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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, …

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 …

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…

Whipple's Disease Associated Uveitis A middle-aged patient presented to the ophthalmology emergency room for bilateral blurry vision for 1 week after recent hospital admission for recurrent pleural effusions. After discharge, he presented to an outside eyecare specialist who referred him to the oph…

Retinitis Pigmentosa A patient presented with progressive loss of vision since eight years of age. His BCVA in the right eye was 20/300 and the left eye was 20/800. Anterior segment examination showed posterior subcapsular cataract in both eyes. Posterior segment examination showed bony spicule pig…

A patient with bilateral progressive vision loss who presents to clinic for evaluation. Patient's vision loss started in childhood, with initial vision being 20/200 in both eyes. Fundus photos show optic nerve pallor, macular atrophy and extensive pigmentary changes in the periphery. Genetic testin…

A patient with Fuchs' Endothelial corneal dystrophy. Slit lamp photos with retroillumination demonstrate corneal guttate.