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Toxoplasma Chorioretinitis of Left Eye An elderly patient presented with painless decreased vision in the left eye for 1 week while on chemotherapy for stage 3 non-metastatic breast cancer. A review of systems showed a recent foot infection and fungal dermatitis. Prior to presentation, the patient …

Toxic Anterior Segment Syndrome A 73-year-old male with history of myopia presents with 1 day of blurry vision in the right eye after uncomplicated cataract extraction and intraocular lens implant. Patient reports mild irritation without associated pain. Vision at presentation was count fingers wit…

A patient with double Torpedo Maculopathy lesions in the left eye. Two lesions are noted inferior to the macula with associated RPE changes and overlying fluid. Funds autofluorescence images show areas of hypofluorescence and hyperfluorescence correlating with the RPE changes on fundus photos.

Thioridazine Macular Toxicity A 69-year-old male with decreased vision OU referred to BPEI for a 2nd opinion. Originally diagnosed with dry age-related macular degeneration. Fundal examination revealed extensive chorioretinal atrophy in the macula and the medioretina. After thorough work up, it was…

Terson's Syndrome A patient with no known past ocular history was referred for evaluation of bilateral retinal detachments. Prior to his presentation, the patient was admitted to an outside hospital and was diagnosed with a sub-arachnoid hemorrhage originating from the right anterior communicating …

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…

A 40-year-old female with headaches, hearing loss and a superior scotoma in the right eye. Fundus photo with multiple inferior branch retinal artery occlusions. Angiography with non-filling of the inferior arterioles and capillary dropout in the area of the infarct. MRI showed scatter FLAIR lesions…

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. …

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 …

Submacular Hemorrhage An 82-year-old woman presents for follow-up for macular degeneration. Her vision in the right eye at the time of presentation is 20/60. After loss to follow-up due to Covid-19, the patient presents with decreased vision in the right eye secondary to a submacular hemorrhage. He…

(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.

Sterile Endophthalmitis Post-injection sterile endophthalmitis is an acute intraocular inflammation of the vitreous cavity that resolves without the need of intravitreal antibiotics and/or vitreoretinal surgery. Differentiating between infectious and sterile endopthalmitis is often difficult and no…

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 …

Simultaneous Bilateral Rhegmatogenous Retinal Detachment A patient with a past ocular history of refractive LASIK/PRK surgery and high myopia presented for evaluation of blurred vision in the left eye. The patient noted vision changes starting 2.5 months prior to presentation but had not noted any …

Fundus photos and FA with retinal non perfusion, peripheral hemorrhages, and crystalline like retinopathy and both eyes. The OCT retina shows multiple small areas of hyperreflectivity.