Search

Persistent Fetal Vasculature This patient with past ocular history of leukocoria was referred forretinal evaluation. Ophthalmological evaluation under anesthesia was notable for a cataractous lens with spherical appearance,anterior segment dysplasia andpersistence of the iridohyaloid vessels and tu…

Inferior peripheral corneal thinning due to systemic inflammatory disease. Surgery was with conjunctival recession and amniotic membrane placement.

Peripheral crescentic ulceration and thinning along limbus from 0600 to 1200 with superior neovascularization associated with pain. Treatment was initially with lubrication, antibiotic, systemic steroids, vitamin C, and doxycycline. Ultimately, the patient needed conjunctival recession with AMT pla…

Photograph of a peripheral iridotomy.

Peripheral Exudative Hemorrhagic Chorioretinopathy An elderly patient presented to the emergency room with 2 days of progressive floaters and vision loss in the right eye. His visual acuity was 20/80 in the right eye and 20/25 in the left eye. His intraocular pressure was normal in both eyes. Fundu…

Acute syphilitic posterior placoid chorioretinopathy (ASPPC) is a unique ocular sign of syphilis. It appears as a large, flat, yellowish lesion on the retinal pigment epithelium, typically in the macula. While not seen in every syphilis case, its presence strongly suggests ocular involvement and wa…

Fundus photo demonstrating a peripaillary elevated lesion. OCT with subretinal fluid and retina thickening. CT scan showed pulmonary nodules.

Pigmented lesion in the peripapillary area with lacunae suggesting chronicity.

PFO liquid in the anterior chamber after retinal surgery. This caused some corneal edema and required removal.

Pentosan Polysulfate Associated Maculopathy A patient presents with a history of difficulty reading and progressive blurry vision in both eyes prior to her presentation. Patient has a significant history of interstitial cystitis with long term use of Pentosan Polysulfate Sodium for 20 years. Her ex…

Penetrating Open Globe Injury with Retained Intraocular Foreign Body, Left Eye A patient presented with acute decreased vision in the left eye after motor vehicle accident. The patient stated in the accident his car spun out and airbags deployed. Upon presentation, visual acuity was 20/25 in the ri…

The large staple was able to be surgically removed and was performed with phacoemulsification of the lens.

Penetrating Ocular Fishhook Injury A patient with a history of stroke, hypertension, and pseudophakia of both eyes, presented with eye trauma while fishing without protective eyewear. While reeling in, his fishhook flew out of the water and hit him in the right eye. On presentation, his right eye v…

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 …

In this module, we will look at:




Extraocular Muscle


Introduction to Pediatric Ophthalmology

A 7-year-old patient with fundus photos showing temporal optic nerve pallor OU. Vision was 20/400 and 20/800. Ganglion cell layer of the patients male first cousin reveals diffuse thinning.

Pediatric Idiopathic Intracranial Hypertension (Pediatric IIH) A pediatric patient accompanied by their parent presented to BPEI ED complaining of an episode of complete loss of vision in the left eye that was initially blurry, then totally black, lasting from 20-30 seconds. The symptom was associa…

PDE6-Associated Retinitis Pigmentosa  A patient with a family history of vision loss presented with a 2 year history of progressive vision loss in both eyes. Patient’s exam was notable for visual acuity of 20/40 in the right eye and 20/30 in the left eye. Intraocular pressure was 20 and 21 i…