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Aneurysmal Bone Cyst A patient with a 2-week history of proptosis and vision changes in the right eye is transferred from an outside hospital. Neuroimaging revealed a large intraorbital and intracranial expansile lesion with multilobulated cystic spaces, surrounded by a thin cortical shell with per…

Giant Fornix Syndrome A patient with a past medical history of hematologic abnormalities undergoing workup for malignancy presented with chronic conjunctival hyperemia and a conjunctival lesion in the left eye. Slit lamp exam was notable for mild injection and irregular, bumpy conjunctiva. He under…

Uveal Effusion Syndrome A patient was referred by an outside provider with a history of decreased vision in the right eye for one year. Their ocular history included glaucoma in both eyes and Fuch’s corneal dystrophy. The visual acuity was 20/200 OD and 20/30 OS. The IOP was 18 OD and 24 OS. The …

Retinal Tear An asymptomatic patient presented for routine ophthalmic examination. The anterior segment examination was significant for cataracts in both eyes. The dilated fundus examination revealed a superotemporal horseshoe tear (HST) with surrounding subretinal fluid in the right eye and was no…

Subconjunctival Dirofilariasis A patient presents with one week of left eye redness and irritation. There was no inciting event or trauma. At presentation, his vision was 20/20 in both eyes, intraocular pressure within normal limits, and pupils equal and reactive bilaterally without afferent pupill…

Orbital Rhabdomyosarcoma - Recurrence A young patient with notable past ocular history of orbital rhabdomyosarcoma, s/p chemotherapy with vincristine, dactinomycin, and cyclophosphamide, and proton beam radiation presented to Bascom Palmer ED with 2 days of blurry vision and “seeing everything gr…

Simultaneous Bilateral Rhegmatogenous Retinal Detachment A patient with a past ocular history of refractive LASIK/PRK surgery and high myopia presented for evaluation of blurred vision in the left eye. The patient noted vision changes starting 2.5 months prior to presentation but had not noted any …

Bleb-Associated Endophthalmitis An adult patient presented to the Bascom Palmer emergency room for evaluation of two days of pain, redness, discharge, and vision loss of the left eye. He had a history of open angle glaucoma and underwent trabeculectomy bilaterally in both eyes two years prior to pr…

Keratitis Due to Severe Sinonasal Disease with Underlying Granulomatosis with Polyangiitis A young patient with no known prior medical history presents with decreased vision and pain in the right eye. On presentation, patient’s exam was notable for visual acuity of 20/150 in the right eye and 20/…

Neovascular Glaucoma Secondary to Anterior Segment Ischemia After Vitreoretinal Surgery A middle-aged patient with a past ocular history of retinal detachment status-post repair with a combined pars plana vitrectomy and scleral buckle was managed by an outside ophthalmologist for elevated intraocul…

Multifocal Uveal Melanoma in Setting of Oculodermal Melanocytosis A healthy young patient with prior history of myopia OU presents with sudden-onset decreased vision in the right eye. On presentation, patient’s exam was notable for visual acuity of HM in the right eye and 20/20 in the left eye. I…

Posner-Schlossman Syndrome/Glaucomatocyclitic Crisis A patient presented with decreased vision in the left eye after being struck in the eye by a cabinet. The patient stated that he was struck in the eye 1 month prior to presentation, but only experienced decreased vision start 1 week prior. Upon p…

Bartonella Henselae Multifocal Choroiditis A patient with a history of Crohns disease controlled with infliximab presented with 2 weeks left sided blurred vision. He had recently been admitted to the hospital for fever of unknown origin where extensive testing was performed and he was evaluated by …

Granular Corneal Dystrophy Type II A patient presented to the Bascom Palmer General Eye Care Clinic with a progressive decline in her vision in both eyes. The patient was found to have bilateral corneal opacities extending throughout the deep stroma. She underwent genetic testing which confirmed th…

Vogt-Koyanagi-Harada (VKH) Disease A middle-aged patient with no past medical history presented with acute onset vision loss in the left eye with flashes and floaters for one day. Best-corrected visual was 20/80 in the right eye and 20/800 in the left eye. Intraocular pressures were normal. Anterio…

Persistent Pupillary Membrane, Complete Coloboma A pediatric patient was referred for iris abnormalities. Initial BCVA was 20/60 and 20/70 and exam showed dense central pupillary membranes and complete colobomas. Given obscuration of the visual axis and amblyopia, optical iridectomy and pupillary m…

Proliferative Diabetic Retinopathy A patient presented to Bascom Palmer Emergency Room for vitreous hemorrhage in left eye. Patient subsequently underwent multiple sessions of panretinal photocoagulation followed by one injection in each eye. The patient was followed for six months and then lost to…

Retinitis Pigmentosa (RHO Pro347Leu Mutation) with Intermediate Uveitis Our patient was referred for asymptomatic bilateral cystoid macular edema (CME) found on a routine eye exam. Initial visual acuity was 20/30 in both eyes with normal intraocular pressure. Posterior segment exam revealed 2+ vitr…

Primary Congenital Glaucoma We present two cases of patients with primary congenital glaucoma (PCG) and buphthalmos who underwent cataract surgery and Glaucoma Drainage Implant (GDI). The first case is a young adult, VA 20/60 in the right eye and hand movements (struggle) in the left eye. Intraocul…

Punctate Inner Choroidopathy A patient presented to the Bascom Palmer emergency room complaining of seeing a fixed gray spot out of the right eye for two weeks. Past history was unremarkable. Vision was 20/70 OD and 20/30 OS. Intraocular pressure and pupils were normal. The anterior exam was normal…