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Retinal Displacement After Retinal Detachment Repair A patient with no past ocular history presented to the emergency department complaining of floaters and decreased vision in the right eye. The patient was diagnosed with a rhegmatogenous retinal detachment with multiple retinal breaks. The patien…

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…

Retinal Tear in a Fellow Eye A patient presented to Bascom Palmer Eye Institute for routine post operative follow-up after rhegmatogenous retinal detachment repair of the right eye one month prior. Best corrected visual acuity was 20/60 in the right eye and 20/20 in the left eye. Intraocular pressu…

Retinal Vasculitis in Birdshot Chorioretinopathy A 51-year-old female who presents to the uveitis clinic for evaluation of progressive vision loss of both eyes. Patient was referred after a complete infectious and non-infectious uveitis lab workup which was negative. Retinal vasculitis with abnorma…

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…

Retinoblastoma A 2-year-old female with an unremarkable past medical history presented with pain and swelling of the left eye. One examination she was able to fix and follow with both eyes but had a dull red reflex of the left eye as well as a retinal mass. An exam under anesthesia was performed wh…

Retinopathy of Prematurity An 19-year-old woman presented with decreased vision in the right eye and was found to have a retinal detachment. She had a history of retinopathy of prematurity as an infant and had been treated with laser photocoagulation. Treatment for retinopathy of prematurity in the…

Scleral and Subretinal Abscess with Endophthalmitis A patient presented with blurry vision and pain after scleral buckle removal. He had a remote history of retinal detachment with primary scleral buckling. He had persistent inflammation that did not improve with topical steroids or tap and inject …

Scleral-Invasive Ocular Surface Squamous Neoplasia An 83-year-old male with history of skin cancer and tobacco use was referred to BPEI for evaluation of a subconjunctival mass which was previously biopsied. On presentation, a large firm subconjunctival mass with prominent feeder vessels was seen. …

Sebaceous Carcinoma Presenting with Corneal Ulcer and Descemetocele An 87-year-old male was referred for second opinion due to nonhealing corneal ulcer of his right eye. He had a past medical history significant for basal cell carcinoma, arthritis, hypertension, hypothyroid, CABG, and carotid stent…

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…

Secondary Vitreoretinal Lymphoma A patient presented to the clinic with two years of intermittent blurry vision and vitreous hemorrhage of the left eye. Shortly before presentation, he had been diagnosed with diffuse large B-cell lymphoma based on biopsy of an enlarged axillary lymph node. The pati…

Severe Non-Proliferative Diabetic Retinopathy with Cystoid Macular Edema A 65-year-old male with diabetic retinopathy and CME presented to the BPEI retina clinic for continued management of his chronic ocular condition. His care was complicated by an inability to submit to ocular examinations in th…

Severe Ocular Chemical Injury A 41-year-old male international patient presented to BPEI 2 months after the initial injury with persistent redness and decreased vision. Clinical exam revealed scleral melt and ischemia and the patient was started on medical treatment and scheduled for urgent tenopla…

Silent Brain Syndrome A 34-year-old male presents for corneal evaluation with progressive decline in vision in both eyes associated with pain, redness and discharge. The patient’s past medical history is notable for a cerebellar cyst that was removed at age 21 and placement of a ventricular-atria…

Simple Corectopia An otherwise healthy patient without past ocular history presented with left eye irregular pupils since birth and no associated symptoms. The birth history was unremarkable. The examination under anesthesia was notable for visual acuity based on Teller Acuity Cards was approximate…

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 …

Slipped Medial Rectus Muscle A patient with history of childhood esotropia presented to our clinic. She reported experiencing binocular visual confusion/jumping images and eye pain in the right eye. The patient was previously treated with prism glasses. Her exam was notable for a comitant esotropia…

Smooth Muscle Hamartoma Our patient presented due to a one-year history of a slowly growing conjunctival lesion. A large, red, non-tender lesion of the right bulbar conjunctiva was identified on examination. It did not improve after several weeks of medical management with steroids. He had no previ…

Sorsby Macular Dystrophy We present the case of a 33-year-old male who presented with visual distortions in the left eye. Visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fundus examination revealed reticular pseudodrusen in both eyes, and a choroidal neovascular membrane in the …