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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…

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 …

Post-Refractive Corneal Haze A patient presented to the Bascom Palmer Eye Institute with bilateral anterior stromal corneal haze after photorefractive keratectomy for high myopia in both eyes 5 years ago. His vision was 20/200 in both eyes, in the setting of significant irregular astigmatism induce…

Post-Ruptured Globe Associated Retinal Detachment A 75-year-old-man presented to Bascom Palmer Eye Institute for a second opinion following a mechanical fall with trauma sustained to the right eye, resulting in a ruptured globe one month prior. Examination revealed 20/LP vision, no APD, normal IOP,…

Post-transplant Interface Infectious Keratitis A patient with past ocular history of pseudoexfoliation syndrome, left eye Descemet’s Stripping Endothelial Keratoplasty (DSEK) and left eye scleral fixated intraocular lens after complicated left eye cataract surgery presented to the emergency room …

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.…

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 Congenital Glaucoma A young patient with no past medical or ocular history presented to the emergency room with redness, tearing, and light sensitivity of the left eye. She had no family history of eye conditions and had a normal birth and development thus far. On initial examination in the…

Primary Congenital Glaucoma A young child with no past ocular history presents with vision loss for 2 months. Her exam was notable for visual acuity of 20/250 in the affected eye with intraocular pressures of 38, relative afferent pupillary defect. Slit lamp findings were notable for subtle bupthal…

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…

Primary Congenital Glaucoma An infant with a past ocular history of epiphora, increased corneal diameter, and elevated intraocular pressure was referred to the Bascom Palmer Eye Institute for diagnosis and management. Upon initial presentation, the patient's intraocular pressure measured 18/22, whi…

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…

Primary Vitreoretinal Lymphoma A 77-year-old female with a history of vitritis of unknown origin and two non-diagnostic vitrectomies presented with a white plaque on the posterior capsule of her left eye after being lost to follow up for several years. Repeat vitrectomy confirmed the suspected diag…

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…

Proliferative Sickle Cell Retinopathy with Combined Tractional-Rhegmatogenous Retinal Detachment A 50-year-old female with previous history of sickle cell disease of unknown type presented with a vitreous hemorrhage in the left eye. Subsequent follow up revealed Stage 3 proliferative sickle cell re…

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…

Prothrombin G20210A Mutation and Hyperhomocysteinemia in Young Patient with Non-Arteritic Ischemic Optic Neuropathy A patient devoid of significant medical history presented with a sudden onset of painless vision loss in his right eye upon awakening. While the anterior segment appeared unremarkable…