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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…

Vitreous Amyloidosis A patient presented to clinic with four months of blurry vision in the right eye. Of note, patient had previous vitrectomy for vitreous floaters of the left eye and panretinal photocoagulation in both eyes for retinal neovascularization. Examination of the right eye revealed de…

Central Serous Chorioretinopathy A patient presented with blurry vision associated with distortion OS. Self-referred to Bascom Palmer. VA: OD: 20/20 and OS: 20/200. Imaging work up was significant for OCT, showing subretinal fluid, choroidal thickness and elevation map. Fluorescein angiography reve…

(A) Fundus photo montage showing superonasal sub-retinal gas in the left eye on POD 1 after pneumatic retinopexy. (B) Single frame fundus photo showing the same. (C) Fundus photo montage on POD 7 showing resolution of the sub-retinal gas bubble with observation alone.

Cytomegalovirus Retinitis A patient presented to the BPEI Clinic complaining of floaters in the right eye for ten weeks. Examination revealed a BCVA of 20/25 right eye and 20/20 left eye, mild keratic precipitates, +1 vitritis and a peripheral chorioretinal lesion on fundus exam in his right eye. A…

PFO liquid in the anterior chamber after retinal surgery. This caused some corneal edema and required removal.

Right eye of patient who presented to clinic due to floaters, on fundus exam he had this peripheral whitish confluent granular lesion with areas of atrophy.

Uveal Effusion Syndrome A patient with an ocular history of a retinal detachment (RD) in the left eye (OS) status post repair by pars plana vitrectomy (PPV) complicated by suprachoroidal hemorrhage presented with bullous serous RD in the right eye (OD). His initial visual acuity (VA) was hand motio…

Acute Zonal Occult Outer Retinopathy (AZOOR) A 31-year-old male presents with eye redness, foreign body sensation, and blurry vision in both eyes, worse in the right eye. On exam he is found to have follicular conjunctivitis in both eyes with sub epithelial infiltrates on the right cornea. His conj…

Scleral and Subretinal Abscess with Endophthalmitis A patient presented with blurry vision and pain after scleral buckle removal. He had a remote history of retinal detachment with primary scleral buckling. He had persistent inflammation that did not improve with topical steroids or tap and inject …

OCTA demonstrating neovascularization (yellow arrow) growing into the vitreous with widefield imaging.

Syphilitic Uveitis A 64-year-old male presented to the VA Eye Clinic with painless vision loss in the right eye. He was found to have vitreous hemorrhage, thought to be secondary to a hemorrhagic PVD, which was observed. Over several weeks, the patient’s vision worsened and his vitreous became mo…