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The traction retinal detachment has taken on a napkin ring configuration.

The curvilinear breaks in Bruch’s membrane and found with some mild associated sub-retinal hemorrhage. Infrared image depicts the patterns of rupture.

This patient was diagnosed with genetic testing to have the hereditary vitreoretinopathy, Wegner's Syndrome. The abnormal vitreoretinal interface leads to a focal tractional retinal detachment of the macula. Post-operative photo and OCT show resolution of the detachment after vitrectomy.

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…

Drug Associated Occlusive Retinal Vasculitis and Intraocular Inflammation A 78-year-old male with a known history of exudative age-related macular degeneration in both eyes had been treated with intravitreal aflibercept injections for many years unable to extend past 5 weeks. He was recently treate…

Retina Vasculitis, Leprosy A 56-year-old man referred to the BPEI for intermediate uveitis and retinal vasculitis. Examination revealed 20/25 vision in both eyes and trace vitreous cells in both eyes. Ocular coherence tomography showed no macular edema. Fluorescein angiogram showed retinal vasculit…

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…

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…

Retinal Detachment Caused by Proliferative Sickle Cell Retinopathy A 44-year-old man and 19-year-old man, neither with initially disclosed medical history, present with severe vision loss one eye. Both patients have findings consistent with retinal detachment associated with proliferative retinopat…

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…

Age Related Macular Degeneration RPE tears occur in AMD as part of the normal disease progression. They are usually associated with vascularized pigment epithelial detachments at a rate of 10%. RPE tears are also associated with Central Serous Retinopathy, Retinal Angiomatous Proliferation, Polypoi…

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…

Diffuse Unilateral Subretinal Neuroretinitis A 54-year-old woman from Honduras with a history of T2DM, HTN, OSA presented with 4 months of progressive visual loss in the right eye. She had been seen by many eye care providers and carried the diagnoses of macular degeneration and multifocal choroidi…

Varicella Zoster Virus Retinitis A 59-year-old male with a past medical history of polymyositis on multiple immunosuppressants and a recent episode of shingles treated one month ago, presents to Bascom Palmer with decreased vision and pain in the right eye. Visual acuity was 20/150 in the affected …

Inherited Retinal Degeneration Presented with Intermediate Uveitis A 12-year-old Hispanic female presented to the uveitis clinic seeking second opinion for treatment of intermediate uveitis 4 years ago. Patient had already been treated with several immunosuppressive agents and biologics without any…

Proliferative Sickle Cell Retinopathy with Combined Tractional-Rhegmatogenous Retinal Detachment A 50-year-old female with previous history of sickle cell disease of unknown type presented with a vitreous hemorrhage in the left eye. Subsequent follow up revealed Stage 3 proliferative sickle cell re…

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…

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 “…

Post-Ruptured Globe Associated Retinal Detachment A 75-year-old-man presented to Bascom Palmer Eye Institute for a second opinion following a mechanical fall with trauma sustained to the right eye, resulting in a ruptured globe one month prior. Examination revealed 20/LP vision, no APD, normal IOP,…