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Retinal artery macroaneurysm An elderly woman 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 was…

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…

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…

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 in the …

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). …

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…

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 …

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 …

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 …

IRVAN (Idiopathic Retinal Vasculitis, Aneurysms, and Neuroretinitis) A patient presented to the BPEI Emergency Room with a red painful eye and blurred vision. At the time of presentation she was diagnosed with elevated intraocular pressure in the setting of neovascularization of the optic nerve, ir…

Terson's Syndrome A patient with no known past ocular history was referred for evaluation of bilateral retinal detachments. Prior to his presentation, the patient was admitted to an outside hospital and was diagnosed with a sub-arachnoid hemorrhage originating from the right anterior communicating …