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Traumatic Transection of a Lateral Rectus Muscle by a Zygomatic Implant Zygomatic implants can be used to support dental prostheses in patients with inadequate maxillary bone volume. While maxillary sinusitis is the most common reported complication of ZI placement, rarely, intraorbital penetration…

Age Related Macular Degeneration RPE tears occur in AMD as part of the normal disease progression. They are usually associated with vascularized pigment epithelial detachments at a rate of 10%. RPE tears are also associated with Central Serous Retinopathy, Retinal Angiomatous Proliferation, Polypoi…

Elevated Episcleral Venous Pressure A 59-year-old male presented with blurred vision in both eyes. He was referred to the glaucoma service for evaluation of elevated intraocular pressure. On examination, the patient was observed to have blood in Schlemm’s canal and bilateral intraretinal and subr…

Thioridazine Macular Toxicity A 69-year-old male with decreased vision OU referred to BPEI for a 2nd opinion. Originally diagnosed with dry age-related macular degeneration. Fundal examination revealed extensive chorioretinal atrophy in the macula and the medioretina. After thorough work up, it was…

Bilateral Limbal Stem Cell Deficiency A 32-year-old female patient with bilateral chemical ocular burn. On ocular examination revealed 20/300 and 20.400 vision, with bilateral limbal ischemia and corneal epithelial defect, treated with saline solution irrigation and multiple amniotic membranes. Pat…

Ocular Graft Versus Host Disease A 39-year-old female with 6 months of eye itchiness and yellow discharge for 6 months. Pt has a history of acute lymphoblastic leukemia treated with allogenic bone marrow transplant. Pt diagnosed with ocular graft versus host disease. Pt had some improvement with lu…

Orbital Venous Lymphatic Malformation A 2-year-old previously healthy female presented with 2 days of sudden onset left lid swelling immediately following an episode of vomiting. She was found on exam to have ptosis, mild proptosis, and left upper lid edema, induration, and fullness. MRI of the orb…

Diffuse Unilateral Subretinal Neuroretinitis A 54-year-old woman from Honduras with a history of T2DM, HTN, OSA presented with 4 months of progressive visual loss in the right eye. She had been seen by many eye care providers and carried the diagnoses of macular degeneration and multifocal choroidi…

Radius-Maumenee Syndrome A 15-year-old male presented with elevated intraocular pressure of the left eye. Gonioscopy revealed blood in Schlemm’s canal. Fundoscopic examination and subsequent ophthalmic imaging confirmed a diagnosis of glaucoma in the left eye. Neuro-imaging was normal without sig…

Chronic External Progressive Ophthalmoplegia A 36-years-old female patient presents to pediatric ophthalmology clinic at BPEI for a second opinion regarding progressive bilateral ptosis and exotropia. The patient has a history of progressive bilateral ptosis OS>OD and limitation of ocular moveme…

Non-Arteritic Ischemic Optic Neuropathy We report a case of a 32-year-old male who presents with a four days blurry vision in the left eye. Patient denied any associated pain or systemic symptoms. His review of system includes mild gastrointestinal discomfort 2 years prior that led to eventual remo…

Varicella Zoster Virus Retinitis A 59-year-old male with a past medical history of polymyositis on multiple immunosuppressants and a recent episode of shingles treated one month ago, presents to Bascom Palmer with decreased vision and pain in the right eye. Visual acuity was 20/150 in the affected …

Inherited Retinal Degeneration Presented with Intermediate Uveitis A 12-year-old Hispanic female presented to the uveitis clinic seeking second opinion for treatment of intermediate uveitis 4 years ago. Patient had already been treated with several immunosuppressive agents and biologics without any…

Alstrom Syndrome A 5-year-old male referred to the BPEI pediatric ophthalmology clinic for second opinion regarding bilateral progressive vision loss since infancy. VA was 20/200 OU and the patient had nystagmus. He was 99% percentile for weight but had no hearing loss or polydactyl. He underwent s…

Infectious Sclerokeratitis A 79-year-old male presented to BPEI with 4 days of decreased vision and pain in the right eye. Visual acuity was hand motion and exam revealed a large multifocal corneal infiltrate with associated corneal and scleral thinning. B scan demonstrated large choroidal and reti…

Oculocutaneous Albinism A 12-year-old female with a history of OCA was referred to the retina clinic for evaluation. She had no significant family history. Best corrected visual acuity was 20/80 in the right eye and 20/70 in the left eye. On exam she was noted to have nystagmus and a small angle in…

Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect A 51-year-old female was transferred from an outside facility 5 days after buttock augmentation surgery in the prone position. On examination, there was no light perception in the right eye and hand motion vision i…

Peters Anomaly Type II A 2-day-old male was referred by a neonatologist for evaluation and management of corneal clouding and buphthalmos of the left eye. The patient was found to have unilateral elevated intraocular pressure, corneal clouding, enlarged corneal diameter, and a poor red reflex. B-sc…

Proliferative Sickle Cell Retinopathy with Combined Tractional-Rhegmatogenous Retinal Detachment A 50-year-old female with previous history of sickle cell disease of unknown type presented with a vitreous hemorrhage in the left eye. Subsequent follow up revealed Stage 3 proliferative sickle cell re…