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Fundus photograph of the left eye demonstrating macular telangiectasia with surrounding exudates in the fovea and temporal macula.

Macular Hole A 64-year-old male veteran presents to the clinic on Feb. 15, 2019, with report of having blurry vision in the left eye for 30 years, following left-sided head trauma. He has been told by multiple providers that there was nothing that could be done for his vision. He complains of a “…

Macular Neovascularization Secondary to Best Disease in a Pregnant Female A patient with a history of Best Disease mutation in BEST1 presented with a sudden onset of blurriness and distortion in her left eye (OS) for three weeks. The patient's family history reveals genetic and visual implications,…

Macular Telangiectasia Type 1 - Torpedo Maculopathy This is a case of a middle-aged man presenting with a decrease in vision in his left eye for a period of 2 months. On fundus examination the patient presented with a pigmented macular asymptomatic lesion in the right eye and vascular telangiectasi…

MEWDS A healthy, myopic 18-year-old female presented with 2 days of blurry vision in her left eye after having a viral upper respiratory infection for 1 week. Dilated fundus exam revealed posterior pole gray-white spots sparing the fovea and a granulated foveal appearance, as well as mild posterior…

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…

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…

Multifocal Uveal Melanoma in Setting of Oculodermal Melanocytosis A healthy young patient with prior history of myopia OU presents with sudden-onset decreased vision in the right eye. On presentation, patient’s exam was notable for visual acuity of HM in the right eye and 20/20 in the left eye. I…

Multiple Evanescent White Dot Syndrome (MEWDS) An otherwise healthy young patient without significant medical or ocular history presents with 3 days of acute-onset decreased vision in the right eye. On presentation, patient’s exam was notable for visual acuity of 20/50 in the right eye and 20/20 …

Myopic degeneration patches of severe retinal and choroidal atrophy, lacquer cracks, a tilted disc and lattice degeneration.

Myopic Traction Maculopathy A 62-year-old Asian male with history of myopia presents with decreased vision x 6 months. Found the have myopic traction maculopathy. Patient managed successfully with observation. He has had gradual worsening of vision but has not affected his quality of life. Myopic t…

Myopic Traction Maculopathy This is a case of an elderly woman with pathologic myopia referred for asymptomatic worsening macular schisis in the right eye on optical coherence tomography (OCT). Fundus examination showed pathologic myopia and a posterior pole staphyloma. She was diagnosed with myopi…

Non-Paraneoplastic Autoimmune Retinopathy A patient presented to the uveitis clinic for progressively decreasing vision in both eyes. She first noticed difficulty in seeing at night and later also developed flashes and halos of light. Best-corrected visual acuity was 20/40 in the right eye and 20/8…

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…

Paracentral Acute Middle Maculopathy (PAMM) Associated with Antiphospholipid Antibody Syndrome and impending Central Retinal Vein Occlusion We report a case of paracentral acute middle maculopathy (PAMM) associated antiphospholipid antibody syndrome, and impending central retinal vein occlusion (CR…

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…

Penetrating Open Globe Injury with Retained Intraocular Foreign Body, Left Eye A patient presented with acute decreased vision in the left eye after motor vehicle accident. The patient stated in the accident his car spun out and airbags deployed. Upon presentation, visual acuity was 20/25 in the ri…