show tortuous conjunctival vessels, corneal verticillata, and cataract. Fundus photos show tortuous vasculature.

Retinal Artery Macroaneurysm An elderly patient with history of uncontrolled hypertension presented with acute onset vision loss of the left eye. Vision was noted to be 20/25 and 20/60. Exam and imaging showed focal macular hemorrhage with significant intraretinal fluid. Intra-vitreal bevacizumab w…

Endogenous Candida Endophthalmitis Endogenous endophthalmitis is an ophthalmic emergency that requires prompt recognition, treatment, and full systemic workup to identify the source of the infection. This case describes a male with a past medical history of diabetes, hypothyroidism, and nephrolithi…

Autosomal Dominant Cone-Rod Dystrophy Caused by a Mutation in the Cone-Rod Homeobox (CRX) Gene A patient presented with decreased vision, photophobia and glare affecting both eyes within the past year. Their past medical history included sleep apnea and anxiety/depression treated with hydroxyzine a…

PDE6-Associated Retinitis Pigmentosa  A patient with a family history of vision loss presented with a 2 year history of progressive vision loss in both eyes. Patient’s exam was notable for visual acuity of 20/40 in the right eye and 20/30 in the left eye. Intraocular pressure was 20 and 21 i…

PRPH2-Associated Pattern Dystrophy A middle-aged patient presented to the Bascom Palmer Eye Institute with central blurred vision in the left eye for 2 weeks. Past medical and ocular history were unremarkable. Past family history was notable for a mother who was diagnosed with age-related macular d…

Bilateral Endogenous Aspergillus Endophthalmitis A middle-aged immunocompetent patient with hyperlipidemia and controlled Type 2 Diabetes Mellitus presented with rapid vision loss in the right eye and floaters in the left eye. Review of systems was significant for right sided headache, abdominal pa…

Eales' Disease A patient presented with one month of blurred vision and floaters in the left eye. Visual acuity was 20/20 in the right eye and 20/70 in the left eye. Slit lamp exam was remarkable for a quiet anterior chamber and 2+ vitreous cell in both eyes. Dilated fundus exam demonstrated bilate…

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). …