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Intraocular Foreign Body A middle-aged patient sustained a penetrating open-globe injury from an alligator bone fragment while hunting. On presentation, visual acuity was hand motions with a large corneoscleral laceration and disorganized intraocular anatomy. Imaging revealed a hyperdense intraocul…

Pediatric Idiopathic Intracranial Hypertension (Pediatric IIH) A pediatric patient accompanied by their parent presented to BPEI ED complaining of an episode of complete loss of vision in the left eye that was initially blurry, then totally black, lasting from 20-30 seconds. The symptom was associa…

Morning Glory Disc Anomaly A child presented for evaluation of chronic poor vision of her right eye. Fundus exam showed an excavated nerve with peripapillary chorioretinal pigmentation, overlying central glial tuft, radial vessels, and inferior serous retinal detachment. Findings were consistent wi…

Slit lamp photograph and Anterior Segment OCT in the peripheral and central cornea in a patient with Keratoconus after undergoing corneal tissue addition keratoplasty.

Complications of Titanium Mesh Floor Implant A patient with a disfiguring bony lesion of the orbit was eventually diagnosed with fibrous dysplasia. This needed eventual medial maxillectomy and removal of the orbital floor, requiring reconstruction. Titanium mesh orbital floor implant was utilized, …

Macular Telangiectasia Type 2 Macular Telangiectasia Type 2 (MacTel Type 2) is a rare, progressive retinal disorder characterized by neurodegeneration of Müller cells, leading to central vision loss and macular atrophy. We present a case of a patient with a 4-year history of gradual, bilateral vis…

Arsenic Toxicity A patient presented for slowly worsening vision over past two years. She was diagnosed with glaucoma at an outside hospital however vision continued to worsen throughout the years. She presented for second opinion. Due to her posterior exam, her diagnosis was difficult to ascertain…

Ocular Surface Neoplasia A patient presented to the clinic with progressive white corneal opacity, otherwise no past medical history. Ant seg OCT performed and lesion identified as ocular surface neoplasm. The patient was treated with cycles of topical 5FU with near total response. Advancements in …

Traumatic Optic Neuropathy A patient presented to a tertiary trauma center after a fall from standing. On arrival to the hospital, he was found to have extensive facial fractures and was describing loss of vision in the left eye. Detailed review of the CT scan revealed a bone fragment protruding in…

Candida Albicans Keratitis A young patient with a past ocular history of Stevens Johnson Syndrome and prior Candida and Providencia keratitis presented with multifocal white corneal infiltrates several months following a penetrating keratoplasty of the same eye. The patient’s exam was notable for…

Muckle-Wells Syndrome A patient with a past ocular history of retinal vasculitis with subretinal hemorrhage, vitreous hemorrhage, herpetic keratitis, and cataract surgery presented to the emergency room due to sudden onset blurred vision and retrobulbar pain of the left eye. The patient reported lo…

Radial Keratotomy Associated Corneal Ulcer A middle-aged patient with a history of radial keratotomy in both eyes presented with 3 days of pain, redness, and blurred vision in the right eye. Visual acuity was 20/80 and slit lamp exam was remarkable for a stromal infiltrate with overlying epithelial…

Corneal Edema and Secondary Angle Closure Glaucoma Due to Cosmetic Iris Implants Cosmetic iris implants have gained significant popularity in the media in the past 20 years. Despite their appeal to thousands of individuals across the globe, these implants have vision-threatening consequences. This …

Intraocular Helminth A middle-aged patient with past medical history significant for HIV (well-controlled on bictegravir, emtricitabine, and tenofovir) and history of Monkeypox infection presents to the emergency room complaining of foreign body sensation, redness, and itchiness in his right eye fo…