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Corneal Decompensation A patient with past ocular history of primary open-angle glaucoma, status post glaucoma drainage implant in the right eye, underwent cataract surgery in the right eye. Preoperative potential acuity meter testing predicted visual acuity outcome of 20/25. The patient developed …

Brimonidine Associated Uveitis A patient with a past ocular history of advanced normal tension glaucoma in both eyes presented with 1 month of blurry vision in both eyes. His exam was notable for decreased visual acuity of 20/30 in the right eye and 20/50 in the left eye. Intraocular pressure was 9…

Exposed Glaucoma Drainage Device A patient with a history of moderate primary open angle glaucoma, pseudophakia, and diabetic macular edema of the right eye presented for a regularly scheduled glaucoma follow-up examination. He had previously undergone a trabeculectomy and subsequent revision in th…

Slit lamp photos demonstrating exposure of a glaucoma drainage device tube in the inferonasal quadrant without evidence of infection.

Neovascular Glaucoma Secondary to Sickle Cell Retinopathy Neovascular glaucoma is a rare cause of elevated intraocular pressure and is typically caused by severe posterior segment ischemia resulting in anterior segment ischemia and neovascularization of the trabecular meshwork angle. Diabetic retin…

Bilateral Tube Exposure A patient presented to the BPEI emergency room with blurry vision and pain of both eyes for 1 week. The patient had a history of Xen gel stents with injection of 0.1ml 0.04mg/mL mitomycin-C, as well as revision of both blebs with injection of triamcinolone and mitomycin-C, i…

Uveitic Glaucoma A patient presented to the Bascom Palmer Eye Institute emergency room with complaints of decreased vision, pain, and photophobia in the right eye for 3 months. The patient has no past medical history. He has a past ocular history of prior pars plana vitrectomy and trabeculectomy in…

Bleb Leak An elderly patient presented to the glaucoma department for follow up examination of her primary open angle glaucoma. Her IOP was above goal and progression was noted on Humphrey visual fields of both eyes. She underwent uncomplicated cataract extraction with intraocular lens implant comb…

Cyclodialysis Cleft A patient with no significant PMHx presented to BPEI one day after being hit with a giant rubber band in his left eye. Visual acuity of the left eye was hand motion and IOP was 21 mmHg. Examination revealed a hyphema, vitreous hemorrhage, and shallow choroidal detachments. The p…

This patient presented with low eye pressure post trauma. OCT shows hypotony maculopathy with choroidal folds. Surgery with direct suture pexy was performed. The pressure improved and the maculopathy improved.

Juvenile Xanthogranuloma Patient presented to the BPEI emergency room with tearing and light sensitivity of the right eye for 1 month. Examination revealed grimace-to-light vision, soft to palpation intraocular pressure, and hyphema. Skin examination revealed yellowish raised skin lesions on the ne…

Ocular Metastatic Cutaneous Melanoma A patient with metastatic cutaneous melanoma to the eye was referred to BPEI glaucoma service for elevated IOP. Examination revealed 20/125 vision and IOP 31 mmHg on multiple glaucoma drops. Gonioscopy revealed a diffuse melanomatous membrane and pigment accumul…

Primary Angle Closure Glaucoma A 73-year-old Hispanic female presented to Bascom Palmer Eye Institute emergency room on June 06, 2019 with complaints of decreased vision and intermittent pain in the left eye. The patient has no past medical and a history of hyperopia both eyes. Humphrey visual fiel…

Transient Visual Phenomena Associated with High G-Force Maneuvers A 30-year-old male fighter pilot presented with intermittent peripheral vision loss experienced during flight. Initial examination disclosed 20/20 vision in the right and left eye with normal motility, intraocular pressure, and no af…