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Paraneoplastic Autoimmune Retinopathy A patient with a history of advanced ovarian cancer presented with flashes, glare and peripheral visual field loss of 10 months duration. Best-corrected visual acuity was 20/30 in the right eye and 20/40 in the left eye with normal intraocular pressures in both…

PDE6-Associated Retinitis Pigmentosa  A patient with a family history of vision loss presented with a 2 year history of progressive vision loss in both eyes. Patient’s exam was notable for visual acuity of 20/40 in the right eye and 20/30 in the left eye. Intraocular pressure was 20 and 21 i…

Pediatric Idiopathic Intracranial Hypertension (Pediatric IIH) A pediatric patient accompanied by their parent presented to BPEI ED complaining of an episode of complete loss of vision in the left eye that was initially blurry, then totally black, lasting from 20-30 seconds. The symptom was associa…

Pegcetacoplan Associated Exudation A patient presented with gradually decreased vision in her both eyes for several years. She had a history of multiple intravitreal aflibercept injections in her both eyes, with the last one administered 3 years ago. Her exam was notable for visual acuity of 20/50 …

Penetrating Ocular Fishhook Injury A patient with a history of stroke, hypertension, and pseudophakia of both eyes, presented with eye trauma while fishing without protective eyewear. While reeling in, his fishhook flew out of the water and hit him in the right eye. On presentation, his right eye v…

Penetrating Open Globe Injury with Retained Intraocular Foreign Body, Left Eye A patient presented with acute decreased vision in the left eye after motor vehicle accident. The patient stated in the accident his car spun out and airbags deployed. Upon presentation, visual acuity was 20/25 in the ri…

Pentosan Polysulfate Associated Maculopathy A patient presents with a history of difficulty reading and progressive blurry vision in both eyes prior to her presentation. Patient has a significant history of interstitial cystitis with long term use of Pentosan Polysulfate Sodium for 20 years. Her ex…

Peripheral Exudative Hemorrhagic Chorioretinopathy An elderly patient presented to the emergency room with 2 days of progressive floaters and vision loss in the right eye. His visual acuity was 20/80 in the right eye and 20/25 in the left eye. His intraocular pressure was normal in both eyes. Fundu…

Persistent Fetal Vasculature This patient with past ocular history of leukocoria was referred forretinal evaluation. Ophthalmological evaluation under anesthesia was notable for a cataractous lens with spherical appearance,anterior segment dysplasia andpersistence of the iridohyaloid vessels and tu…

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…

Phacomorphic Glaucoma A patient with a history of chronic angle closure glaucoma (ACG) referred by local ophthalmologist to ED for evaluation. Patient had previously undergone a laser iridotomy in both eyes and had a history of chronic angle closure glaucoma. The intraocular pressure (IOP) was been…

Phacomorphic Glaucoma and Anterior Lens Capsule Rupture After Laser Peripheral Iridotomy Patient with a history of multiple retinal detachments status post repair and brunescent cataract was seen at outside eye clinic with elevated intraocular pressure, eye pain and decreased vision. Vision was rep…

Pleomorphic Adenoma A patient with a past ocular history of presumed thyroid eye disease presented with left eye discomfort and left upper eyelid swelling for two days. She endorsed double vision but denied any blurry vision. Her exam was notable for visual acuity of 20/20 in the right eye and 20/2…

POEMS Syndrome A patient presented for evaluation of grade 4 optic disc swelling in both eyes. The patient has a history of polyneuropathy both sensory and motor involving the upper limbs more than lower limbs consistent with a diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP) a…

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…

Post-LASIK Infectious Keratitis A healthy patient with prior history of LASIK OU presents with acute-onset decreased vision and eye pain in the left eye. On presentation, patient’s exam was notable for visual acuity of 20/20 in the right eye and 20/60 in the left eye. Intraocular pressure was 11 …

Posterior Cortical Atrophy Variant of Alzheimer's Disease A patient presented for evaluation of optic nerve atrophy and gradually progressive, painless visual distortions for 3 years. She reported difficulty keeping track of characters while reading, judging the speed of other moving vehicles, calc…

Postoperative Endophthalmitis An elderly patient with past medical history of quiescent birdshot chorioretinopathy on immunosuppressive therapy underwent uneventful cataract surgery in the right eye followed by intracameral injection of moxifloxacin at the end of the case. On postoperative day 4, t…

Pressure-Induced Stromal Keratopathy (PISK) and Corneal Scarring After Infectious Keratitis A patient presented with eye pain and decreased vision in the left eye after having LASIK in both eyes. She was found to have an interface infectious keratitis that required re-lifting of the LASIK flap twic…

Presumed Rhino-Orbital Mucormycosis A patient with a past medical history of PCOS and type 2 diabetes mellitus presented to an outside hospital six weeks pregnant with right sided facial pain and periorbital swelling. Ophthalmology was consulted for sudden, progressive vision loss in the right eye.…