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Choroideremia with Secondary Choroidal Neovascularization A patient with no past medical history presented to the emergency department complaining of floaters in the right eye. Exam was notable for visual acuity of 20/70 in the right eye and 20/30 in the left eye. Intraocular pressures were 14 and …

A patient presented with a central scotoma in the right eye. Fundus examination revealed midperipheral chorioretinal atrophy in both eyes (Fig A). Fundus autofluorescence demonstrated areas of confluent midperipheral hypoautofluorescence (Fig B). Optical coherence tomography demonstrated choroidal …

Fundus photo with hypopigmented patch with choroidal thickening temporally. B-scan demonstrates the fundus thickening with mild hyperdensity.

Choroidal Change Post Internal Carotid Stenting The purpose is to report the changes in choroidal thickness (CT) and the choroidal vascularity index (CVI) measurements using widefield SS-OCT imaging in a patient undergoing treatments that should alter choroidal blood flow. Patient underwent 12x12mm…

Chorioretinitis Sclopetaria This case involves an elderly gentleman presenting after trauma to his right eye by an errant golf ball. He was diagnosed with rupture at an outside hospital, but globe exploration failed to identify the site of rupture. He presented to BPED and was diagnosed with chorio…

Central Serous Retinopathy A 48-year-old female presents with a history of chronically decreased vision in her right eye. Multimodal imaging reveals serous macular detachment, thickened choroid, and focal areas of late leakage on fluorescein angiography. The left eye has pigmentary changes in the p…

Fundus photos showing sub-retinal angiogenesis with hemorrhage. OCT with pigment epithelial detachment and outer-retinal atrophy. Autofluorescence with a guttering pattern of the atrophy typical with CSR.

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…

Central Serous Chorioretinopathy We present the case of a patient with decreased vision in the right eye. The patient immigrated to the United States in 2015, and discovered his decreased vision during an eye exam for a driver’s license. He was diagnosed with Wet AMD and had received 5-6 doses of…

Central Retinal Vein Occlusion in Patient with MTHFR Mutation A patient in good health presented with painless acute blurred vision in the right eye. She was found to have macular edema and retinal hemorrhages consistent with a CRVO. Her initial visual acuity was 20/40 in the right eye and 20/20 in…

A 40-year-old patient with systemic hypertension and history of polysubstance abuse. CBC was within normal limits. Photo shows dilated and engorged vessels, cotton wool spots, and flame hemorrhages.

Fundus photo of Central Retinal Artery Occlusion (CRAO).

Central Retinal Artery Occlusion An elderly patient presented to the BPEI Emergency Room 3 hours after onset of painless vision loss. Past medical history included hypertension and atrial fibrillation treated with apixaban, of which the patient reported good adherence. The patient had no other sign…

Central Areolar Choroidal Dystrophy A 56-year-old male that presents as a follow up for Dry Age-Related Macular Degeneration and complaining of nyctalopia. VA 20/20 both eyes on initial presentation. DFE revealed hypopigmented areas in the macula of both eyes. Fluoresencin angiogrpahy revealed spec…

A patient with a history of progressive blurry vision in her left eye for 2 years prior to her presentation. She has no significant past medical except for consuming an over the counter oral tanning pills for a period of 7 years that was stopped 2 years prior to her presentation. Her exam was notab…

Canthaxanthin Crystalline Retinopathy A patient presents with a history of progressive blurry vision in her left eye for two years. She has no significant past medical history except for consuming an over-the-counter oral tanning agent for a period of seven years that was discontinued three years p…

A young patient presented with a 1-week history of unilateral superior visual field deficit in the left eye with a visual acuity of 20/30 with pinhole correction to 20/20, normal IOP, and without an APD. Detailed medical, surgical, family, and social history-taking revealed only patient consumption…

C2orf71 Retinitis Pigmentosa A patient presents to the neuro-ophthalmology clinic for evaluation of chronic progressive vision loss over many years. There is high suspicion for a genetic disorder given findings of bilateral symmetric nerve pallor, diffuse chorioretinal atrophy, and attenuated vascu…

Branch Retinal Artery Occlusion A patient with a past medical history of fusiform aneurysm of the right anterosuperior M2 trunk measuring 7 x 15 mm underwent a pipeline assisted coil embolization of the right middle cerebral artery M2 fusiform aneurysm, which led to almost complete obliteration of …