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CMV Retinitis A patient with a past ocular history of POAG s/p phaco/trab OD and BGI OS, and ERM OS with macular edema OS receiving intravitreal Dexamethasone injections since 2017 presented with left eye redness, decreased VA, and pain for 4 days. He reported no history of trauma, no recent hospit…

Endophthalmitis This is a case of a patient with post-operative light sensitivity 3 days after cataract extraction in the context of not beginning prednisolone drops. The initial vision was 20/25 with a mild fibrinous reaction on the lens and anterior chamber cell. The differential included post-op…

Microcephaly with or without Chorioretinopathy, Lymphedema or Intellectual Disability (MCLID) This patient with past medical history of microcephaly, lymphedema and mild cognitive delay, was referred for retinal evaluation. Ophthalmological evaluation was notable for hyperopia and extramacular pigm…

Paraneoplastic Autoimmune Retinopathy A patient with a history of advanced ovarian cancer presented with flashes, glare and peripheral visual field loss of 10 months duration. Best-corrected visual acuity was 20/30 in the right eye and 20/40 in the left eye with normal intraocular pressures in both…

Endogenous Fungal Endophthalmitis A patient presents with bilateral sequential blurry vision and eye pain for the past month. He has a complicated medical history with multiple infections requiring surgical debridement. His exam is remarkable for bilateral vitritis and chorioretinal lesions. He is …

Uveal Effusion Syndrome A hyperopic patient developed blurry vision in the right eye associated with flashes and floaters. He was seen by a retina specialist who diagnosed the patient for unilateral serous retinal and choroidal detachments. The patient was given high doses of oral prednisone for a …

Retinal Displacement After Retinal Detachment Repair A patient with no past ocular history presented to the emergency department complaining of floaters and decreased vision in the right eye. The patient was diagnosed with a rhegmatogenous retinal detachment with multiple retinal breaks. The patien…

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 …

FEVR (Familial Exudative Vitreoretinopathy) A patient was referred to our clinic for retinal evaluation. Vision was 20/20 in the right eye and 20/200 in the left eye. Exam showed unremarkable anterior segment exam. Posterior exam showed peripheral shallow retinal detachment in the right eye and ret…

IRVAN Syndrome An adult patient presented to the Uveitis clinic for evaluation after developing visual deficits in the right eye. He was previously diagnosed with multiple branch retinal artery and vein occlusions in both eyes concerning for an occlusive retinal vasculitis. On examination he was fo…

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. …

Pseudoangiomatous Retinal Gliosis (PARG) A patient with known history of a chronic inferior rhegmatogenous retinal detachment (RD) of the left eye (OS) presented to the Bascom Palmer Eye Institute (BPEI) emergency department (ED) complaining of new floaters OS. On examination the patient had a visu…

Figure 1: Fundus photography of patient treated with Iodine plaque, PPV and endolaser due to Pseudoangiomatous retinal glisois that caused a retinal detachment. Figure 2: Bscan of same patient as figure 1 before surgery.

Ocular Sarcoidosis A patient with no past ocular history presented with right eye blurry vision for the past 4 months secondary to non-clearing vitreous hemorrhage. The exam was notable for visual acuity hand motion in the right eye and 20/20 in the left eye. Intra-ocular pressure was 17 and 17 mmH…

Pseudoxanthoma Elasticum A patient with no past ocular history presented to the emergency department complaining of decreased vision in both eyes for 3-4 days. Exam was notable for a visual acuity of 20/25 in the right eye and 20/20 in the left eye. Intraocular pressures were 12 and 12. External ex…

A patient with pseudoxanthoma elasticum presented with decreased vision in both eyes. Initial fundus exam revealed angioid streaks, peripapillary atrophy, comet lesions, and a peau d'orange fundus appearance in both eyes. The patient was lost to follow-up and presented 3 years later with a choroida…

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…