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Acute Posterior Multifocal Placoid Pigment Epitheliopathy A patient presented with one week of blurred vision. He noted a concomitant headache and cold symptoms as well. He had a history of IV drug use 10 days prior. His visual acuity was 20/100 in the right eye and 20/20 in the left eye. Examinati…

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…

Fundus photo demonstrating confluent creamy yellow-white lesions representing acute posterior multifocal placoid pigment epitheliopathy.

A unique way to provide cosmesis.

A 50-year-old patient presenting asymptomatically with 20/30 vision was found to have yellow outer retinal lesions bright on autofluorescence. Genetic testing confirmed a mutation in the RDS gene. Often this can simulate Stargardt’s disease which has a mutation in the ABCA4 gene. There is no trea…

C2orf71 Retinitis Pigmentosa A patient presents to the neuro-ophthalmology clinic for evaluation of chronic progressive vision loss over many years. There is high suspicion for a genetic disorder given findings of bilateral symmetric nerve pallor, diffuse chorioretinal atrophy, and attenuated vascu…

Extra-Parenchymal Neurocysticercosis (NCC) A patient presented with blurry vision and headaches for 6 months. He was found to have grade 5 papilledema with hemorrhages. MRI brain/orbits showed bilateral flattening of the posterior sclera with intraocular protrusion of the optic nerve head and promi…

Bartonella Henselae Neuroretinitis and Branch Retinal Artery Occlusion A patient with past ocular history of viral conjunctivitis presented with 2 weeks of decreased vision in the right eye. His exam was notable for visual acuity of 20/80+1 in the right eye and 20/20 in the left eye. Intraocular pr…

Non-Arteritic Anterior Ischemic Optic Neuropathy A patient presented to the Bascom Palmer Emergency Department with acute onset painless decreased vision in the right eye after awaking from sleep. The patient was found to have unilateral optic disc edema in the right eye. Visual acuity was 20/20 in…

A patient with ocular Bartonella henselae infection manifesting as neuroretinitis and branch retinal artery occlusion.

Canthaxanthin Crystalline Retinopathy A patient presents with a history of progressive blurry vision in her left eye for two years. She has no significant past medical history except for consuming an over-the-counter oral tanning agent for a period of seven years that was discontinued three years p…

Pleomorphic Adenoma A patient with a past ocular history of presumed thyroid eye disease presented with left eye discomfort and left upper eyelid swelling for two days. She endorsed double vision but denied any blurry vision. Her exam was notable for visual acuity of 20/20 in the right eye and 20/2…

A patient with a history of progressive blurry vision in her left eye for 2 years prior to her presentation. She has no significant past medical except for consuming an over the counter oral tanning pills for a period of 7 years that was stopped 2 years prior to her presentation. Her exam was notab…

Conjunctival Squamous Cell Carcinoma, Keratoacanthoma Type A patient presented with a rapidly enlarging lesion of the nasal conjunctiva of the left eye. The past ocular history was significant only for bilateral surgical removal of cataracts with intraocular lens placement. The patient had a past m…

Post-transplant Interface Infectious Keratitis A patient with past ocular history of pseudoexfoliation syndrome, left eye Descemet’s Stripping Endothelial Keratoplasty (DSEK) and left eye scleral fixated intraocular lens after complicated left eye cataract surgery presented to the emergency room …

Refractory Full Thickness Macular Hole A patient presented with a “black central spot” in the right eye. The past ocular history included an idiopathic full thickness macular hole in the right eye that had undergone pars plana vitrectomy with internal limiting membrane peel two times. The left …