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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…

Acute syphilitic posterior placoid chorioretinopathy (ASPPC) is a unique ocular sign of syphilis. It appears as a large, flat, yellowish lesion on the retinal pigment epithelium, typically in the macula. While not seen in every syphilis case, its presence strongly suggests ocular involvement and wa…

Orbital Myiasis A patient with PMHx of HTN and POHx of basal cell carcinoma involving the right lateral nasal wall s/p wide resection and orbital exenteration with subsequent reconstruction (complicated by a chronic open wound along the superior lateral nasal wall extending into the right frontal/e…

Ocular Toxoplasmosis A patient with history of amblyopia presented for two days vision loss and eye pain in the right eye. She denies prior trauma. She was born in Russia and denies exposure to cats. Vision was hand motion in the affected eye with normal intraocular pressure. Exam was notable for f…

Traumatic Hyphema with Sickle Cell Trait A child presented to the children’s hospital emergency room with blurred vision in the left eye, somnolence, and nausea after trauma of the left eye with a foam pellet toy gun. The intraocular pressure was 40mmHg on initial presentation and despite topical…

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, …

Maternally Inherited Diabetes and Deafness (MIDD) A patient with diabetes and sensorineural deafness was referred to evaluate AMD in both eyes. She had been diagnosed with bilateral sensorineural hearing loss 10 years earlier. Genetic testing confirmed the m.3243A>G mutation in MT-TL1 gene, lead…

Secondary Intraocular NK/T-Cell Lymphoma A patient with a history of systemic NK/T-cell lymphoma, previously treated with two rounds of chemotherapy and currently in remission, presented with a six-month history of chronic uveitis in the left eye. She was initially managed with difluprednate drops,…

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…