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Epithelial Downgrowth This case presents a 56-year-old female who presented with dramatic decrease of vision over a one-year duration. Patient has previously undergone both eyes corneal transplant, glaucoma drainage device. Patient developed right eye iris cyst, that started growing occupying the a…

Polypoidal Choroidal Vasculopathy (PCV) A patient diagnosed with neovascular AMD in the left eye was referred to retina clinic at Bascom Palmer Eye Institute because of poor answer to monthly Ranibizumab and Bevacizumab intra vitreal injections. VA was 20/200 in the left eye. OCT showed intra retin…

Sorsby Macular Dystrophy We present the case of a 33-year-old male who presented with visual distortions in the left eye. Visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fundus examination revealed reticular pseudodrusen in both eyes, and a choroidal neovascular membrane in the …

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…

Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty A patient presented to the BPEI emergency room on referral for iritis and uveitis in the right eye, approximately four weeks after she underwent a bilateral upper and lower blepharoplasty in the community. Examinatio…

Post-Refractive Corneal Haze A patient presented to the Bascom Palmer Eye Institute with bilateral anterior stromal corneal haze after photorefractive keratectomy for high myopia in both eyes 5 years ago. His vision was 20/200 in both eyes, in the setting of significant irregular astigmatism induce…

Ocular Neuromyotonia A child with a history of left exotropia secondary to a congenital third nerve palsy treated with strabismus surgery and ptosis repair presented with sudden onset intermittent left upper lid twitching and involuntary eye movements. Patient had no previous history of intracrania…

Orbital Cysts An elderly patient presented with two years of chronic pain in an otherwise healthy-appearing anophthalmic socket after enucleation. CT orbits was obtained which showed two hyperdense cystic lesions superior and posterior to the orbital implant. Orbital exploration was performed, the …

An elderly patient with anophthalmic socket pain underwent orbital exploration. Intra-operative photo shows a large cystic lesion superior to her orbital implant. Close up photograph of the cyst shows a 1-mm intact cystic lesion filled with gray opaque fluid.

A patient with a history of pseudophakia OS presented with 5 years of low vision and 9 days of pain OD and was found to have light perception only vision and an IOP of 44mmHg OD. She had a granular appearing hypopyon in the anterior chamber corneal edema and a mature cataract. Immunohistological an…

Acute Retinal Necrosis Secondary to HSV-2 Acute retinal necrosis is a rare entity clinically defined by one or more foci of retinal necrosis in the peripheral retina with circumferential spread and rapid progression in the absence of therapy. It typically includes an occlusive vasculopathy and prom…

Cataract Associated with Ciliary Body Melanoma A patient with recently diagnosed ciliary body melanoma was referred to the BPEI glaucoma service for cataract evaluation. Examination revealed CF vision, a dense white cataract, and ciliary body melanoma that had extended into the iris. The patient ha…

Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine A patient with history of pseudophakic bullous keratopathy (PBK) of the right eye (OD) was self-referred to cornea service for progressively decreasing vision. He subsequently underwent uncomplicated Descemet’s membrane endo…

Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment A patient with past medical history of chronic sciatica and recurrent skin abscesses presented to an outside hospital with positive blood, urine, and skin abscess cultures positive for methicillin sensitive st…