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Uveitis-Glaucoma-Hyphema Syndrome A patient with past ocular history of congenital cataracts status post cataract extraction with posterior chamber intraocular lens insertion in both eyes was managed by an outside ophthalmologist for elevated intraocular pressure (IOP) in the right eye. The patient…

Conjunctival melanoma treated with I-125 brachytherapy.

Presumed Rhino-Orbital Mucormycosis A patient with a past medical history of PCOS and type 2 diabetes mellitus presented to an outside hospital six weeks pregnant with right sided facial pain and periorbital swelling. Ophthalmology was consulted for sudden, progressive vision loss in the right eye.…

Primary Congenital Glaucoma An infant with a past ocular history of epiphora, increased corneal diameter, and elevated intraocular pressure was referred to the Bascom Palmer Eye Institute for diagnosis and management. Upon initial presentation, the patient's intraocular pressure measured 18/22, whi…

Systemic Lupus Erythematous Associated Anterior Scleritis and Uveitis A patient with a past medical history of ITP presented with recurrent episodes of red, painful eyes. Slit lamp exam was notable for sectoral injection without nodules that was tender to palpation and did not completely blanch wit…

A patient with premacular hemorrhage secondary to Valsalva retinopathy

Aneurysmal Bone Cyst A patient with a 2-week history of proptosis and vision changes in the right eye is transferred from an outside hospital. Neuroimaging revealed a large intraorbital and intracranial expansile lesion with multilobulated cystic spaces, surrounded by a thin cortical shell with per…

Giant Fornix Syndrome A patient with a past medical history of hematologic abnormalities undergoing workup for malignancy presented with chronic conjunctival hyperemia and a conjunctival lesion in the left eye. Slit lamp exam was notable for mild injection and irregular, bumpy conjunctiva. He under…

Uveal Effusion Syndrome A patient was referred by an outside provider with a history of decreased vision in the right eye for one year. Their ocular history included glaucoma in both eyes and Fuch’s corneal dystrophy. The visual acuity was 20/200 OD and 20/30 OS. The IOP was 18 OD and 24 OS. The …

Retinal Tear An asymptomatic patient presented for routine ophthalmic examination. The anterior segment examination was significant for cataracts in both eyes. The dilated fundus examination revealed a superotemporal horseshoe tear (HST) with surrounding subretinal fluid in the right eye and was no…

Subconjunctival Dirofilariasis A patient presents with one week of left eye redness and irritation. There was no inciting event or trauma. At presentation, his vision was 20/20 in both eyes, intraocular pressure within normal limits, and pupils equal and reactive bilaterally without afferent pupill…

A patient with double Torpedo Maculopathy lesions in the left eye. Two lesions are noted inferior to the macula with associated RPE changes and overlying fluid. Funds autofluorescence images show areas of hypofluorescence and hyperfluorescence correlating with the RPE changes on fundus photos.

Orbital Rhabdomyosarcoma - Recurrence A young patient with notable past ocular history of orbital rhabdomyosarcoma, s/p chemotherapy with vincristine, dactinomycin, and cyclophosphamide, and proton beam radiation presented to Bascom Palmer ED with 2 days of blurry vision and “seeing everything gr…

Simultaneous Bilateral Rhegmatogenous Retinal Detachment A patient with a past ocular history of refractive LASIK/PRK surgery and high myopia presented for evaluation of blurred vision in the left eye. The patient noted vision changes starting 2.5 months prior to presentation but had not noted any …

Bleb-Associated Endophthalmitis An adult patient presented to the Bascom Palmer emergency room for evaluation of two days of pain, redness, discharge, and vision loss of the left eye. He had a history of open angle glaucoma and underwent trabeculectomy bilaterally in both eyes two years prior to pr…

Keratitis Due to Severe Sinonasal Disease with Underlying Granulomatosis with Polyangiitis A young patient with no known prior medical history presents with decreased vision and pain in the right eye. On presentation, patient’s exam was notable for visual acuity of 20/150 in the right eye and 20/…

Neovascular Glaucoma Secondary to Anterior Segment Ischemia After Vitreoretinal Surgery A middle-aged patient with a past ocular history of retinal detachment status-post repair with a combined pars plana vitrectomy and scleral buckle was managed by an outside ophthalmologist for elevated intraocul…

Multifocal Uveal Melanoma in Setting of Oculodermal Melanocytosis A healthy young patient with prior history of myopia OU presents with sudden-onset decreased vision in the right eye. On presentation, patient’s exam was notable for visual acuity of HM in the right eye and 20/20 in the left eye. I…

Posner-Schlossman Syndrome/Glaucomatocyclitic Crisis A patient presented with decreased vision in the left eye after being struck in the eye by a cabinet. The patient stated that he was struck in the eye 1 month prior to presentation, but only experienced decreased vision start 1 week prior. Upon p…