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Age-Related Macular Degeneration We present an elderly patient with new onset visual distortions in the right eye. Vision is 20/30 OD, 20/20 OS. She is diagnosed with exudative Age-related Macular Degeneration (AMD) in the right eye and non-exudative AMD in the left eye. Swept Source OCT Angiograph…

Infectious Scleritis An elderly patient presented to BPEI with 7 days of decreased vision and pain in the left eye. Visual acuity was hand motion and exam revealed a localized area of scleral necrosis and suppuration. B scan showed a very small and shallow ciliochoroidal detachment. Cultures of the…

Orbital Lympathic Dominant Lymphatic Venous Malformation A patient with a past ocular history of orbital lymphatic-venous malformation with left upper eyelid swelling and proptosis at childhood who underwent sclerosing therapy presents 7 years later with newly developed left upper eyelid swelling, …

CMV Retinitis, Right Eye A patient with no past ocular history presented with right eye pain, redness, photophobia, decreased vision for a week. His exam was notable for visual acuity 20/50 in the right eye and 20/20 in the left eye. Intra-ocular pressure was 20 and 17 mmHg. The slit-lamp exam was …

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…

Bilateral Mycobacterium Tuberculosis-Associated Necrotizing Kerato Sclerouveitis Complicated by Bilateral Corneoscleral Perforation and Uveal Prolapse A patient presented from the Bahamas with 5-month history of redness, worsening eye pain, and 5 days of decreasing vision with enlarging “red spot…

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…

Juvenile Myasthenia Gravis A child previously healthy, presented to the ED with his mother for new onset right upper eyelid ptosis of few weeks duration. History was significant for variability in eye alignment over the past few months. Exam was notable for right upper eyelid ptosis with MRD1 of -2…

Autosomal Dominant Neovascular Inflammatory Vitreoretinopathy A patient with no family history of retinal disease presented to the Bascom Palmer emergency room with 4 days of floaters in her right eye. Her VA was 20/30 and her intraocular pressure was normal. She was found to have vitreous hemorrha…

External Ophthalmomyiasis due to Dermatobia Hominis A child presented with right eye swelling for five days refractory to systemic antibiotics. On examination, he had significant periorbital edema, erythema, injection, a chemosis. At the lateral canthus, a small scab with skin defect was visualized…

Hydrolyzed MIRAgel Scleral Buckle A patient presented with one year of gradually worsening left eye pain and binocular diplopia. He had a history of remote retinal detachment repair in 1988 and prostate cancer in 2019 s/p radiation therapy in remission. In the left eye, he had limitations to gaze i…

Ophthalmia Nodosa A patient presented to the Bascom Palmer Eye Institute retina/uveitis clinic with 2 months of right eye irritation and floaters. He reported being hit in the right eye by a large flying insect while working on a cruise ship in the Bahamas immediately prior to the onset of symptoms…

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…

Aspergillus Keratitis A patient with a history of eye trauma with metallic foreign body presented with pain and blurry vision and was found to have severe Aspergillus infectious keratitis. He continued to progress despite topical, systemic, and intrastromal anti-fungal therapy. He was initially tre…

Bilateral Dense White Cataracts This is a patient with significant complex medical history who presented with hand motion vision secondary to bilateral dense white cataracts. Due to high anesthesia risk given the severity of medial comorbidities including an implanted left ventricular assist device…

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…

Acute Posterior Multifocal Placoid Pigment Epitheliopathy A patient presented with one week of blurred vision. He noted a concomitant headache and cold symptoms as well. He had a history of IV drug use 10 days prior. His visual acuity was 20/100 in the right eye and 20/20 in the left eye. Examinati…

Coats' Plus Disease An infant born prematurely via emergency cesarean section at 27-weeks due to IUGR and fetal distress weighting 650 g was referred for the evaluation of incomplete vascularization of the retina. After birth, the patient spent 117 days in the neonatal intensive care unit (NICU), w…

C2orf71 Retinitis Pigmentosa A patient presents to the neuro-ophthalmology clinic for evaluation of chronic progressive vision loss over many years. There is high suspicion for a genetic disorder given findings of bilateral symmetric nerve pallor, diffuse chorioretinal atrophy, and attenuated vascu…

Extra-Parenchymal Neurocysticercosis (NCC) A patient presented with blurry vision and headaches for 6 months. He was found to have grade 5 papilledema with hemorrhages. MRI brain/orbits showed bilateral flattening of the posterior sclera with intraocular protrusion of the optic nerve head and promi…