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UGH Syndrome A patient referred to the Bascom Palmer Eye Institute with chronic uveitis after uncomplicated cataract surgery with multifocal lens implantation. She was found to have iris chaffing on UBM and a fixed, dilated pupil. She underwent intraocular lens exchange with implantation of a scler…

UGH Syndrome A patient presented to the glaucoma service with episodes of transient, monocular vision loss, associated with eye color change from blue to brown. Episodes at gradual onset and resolution, lasting hours in duration. Extensive lab and imaging work-up were unrevealing. Examination revea…

Type C Carotid Cavernous Fistula A patient presented with acute, painless, intermittent double vision. The patient had a past medical history of hypertension, hyperlipidemia, and myocardial infarction. The presenting visual acuity was 20/25 in both eyes with normal pupillary responses and intraocul…

Type 3 Macular Neovascularization/Retinal Angiomatous Proliferation A patient presented with decrease in vision in the left eye for 3 days. Her visual acuity was 20/40 in the right eye and 20/200 in the left eye. Examination revealed drusen in the right eye and large pigment epithelial detachment, …

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…

Traumatic Transection of a Lateral Rectus Muscle by a Zygomatic Implant Zygomatic implants can be used to support dental prostheses in patients with inadequate maxillary bone volume. While maxillary sinusitis is the most common reported complication of ZI placement, rarely, intraorbital penetration…

Traumatic Optic Neuropathy A patient presented with no light perception four days following being hit in the eye with a curling iron. Besides decreased vision, an afferent pupillary defect, and periorbital edema/ecchymosis, clinical exam including of the optic nerve was otherwise unremarkable. Init…

Traumatic Iris Tear A patient presented to the ER with traumatic cataract, blown pupil, and hyphema. During follow up, noted to have a cyclodialysis cleft with subsequent closure and elevation in intra-ocular pressure. The patient failed medical management of the elevated pressure. The patient requ…

Traumatic Aniridia A patient with past ocular history of penetrating screwdriver trauma to the left globe presents with debilitating glare symptoms and poor vision. The patient has a previous surgical history of primary corneal laceration repair and lensectomy with subsequent reconstruction with sc…

Transient Visual Phenomena Associated with High G-Force Maneuvers A 30-year-old male fighter pilot presented with intermittent peripheral vision loss experienced during flight. Initial examination disclosed 20/20 vision in the right and left eye with normal motility, intraocular pressure, and no af…

Toxoplasmosis Necrotizing Retinitis Mimicking Acute Retinal Necrosis A 38-year-old male was referred to Bascom Palmer retina department with a 7-month history of decreased vision in the right eye. Examination revealed hand motions vision, anterior and posterior segment inflammation, and a near tota…

Toxoplasmosis Chorioretinitis A patient with no known past medical or ocular history presents with 1 week of redness and sudden, painless vision loss in the right eye. In the right eye, exam was notable for visual acuity CF, a relative afferent pupillary defect, 3+ anterior chamber cell, 3+ vitreou…

Toxoplasma Chorioretinitis of Left Eye An elderly patient presented with painless decreased vision in the left eye for 1 week while on chemotherapy for stage 3 non-metastatic breast cancer. A review of systems showed a recent foot infection and fungal dermatitis. Prior to presentation, the patient …

Toxic Anterior Segment Syndrome A 73-year-old male with history of myopia presents with 1 day of blurry vision in the right eye after uncomplicated cataract extraction and intraocular lens implant. Patient reports mild irritation without associated pain. Vision at presentation was count fingers wit…

Total Hyphema A 79-year-old female with no history of trauma presents to the Bascom Palmer Emergency room with one day of sudden decreased vision and pain in the right eye. One day prior, the patient underwent argon laser trabeculoplasty in the right eye for treatment of mild primary open angle gla…

Tolosa Hunt Syndrome Tolosa Hunt Syndrome is an idiopathic inflammatory process of the cavernous sinus of unknown etiology. There are no known risk factors, but an inciting event, such as a viral illness, vaccination, trauma, or tumors, are known to be preceding events that result in nonspecific in…

Thyroid Eye Disease A 57-year-old woman with PMH of hyperthyroidism presents with eye pain, swelling, and blurry vision worsening for 3 weeks. Exam revealed severe proptosis, exposure keratopathy, orbital congestion, and markedly reduced visual acuity. CT and laboratory were workup consistent with …

Thyroid Associated Ophthalmopathy with Compressive Optic Neuropathy A patient presented for a second opinion after experiencing pain, proptosis, vision loss, and injection of his left eye for 2 years, with intermittent improvement on systemic steroids. Prior to presentation at our institution, the …

Thioridazine Macular Toxicity A 69-year-old male with decreased vision OU referred to BPEI for a 2nd opinion. Originally diagnosed with dry age-related macular degeneration. Fundal examination revealed extensive chorioretinal atrophy in the macula and the medioretina. After thorough work up, it was…

Terson's Syndrome A patient with no known past ocular history was referred for evaluation of bilateral retinal detachments. Prior to his presentation, the patient was admitted to an outside hospital and was diagnosed with a sub-arachnoid hemorrhage originating from the right anterior communicating …