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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 …

HTLV1 Associated Uveitis A patient presented to the Bascom Palmer Eye Institute with complaints of floaters in the left eye for 3 years and the right eye for 3 months. Vision was best corrected to 20/25 in both eyes. Anterior segment exam revealed fine KP in both eyes without significant anterior s…

Miller Fisher Syndrome A patient presented with binocular diplopia of 2 weeks duration after COVID-19 infection. Additionally, she had neurological symptoms, weakness, tingling, numbness of extremities. She had been fully vaccinated against COVID-19. On exam her BCVA was 20/20 OU, she was noted to …

Wernicke Encephalopathy A patient with past history of bariatric surgery presenting with blurred vision, oscillopsia and decreased hearing of few days. Her exam was remarkable for up-beating nystagmus in all gazes. Vision was 20/20 in each eye, pupils equal and reaction. She had full ocular motilit…

Branchio-Oculo-Facial Syndrome and Coloboma A young child presented with light perception visual acuity in the right eye and white cataract. Some dysmorphic features were also documented such as wide nasal tip, prominent philtral pillars, hypertelorism, telecanthus, right ptosis, and malformed pinn…

Corneal Decompensation A patient with past ocular history of primary open-angle glaucoma, status post glaucoma drainage implant in the right eye, underwent cataract surgery in the right eye. Preoperative potential acuity meter testing predicted visual acuity outcome of 20/25. The patient developed …

Intraoperative Fluid Deviation Syndrome A patient underwent routine cataract surgery one month after uncomplicated cataract extraction and intraocular lens implantation of the contralateral eye. Intraoperatively, during the hydrodissection step of cataract extraction, the anterior chamber shallowed…

Ocular Sarcoidosis A patient with no past ocular history presented with right eye blurry vision for the past 4 months secondary to non-clearing vitreous hemorrhage. The exam was notable for visual acuity hand motion in the right eye and 20/20 in the left eye. Intra-ocular pressure was 17 and 17 mmH…

Traumatic Aniridia A patient with past ocular history of penetrating screwdriver trauma to the left globe presents with debilitating glare symptoms and poor vision. The patient has a previous surgical history of primary corneal laceration repair and lensectomy with subsequent reconstruction with sc…

Leber Hereditary Optic Neuropathy (LHON) A previously healthy patient presented to the emergency department (ED) with a 2-week history of bilateral blurry vision associated with painful eye movement. The patient denied eye redness, eye discharge, photophobia, double vision, or headache. The ophthal…

Pseudoxanthoma Elasticum A patient with no past ocular history presented to the emergency department complaining of decreased vision in both eyes for 3-4 days. Exam was notable for a visual acuity of 20/25 in the right eye and 20/20 in the left eye. Intraocular pressures were 12 and 12. External ex…

Brimonidine Associated Uveitis A patient with a past ocular history of advanced normal tension glaucoma in both eyes presented with 1 month of blurry vision in both eyes. His exam was notable for decreased visual acuity of 20/30 in the right eye and 20/50 in the left eye. Intraocular pressure was 9…

Interface Fluid Syndrome A patient with a past ocular history of LASIK underwent ACIOL removal and cataract surgery. After surgery the patient was noted to have persistent corneal edema with LASIK flap haze. Anterior segment OCT was performed which showed fluid in the LASIK interface, consistent wi…

Post RK Hyperopia A patient with a history of 16-cut radial keratotomy presented with significant hyperopia, an epiretinal membrane, and cataract in the right eye. Corneal topography was notable for significant central flattening and irregular astigmatism in both eyes. He underwent cataract surgery…

Acquired Corneal Subepithelial Hypertrophy A patient presented to the Bascom Palmer Eye Institute with decreasing vision in her right eye several months after having a penetrating keratoplasty for ruptured radial keratotomy incisions. Her exam was notable for visual acuity of 20/60 in the right eye…

Acute Retinal Necrosis A monocular patient with no past ocular history in the left eye presented with several days of decreased vision in the left eye. On examination he was found to have panuveitis, and there was concern for necrotizing retinitis. He was treated empirically for presumed acute reti…

Enophthalmos Due to Metastatic Orbital Breast Carcinoma A patient presented to the ER with subconjunctival hemorrhage but incidentally noted to have enophthalmos with mild extraocular movement restriction in the contralateral eye. Further history revealed breast cancer history that was treated 18 y…

Sebaceous Carcinoma, Concern for Muir-Torre Syndrome Our patient presented with a greater than one year history of a non-resolving right eyelid mass that began to hemorrhage due to accidental trauma. Exam was remarkable for and extensive multi-lobar ulcerated mass found along the right lower lid al…

Central Serous Chorioretinopathy We present the case of a patient with decreased vision in the right eye. The patient immigrated to the United States in 2015, and discovered his decreased vision during an eye exam for a driver’s license. He was diagnosed with Wet AMD and had received 5-6 doses of…

Nyctalopia Due to Vitamin A Deficiency A patient with a past medical history of liver cirrhosis, presented to the neuro-ophthalmology clinic with blurry vision in both eyes and nyctalopia that started around a year ago. Ophthalmological exam was notable for a visual acuity of 20/40 in both eyes, re…