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A 50-year-old patient presenting asymptomatically with 20/30 vision was found to have yellow outer retinal lesions bright on autofluorescence. Genetic testing confirmed a mutation in the RDS gene. Often this can simulate Stargardt’s disease which has a mutation in the ABCA4 gene. There is no trea…

C2orf71 Retinitis Pigmentosa A patient presents to the neuro-ophthalmology clinic for evaluation of chronic progressive vision loss over many years. There is high suspicion for a genetic disorder given findings of bilateral symmetric nerve pallor, diffuse chorioretinal atrophy, and attenuated vascu…

Canthaxanthin Crystalline Retinopathy A patient presents with a history of progressive blurry vision in her left eye for two years. She has no significant past medical history except for consuming an over-the-counter oral tanning agent for a period of seven years that was discontinued three years p…

A patient with a history of progressive blurry vision in her left eye for 2 years prior to her presentation. She has no significant past medical except for consuming an over the counter oral tanning pills for a period of 7 years that was stopped 2 years prior to her presentation. Her exam was notab…

Refractory Full Thickness Macular Hole A patient presented with a “black central spot” in the right eye. The past ocular history included an idiopathic full thickness macular hole in the right eye that had undergone pars plana vitrectomy with internal limiting membrane peel two times. The left …

CMV Retinitis & Toxoplasmosis Chorioretinitis in HIV/AIDS Patient An adult patient presented to Jackson Memorial Hospital with complaint of blurred vision, fever, abdominal pain, weight loss, and rash. Examination revealed a chorioretinal lesion concerning for toxoplasma chorioretinitis. The pa…

Birdshot Chorioretinopathy The patient presented with blurry vision, flashes of lights and floaters in the right eye that progressively worsened and eventually affecting her fellow eye. She was found to have signs of inflammation on clinical examination, which was further supported by imaging modal…

Polypoidal Choroidal Vasculopathy This is a case of a patient with 3 years of blurry vision. He was diagnosed with polypoidal choroidal vasculopathy by an outside physician and was receiving monthly aflibercept injections with documented worsening of vision and appearance on OCT. ICG was repeated o…

Central Retinal Vein Occlusion in Patient with MTHFR Mutation A patient in good health presented with painless acute blurred vision in the right eye. She was found to have macular edema and retinal hemorrhages consistent with a CRVO. Her initial visual acuity was 20/40 in the right eye and 20/20 in…

Polypoidal Choroidal Vasculopathy (PCV) A patient diagnosed with neovascular AMD in the left eye was referred to retina clinic at Bascom Palmer Eye Institute because of poor answer to monthly Ranibizumab and Bevacizumab intra vitreal injections. VA was 20/200 in the left eye. OCT showed intra retin…

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 …

Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty A patient presented to the BPEI emergency room on referral for iritis and uveitis in the right eye, approximately four weeks after she underwent a bilateral upper and lower blepharoplasty in the community. Examinatio…

Acute Retinal Necrosis Secondary to HSV-2 Acute retinal necrosis is a rare entity clinically defined by one or more foci of retinal necrosis in the peripheral retina with circumferential spread and rapid progression in the absence of therapy. It typically includes an occlusive vasculopathy and prom…

Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment A patient with past medical history of chronic sciatica and recurrent skin abscesses presented to an outside hospital with positive blood, urine, and skin abscess cultures positive for methicillin sensitive st…