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Endophthalmitis This is a case of a patient with post-operative light sensitivity 3 days after cataract extraction in the context of not beginning prednisolone drops. The initial vision was 20/25 with a mild fibrinous reaction on the lens and anterior chamber cell. The differential included post-op…

Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane A patient with no past ocular history presented to the emergency department complaining of floaters in the left eye for 4 days. Exam was notable for visual acuity of 20/20 in the right eye and 20/25 in the left eye. …

Intraorbital Foreign Body A patient presented with right eye redness, swelling, and diplopia for 6 weeks after a dirt bike accident, where his right eye hit a tree branch. He underwent imaging and evaluation at an outside institution which revealed orbital fractures, but no evidence of an orbital f…

Iridocorneal Endothelial (ICE) Syndrome, Cogan-Reese/Iris Nevus Syndrome Subtype with Secondary Angle Closure Glaucoma A patient presented with a 3-day history of unilateral worsening eye pain, blurry vision and irregular pupil in the right eye. Found to have elevated IOP at an outside facility and…

Fundus photo demonstrating grade 1 optic nerve head edema in the right eye and grade 3 optic nerve head edema in the left eye. The left eye also demonstrates retinal folds, subretinal hemorrhage, and leakage on fluorescein angiography consistent with a choroidal neovascular membrane.

Slit lamp examination discloses corneal endothelial irregularity, trace MCCE, iridocorneal touch with high PAS at 1:00, 3:00, 6:00 and 9:30, pigmented nodules, and correctopia in the right eye.

Lisch Corneal Dystrophy A patient presented with blurry vision in the left eye and was found to have a pigmented superficial corneal lesion which showed hyperreflectivity without thickening on the AS-OCT. The lesion was biopsied and confirmed to be Lisch corneal dystrophy on pathology. The lesion r…

Orbital Sarcoidosis A patient presented with three months of left eye swelling and pain. He was found to have periorbital firmness and fullness, proptosis, and conjunctival chemosis. He underwent computed tomography imaging of the orbits with contrast, which demonstrated an ill-defined, irregular a…

Case of granular dystrophy treated with penetrating keratoplasty.

Fundus photo demonstrating a peripaillary elevated lesion. OCT with subretinal fluid and retina thickening. CT scan showed pulmonary nodules.

Slit lamp photo of biopsy proven Lisch Corneal dystrophy.

Optic Nerve Pit Optic nerve anomalies are rare entities with a variety of clinical presentations. They can be classified according to anomalies of disc size, disc conformation, or by the presence of abnormal tissue on the optic nerve head, or pseudoswelling. Here, we present a child with an inciden…

A patient with proliferative diabetic retinopathy and history of cataract extraction presenting with recurrent episodes of high intraocular pressure. Fundus photo reveals hazy view with dense white vitreous opacity as well as diffuse retinal changes consistent with diabetes.

Primary Congenital Glaucoma A young patient with no past medical or ocular history presented to the emergency room with redness, tearing, and light sensitivity of the left eye. She had no family history of eye conditions and had a normal birth and development thus far. On initial examination in the…

Microcephaly with or without Chorioretinopathy, Lymphedema or Intellectual Disability (MCLID) This patient with past medical history of microcephaly, lymphedema and mild cognitive delay, was referred for retinal evaluation. Ophthalmological evaluation was notable for hyperopia and extramacular pigm…

Ocular Cicatricial Pemphigoid A patient with a past medical history significant for biopsy-proven ocular cicatricial pemphigoid (OCP) was referred for cataract evaluation in the right eye. At presentation, her vision in the right eye was hand motion, and she had been off systemic immunosuppression …

Kaposi's Sarcoma of the Conjunctiva A patient presented to the BPEI Emergency Room with a painless red eye for the past 3 months. Past medical history was limited to a recent hospitalization for a complicated pneumonia and a new diagnosis of HIV. Examination of the eye revealed an elevated, vascula…