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Primary Angle Closure Glaucoma A 73-year-old Hispanic female presented to Bascom Palmer Eye Institute emergency room on June 06, 2019 with complaints of decreased vision and intermittent pain in the left eye. The patient has no past medical and a history of hyperopia both eyes. Humphrey visual fiel…

Primary Uveal Melanoma, Left Eye A 30-year-old Hispanic female with a history of thyroid disease presented to the Bascom Palmer ER with complaints of blurry vision and eye strain in the left eye while reading for a 1-month duration. Her last eye exam was a decade ago and was normal. She was diagnos…

Proliferative Sickle Retinopathy A 3-year-old female was referred to BPEI for treatment of congenital cataracts. After bilateral lensectomy and vitrectomy, the patient was noted to have elevated intraocular pressure. She underwent placement of BGI and was incidentally found to have vitreous hemorrh…

Pythium Insidiosum Keratitis An 83-year-old otherwise healthy female was referred to the BPEI ER for a progressive corneal ulcer. Exam in the left eye was notable for hand motions vision, normal IOP, and severe corneal ulcer associated with hypopyon and scleral extension. B-scan ultrasonography of …

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 …

Retinal Capillary Hemangioblastoma in Von-Hippel Lindau Syndrome A 40-year-old male with family history of renal cell carcinoma and history of neurosurgical excision of cerebellar hemangioblastoma presents for routine ophthalmic examination. Vision is 20/20 in both eyes. Fundus examination reveals …

Retinal Cavernous Hemangioma with Vitreous Hemorrhage A five-week-old full-term male with a history of seizures and birth trauma underwent ophthalmology screening. Initial eye examination revealed vitreous hemorrhage. Subsequent examination under anesthesia with multi-modal imaging revealed vitreou…

Retinoblastoma A 2-year-old female with an unremarkable past medical history presented with pain and swelling of the left eye. One examination she was able to fix and follow with both eyes but had a dull red reflex of the left eye as well as a retinal mass. An exam under anesthesia was performed wh…

Scleral and Subretinal Abscess with Endophthalmitis A patient presented with blurry vision and pain after scleral buckle removal. He had a remote history of retinal detachment with primary scleral buckling. He had persistent inflammation that did not improve with topical steroids or tap and inject …

Scleral-Invasive Ocular Surface Squamous Neoplasia An 83-year-old male with history of skin cancer and tobacco use was referred to BPEI for evaluation of a subconjunctival mass which was previously biopsied. On presentation, a large firm subconjunctival mass with prominent feeder vessels was seen. …

Sebaceous Carcinoma Presenting with Corneal Ulcer and Descemetocele An 87-year-old male was referred for second opinion due to nonhealing corneal ulcer of his right eye. He had a past medical history significant for basal cell carcinoma, arthritis, hypertension, hypothyroid, CABG, and carotid stent…

Sorsby Macular Dystrophy We present the case of a 33-year-old male who presented with visual distortions in the left eye. Visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fundus examination revealed reticular pseudodrusen in both eyes, and a choroidal neovascular membrane in the …

Squamous Cell Carcinoma, Metastatic Prostatic Adenocarcinoma A 77-year-old Caucasian male with a history of locally advanced prostate cancer on androgen deprivation therapy presented to BPEI for evaluation of a right lower lid lesion present for six weeks that did not improve with conservative trea…

Steroid-Induced Glaucoma A 32-year-old female presented to Bascom Palmer Eye Institute complaining of an inferior field defect in her left eye. Examination revealed 20/20 vision with correction, an APD, normal IOP, PCIOL, and optic nerve pallor and cupping of the left eye. Right eye exam was WNL. H…

Sturge-Weber Syndrome A child was born with an extensive, bilateral, flat, red facial skin lesion that was initially flat and barely noticeable but over time has grown and become thicker and a deeper red color. He was born at term to a healthy mother, had no other lesions on his body, no other symp…

Submacular Hemorrhage An 82-year-old woman presents for follow-up for macular degeneration. Her vision in the right eye at the time of presentation is 20/60. After loss to follow-up due to Covid-19, the patient presents with decreased vision in the right eye secondary to a submacular hemorrhage. He…

Suprachoroidal Hemorrhage A 76-year-old male that presented to the retina service at Bascom Palmer Eye Institute with left eye pain and elevated intraocular pressure eleven days status post complicated cataract surgery during which he was left aphakic. Of note, the patient was on Aspirin 81mg daily…

Sympathetic Ophthalmia A patient presented with blurry vision in the right eye for one day. He had a history of remote retinal detachment repair in the left eye due to blunt trauma. Slit lamp examination revealed anterior uveitis in the right eye and prolapsed iris tissue in an old surgical wound i…

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…

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…