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Chronic CRVO with Diffuse Exudates A patient presents with vision loss in both eyes that progressively worsens over the course of 11 months to bilateral diffuse exudates with a unilateral exudative retinal detachment. Medical history was most significant for recurrent chronic pancreatitis, hypercho…

This patient is known to have XLRS and is 80 years old. Over time the macula schisis has led to central atrophy and pigmentary changes. The OCT shows schisis cavities and thinning of the retina.

Patient with a history of pathological myopia and retinal detachment in the fellow eye. Has been stable with a large chronic retinal detachment. There are two demarcation lines noted in the macula. The vision is preserved.

Temporal horseshoe tear with localized retinal detachment. It was demarcated with laser retinopexy and has remained stable.

The pseudocyst (yellow arrow) can be a signal that the retinal detachment is chronic. The ultrasound helps to clearly define the fluid filled cavity. It is thought that these are formed by schisis cavities in the outer plexiform layer. If closure of the primary break is not possible, or if the pseu…

A patient with bilateral cicatricial conjunctivitis changes secondary to Steven Johnson Syndrome. Slit lamp photo of both eyes with madarosis, distichiasis, trichiasis, lid margin keratinization. Right eye with partial ankyloblepharon with corneal exposure. Left eye with complete ankyloblepharon.

Cicatricial Ectropion Secondary to Lamellar Ichthyosis A patient with history of lamellar ichthyosis, a congenital autosomal recessive skin disease, presented to Bascom Palmer Eye Institute with repeated complications of severe bilateral exposure keratopathy due to cicatricial ectropion, which led …

Cicatrizing Conjunctivitis Secondary to Mycobacterium Tuberculosis A patient presented to the Bascom Palmer ER with chronic irritation in his right eye for 3 months. He was referred by an outside provider for possible ocular malignancy. The patient was found to have temporal symblepharon and inferi…

Slit lamp photo with white tumor growing into the sulcus inferior temporally. The Ultrasound Biomicroscopy shows a medium density mass in the ciliary body. The patient had known stage 4 lung cancer.

Multimodal imaging of a patient with ciliochoroidal melanoma with extraocular extension associated with sympathetic ophthalmia before and after treatment.

Ciliochoroidal Melanoma with Extraocular Extension Complicated by Sympathetic Ophthalmia A patient presented with a pigmented conjunctival lesion in the right eye of insidious onset and progressive course. She was found to have a ciliochoroidal melanoma with extraocular extension and underwent exci…

CMV Retinitis A patient with a past ocular history of POAG s/p phaco/trab OD and BGI OS, and ERM OS with macular edema OS receiving intravitreal Dexamethasone injections since 2017 presented with left eye redness, decreased VA, and pain for 4 days. He reported no history of trauma, no recent hospit…

In this condition, vasculitis of both arteries and veins, with translucent exudation, gives a similar appearance to the frosted branches of a tree. (Yellow arrow). Superior nasally, there is also the classic retinal whitening with retinal hemorrhages, also known as a “pizza pie fundus”.

RetCam photo with a bullous exudative retinal detachment. Angiography shows area of engorged vessels, telangiectasias and neovascularization. Ultrasound with moderate dense vitreous opacities and no calcifications. Surgery with external drainage was required for treatment.

Coats' Plus Disease An infant born prematurely via emergency cesarean section at 27-weeks due to IUGR and fetal distress weighting 650 g was referred for the evaluation of incomplete vascularization of the retina. After birth, the patient spent 117 days in the neonatal intensive care unit (NICU), w…

Coloboma associated with a systemic syndrome.

Combined Hamartoma of the Retina and Retinal Pigment Epithelium A 19-month-old girl with an unremarkable prenatal and infantile history presented with esotropia of the left eye and was found to have a vascularized mass concerning for retinoblastoma. Examination under anesthesia revealed a charcoal …

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…