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VKH A 52-year-old female that presents with blurry vision and eye pain for 2 days. VA OD E at 6' and OS 20/400. AC trace cell. Vit 1+ cell. DFE and OCT showed swollen optic disc and bilateral serous retinal detachments. Most likely diagnosis for bilateral panuveitis with serous retinal detachments …

Vitreous Amyloidosis A patient presented to clinic with four months of blurry vision in the right eye. Of note, patient had previous vitrectomy for vitreous floaters of the left eye and panretinal photocoagulation in both eyes for retinal neovascularization. Examination of the right eye revealed de…

Vitreopapillary Traction Syndrome The patient presented to the emergency room (ER) with recent-onset photopsia and blurred vision in the left eye, ocular discomfort, and headache. Examination revealed 20/25 vision in the left eye, blurred disc margin, and inferior disc hemorrhage. MRI orbit was unr…

Vitamin A Deficiency A 73-year-old woman with a past medical history significant for Crohn’s disease and recently diagnosed colon cancer with recent sigmoid colon resection, presented with ten days of blurry vision in both eyes and nyctalopia. Onset of her symptoms was during a hospitalization fo…

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 …

Uveitis-Glaucoma-Hyphema (UGH) Syndrome A patient with a past ocular history of pseudophakia in both eyes, pseudoexfoliation glaucoma in both eyes, pseudophakic bullous keratopathy in the left eye, and persistent cystoid macular edema in the left eye, presented for evaluation for endothelial kerato…

Uveitic Glaucoma A patient presented to the Bascom Palmer Eye Institute emergency room with complaints of decreased vision, pain, and photophobia in the right eye for 3 months. The patient has no past medical history. He has a past ocular history of prior pars plana vitrectomy and trabeculectomy in…

Uveal Effusion Syndrome A patient with an ocular history of a retinal detachment (RD) in the left eye (OS) status post repair by pars plana vitrectomy (PPV) complicated by suprachoroidal hemorrhage presented with bullous serous RD in the right eye (OD). His initial visual acuity (VA) was hand motio…

Uveal Effusion Syndrome A patient was referred to the ocular oncology service for evaluation of a suspicious choroidal mass and serous retinal detachment in the right eye. The Snellen visual acuity was 20/80 and intraocular pressures were normal in both eyes. Examination and imaging of the right ey…

UGH Syndrome A patient referred to the Bascom Palmer Eye Institute with chronic uveitis after uncomplicated cataract surgery with multifocal lens implantation. She was found to have iris chaffing on UBM and a fixed, dilated pupil. She underwent intraocular lens exchange with implantation of a scler…

UGH Syndrome A patient presented to the glaucoma service with episodes of transient, monocular vision loss, associated with eye color change from blue to brown. Episodes at gradual onset and resolution, lasting hours in duration. Extensive lab and imaging work-up were unrevealing. Examination revea…

Tuberculous Serpiginous-like Choroiditis A patient with a past ocular history of cataract extraction and YAG capsulotomy presented with chronic blurry vision, photopsia, and floaters in both eyes of 1 year duration. He had been prescribed topical steroids for cystoid macular edema in the left eye a…

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…

Transient Visual Phenomena Associated with High G-Force Maneuvers A 30-year-old male fighter pilot presented with intermittent peripheral vision loss experienced during flight. Initial examination disclosed 20/20 vision in the right and left eye with normal motility, intraocular pressure, and no af…

Toxoplasmosis Necrotizing Retinitis Mimicking Acute Retinal Necrosis A 38-year-old male was referred to Bascom Palmer retina department with a 7-month history of decreased vision in the right eye. Examination revealed hand motions vision, anterior and posterior segment inflammation, and a near tota…

Toxic Anterior Segment Syndrome A 73-year-old male with history of myopia presents with 1 day of blurry vision in the right eye after uncomplicated cataract extraction and intraocular lens implant. Patient reports mild irritation without associated pain. Vision at presentation was count fingers wit…

Total Hyphema A 79-year-old female with no history of trauma presents to the Bascom Palmer Emergency room with one day of sudden decreased vision and pain in the right eye. One day prior, the patient underwent argon laser trabeculoplasty in the right eye for treatment of mild primary open angle gla…

Thyroid Eye Disease A 57-year-old woman with PMH of hyperthyroidism presents with eye pain, swelling, and blurry vision worsening for 3 weeks. Exam revealed severe proptosis, exposure keratopathy, orbital congestion, and markedly reduced visual acuity. CT and laboratory were workup consistent with …

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…

Tattoo Granuloma with Uveitis A patient presented with painful decreased vision in the right eye for 3 weeks. He was found to be in pupillary block with 360* posterior synechiae and anterior chamber cell in both eyes. A laser peripheral iridotomy was performed with relief of pain and elevated press…