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This patient presented with a one day history of severe pain, reduced vision, diplopia, and proptosis. Imaging revealed a superior ophthalmic vein thrombosis. Extensive workup showed no definite underlying etiology. The patient was started on antibiotics, corticosteroids, and anticoagulation. There…

A patient with no past medical history and a past ocular history of five prior pterygium removal surgeries presented to the Bascom Palmer Emergency Room for pain and irritation in his right eye for 1 week. He endorsed working construction just prior to symptom onset, but denied any trauma to the ey…

PRPH2-Associated Pattern Dystrophy A middle-aged patient presented to the Bascom Palmer Eye Institute with central blurred vision in the left eye for 2 weeks. Past medical and ocular history were unremarkable. Past family history was notable for a mother who was diagnosed with age-related macular d…

Sturge Weber Syndrome An infant presented to clinic as a referral due to a cloudy right cornea and port wine birthmark. The parents did not notice any abnormal behavior from the infant. The patient’s intraocular pressure was 28 and 14, but limited exam was possible in the office setting. An exam …

Bilateral Endogenous Aspergillus Endophthalmitis A middle-aged immunocompetent patient with hyperlipidemia and controlled Type 2 Diabetes Mellitus presented with rapid vision loss in the right eye and floaters in the left eye. Review of systems was significant for right sided headache, abdominal pa…

Eales' Disease A patient presented with one month of blurred vision and floaters in the left eye. Visual acuity was 20/20 in the right eye and 20/70 in the left eye. Slit lamp exam was remarkable for a quiet anterior chamber and 2+ vitreous cell in both eyes. Dilated fundus exam demonstrated bilate…

Chronic Central Serous Chorioretinopathy in Both Eyes Evolving Into Polypoidal Choroidal Vasculopathy in the Right Eye We present a case of previously diagnosed chronic Central Serous Chorioretinopathy (CSCR) treated with PDT and verteporfin, with complete resolution of the Subretinal fluid (SRF). …

Endogenous Candida Endophthalmitis A patient presented with blurry vision and floaters in the left eye for 2 weeks. His history was notable for a recent hospitalization for a non-healing foot ulcer, for which he underwent wound debridement and bone cultures. He was also being evaluated for suspecte…

Orbital B-Cell Lymphoma in the Setting of Primary Open Angle Glaucoma A middle-aged patient was referred to BPEI after an Emergency Room visit for uncontrolled glaucoma. His outside ophthalmologist had been successfully managing the patient with topical medication and maintaining vision. Patient th…

Blunt Right Eye Trauma with a Transected Inferior Rectus Muscle Resulting in Severe Right Hypertropia An adult patient was transferred to BPEI ER after suffering right eye trauma while using a pressure washer machine. Patient reported his right eye had been bleeding and swollen since the accident. …

Community-Acquired Methicillin-Resistant Staphylococcus Aureus (MRSA) Caused Episcleral Mass Resembling Granuloma A patient underwent bilateral medial rectus recession for a history of infantile esotropia. Ten days prior to the surgery, she developed a skin lesion on her forearm and was placed on c…

Adult-Onset Asthma with Periocular Xanthogranuloma A patient with a history of asthma and chronic sinusitis presented with unilateral facial swelling for three years. The facial swelling had gradually worsened over time. On examination, a well demarcated, yellow lesion was present in the right eyel…

Long Anterior Zonules and Pigment Dispersion Syndrome-Variant A patient was referred for cataract evaluation with decreased vision in the right eye. The patient had a past ocular history of cataracts of both eyes, corneal scar of the right eye, and intermittent subretinal fluid in the right eye not…

Toxoplasma Papillitis A patient with a history of hypertension, hyperlipidemia, and COPD presented with 10 days of painless, progressive blurry vision of the right eye. On initial examination, the patient was found to have anterior chamber inflammation, vitreous inflammation, and a white retinal le…

Incipient Non-Arteritic Ischemic Optic Neuropathy A patient presented for routine follow up of age related macular degeneration and was found to have incidental optic disc edema in her right eye without any decrease in vision or other visual symptoms. On further testing she had enlarged blind spot …

Pegcetacoplan Associated Exudation A patient presented with gradually decreased vision in her both eyes for several years. She had a history of multiple intravitreal aflibercept injections in her both eyes, with the last one administered 3 years ago. Her exam was notable for visual acuity of 20/50 …

Recurrent Locally Advance Morpheaform BCC A patient presented to our clinic with a 5 month history of worsening ptosis and induration of the right upper eyelid. She had a past medical history significant for chronic UV exposure, and a previously completely excised infiltrating/morpheaform basal cel…