Search

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…

External photo depicting characteristic yellow papules, or p'eau d'orange, on the neck. Fundus photos with angioid streaks (yellow arrows).

Punctate Inner Choroidopathy A patient presented to the Bascom Palmer emergency room complaining of seeing a fixed gray spot out of the right eye for two weeks. Past history was unremarkable. Vision was 20/70 OD and 20/30 OS. Intraocular pressure and pupils were normal. The anterior exam was normal…

Radiation Retinopathy A patient with past medical history of CNS lymphoma treated with chemotherapy but refractory and necessitating radiation therapy later presented to ophthalmology with slight decrease in vision. On examination, found to have cotton wool spots in both eyes. Fluorescein angiogram…

Ranibizumab Port Delivery System Exposure A patient presented to Bascom Palmer clinic with redness and decreased vision in the right eye. She had a history of wet age-related macular degeneration managed with many years of intravitreal ranibizumab injections, and implanation of intraocular ranibizu…

In this module, we will look at:




Anatomy of the Retina, Vitreous, and Choroid


Imaging in the Retina


Age-Related Macular Degeneration


Central Retinal Vein Occlusion


Central Retina Artery Occlusion


Retinal Tears / Detachments


Retinitis Pigmentosa

Retinal Arteriole Occlusions Secondary to Silicone Microembolization A patient with a history of mid-brain syndrome and silicone gluteal injection 12 years prior presented to the emergency department complaining of floaters in the right eye for the past week. Exam was notable for visual acuity of 2…

Retinal Artery Macroaneurysm An elderly patient 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 w…

Retinal Detachment Associated with Retinal Dialysis A soccer player presented to the Bascom Palmer Emergency Department after failing a driver’s test. Past medical history was unremarkable. Exam was notable for visual acuity of 20/20 in the right eye and 20/300 in the left eye. Intraocular pressu…

Retinal Detachment in Proliferative Sickle Cell Retinopathy A middle-aged patient presented with decreased vision in her right eye. She had a history of proliferative sickle cell retinopathy. She is blind in the left eye from a prior failed retinal detachment repair. Her vision in the right eye was…

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…

Retinal Tear An asymptomatic patient presented for routine ophthalmic examination. The anterior segment examination was significant for cataracts in both eyes. The dilated fundus examination revealed a superotemporal horseshoe tear (HST) with surrounding subretinal fluid in the right eye and was no…

Retinal Tear in a Fellow Eye A patient presented to Bascom Palmer Eye Institute for routine post operative follow-up after rhegmatogenous retinal detachment repair of the right eye one month prior. Best corrected visual acuity was 20/60 in the right eye and 20/20 in the left eye. Intraocular pressu…

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.

Retinitis Pigmentosa A patient presented with progressive loss of vision since eight years of age. His BCVA in the right eye was 20/300 and the left eye was 20/800. Anterior segment examination showed posterior subcapsular cataract in both eyes. Posterior segment examination showed bony spicule pig…