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Hereditary Transthyretin Amyloidosis (hATTR) This report describes a case of hereditary transthyretin amyloidosis (hATTR) in an elderly patient who presented with bilateral retinal arteriolar vascular sheathing and vitreous hemorrhage in one eye. The patient underwent a full history, physical exam,…

Patient with history of intravenous drug abuse. Fundus photo with a creamy yellow superficial retinal lesion in superior macula (arrow). OCT with breakthrough under hyaloid and overlying (arrow).

Fungal Endogenous Endophthalmitis A 32-year-old male presented with eye pain and decreased vision and was found to have vitritis in a “string-of-pearls” configuration. Clinical findings, epidemiology, diagnostic techniques and management of fungal endogenous endophthalmitis are described. Prese…

Full Thickness Macular Hole A 68-year-old female presented with blurry vision OD. Reported seeing black spots that became yellow with a halo and cloudy central vision. VA: 20/50 OD and 20/20 OS. DFE was significant for a small round defect in the fovea OD. Imaging work up: significant for OCT showi…

Full Thickness Macular Hole A middle-aged patient presented to the Bascom Palmer Institute with complaints of persistent floaters in left eye one month after a bicycle accident s/p laser retinopexy. A full-thickness macular hole was subsequently found on exam in the left eye. The patient subsequent…

A patient presented with night vision loss. The fundus photos showed is RPE hyperplasia and surrounding pigmentary changes. OCT here is diffuse photoreceptor disruption that spares the fovea in addition to area of RPE attenuation along with clumps of RPE deposits

FEVR (Familial Exudative Vitreoretinopathy) A patient was referred to our clinic for retinal evaluation. Vision was 20/20 in the right eye and 20/200 in the left eye. Exam showed unremarkable anterior segment exam. Posterior exam showed peripheral shallow retinal detachment in the right eye and ret…

Familial Exudative Vitreoretinopathy A child presents to the retina clinic for exotropia. He has no relevant past birth, medical or family history, except that his maternal uncle was blind. His anterior segment exam is normal. Macular dragging with straightening of vessels is noted in the left eye.…

Examples of Familial Exudative Vitreoretinopathy.

Familial Drusen with Choroidal Neovascularization. Also known as Doyne Honeycomb Retinal Dystrophy or Malattia Leventinese.

Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane A 68-year-old female with nonexudative AMD in both eyes, presents with new visual distortion in her left eye. Clinical exam shows markedly declined visual acuity, fundus examination shows small punctate extrafoveal hemo…

Exudative Age-Related Macular Degeneration A patient with neovascular age-related macular degeneration in both eyes has been receiving intravitreal aflibercept in her left eye every 4-5 weeks, for more than 10 years. Whenever the interval between the intravitreal injections was increased there was …

First slit lamp photo with normal appearance. In the second slit lamp photo with the eyelid retracted, a tip of the scleral buckle is seen exposed with purulent material. Culture grew mycobacteria.

Patient with history of retinal detachment and surgical repair. External photo shows extruded scleral buckle and silicone oil emulsified in the anterior chamber.

Endophthalmitis in the Setting of a XEN Stent A patient presented with eye pain and worsening vision 1.5 months after cataract surgery. Exam revealed purulent discharge, severe anterior chamber inflammation, and a XEN stent with nearby erosion of conjunctiva and Tenon’s down to bare sclera. Cultu…

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…