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Intraosseous Hemangioma An otherwise healthy patient presented to the Emergency Room for evaluation of a left orbital rim lesion, found incidentally by an eyebrow technician. On exam, there was a firm bony mass along the superior orbital rim. Eye exam was otherwise unremarkable. CT scan of the orbi…

Leukemic Optic Neuropathy Leukemic optic neuropathy is a rare entity that is characterized as optic nerve dysfunction resulting from direct infiltration of neoplastic leukocytes. It is an indicator of central nervous system involvement, and it is a neuro-ophthalmic and oncologic emergency that warr…

Keratoacanthoma

A pediatric patient with leukemic infiltrate of the optic nerve in both eyes.

A patient with acquired corneal subepithelial hypertrophy (ACSH) following history of penetrating keratoplasty. Slit lamp photo of the right eye is most notable for a temporal area of white, crescent-shaped, elevated corneal opacity.

A patient with pseudoxanthoma elasticum presented with decreased vision in both eyes. Initial fundus exam revealed angioid streaks, peripapillary atrophy, comet lesions, and a peau d'orange fundus appearance in both eyes. The patient was lost to follow-up and presented 3 years later with a choroida…

Coloboma associated with a systemic syndrome.

Figure 1: Fundus photography of patient treated with Iodine plaque, PPV and endolaser due to Pseudoangiomatous retinal glisois that caused a retinal detachment. Figure 2: Bscan of same patient as figure 1 before surgery.

Hypotony Due to Cyclodialysis Clef A patient with a history of high myopia presented as a referral from an the retina service for low intraocular pressure and blurry vision five months after pars plana vitrectomy for vitreous opacities in the left eye. His intraocular pressure was 8 on difluprednat…

Pseudoangiomatous Retinal Gliosis (PARG) A patient with known history of a chronic inferior rhegmatogenous retinal detachment (RD) of the left eye (OS) presented to the Bascom Palmer Eye Institute (BPEI) emergency department (ED) complaining of new floaters OS. On examination the patient had a visu…

Radiation Optic Neuropathy A patient with a history of skull base meningioma status-post gamma knife radiation presented with three weeks of decreased vision in both eyes. She had no light perception in the right eye and a visual acuity of 20/50 in the left. Magnetic resonance imaging of the brain …

High Myopia A patient presented to BPEI for laser vision correction. Manifest refraction revealed high myopia with spherical equivalent -9.75 diopters in both eyes. Anterior and posterior segment exam were normal. Tomography imaging showed minimal astigmatism, pachymetry of 557 OD and 566 OS, and n…

IRVAN Syndrome An adult patient presented to the Uveitis clinic for evaluation after developing visual deficits in the right eye. He was previously diagnosed with multiple branch retinal artery and vein occlusions in both eyes concerning for an occlusive retinal vasculitis. On examination he was fo…

Susac Syndrome A patient with a history of a central retinal artery occlusion presented with acute vision loss in his right eye and was found to have a branch retinal artery occlusion. A fluorescein angiogram showed retinal vasculitis of both eyes and the patient was diagnosed with Susac Syndrome. …

Hermansky-Pudlak Syndrome An infant was brought to the emergency department by his mother referred from his pediatrician after a routine well-child visit. Parents had noticed severe light sensitivity, but patient was otherwise developing well. Patient grimaced to light in both eyes but had poor fix…