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Ghost Cell Glaucoma A patient with history of T2DM and HTN presented to an emergency department with 2 days of eye pain. The patient endorsed a history of CEIOL in both eyes several years prior and recent history of vitreous hemorrhage for which he had been receiving intravitreal injections. Upon p…

Fungal Keratitis A patient with a history of corneal ulcer presents for a second opinion due to slow clinical improvement on topical medications. Cultures were negative, but biopsy showed numerous fungal elements. The patient was continued on topical antifungal medication and showed clinical improv…

Full Thickness Macular Hole A middle-aged patient presented to the Bascom Palmer Institute with complaints of persistent floaters in left eye one month after a bicycle accident s/p laser retinopexy. A full-thickness macular hole was subsequently found on exam in the left eye. The patient subsequent…

Fuchs Endothelial Dystrophy A patient presents for cataract surgery evaluation with bilateral guttata and specular microscopy consistent with Fuchs endothelial dystrophy. Preoperative vision was 20/40 in the right eye with pachymetry of 595. Cataract surgery was uncomplicated, however postoperative…

FEVR (Familial Exudative Vitreoretinopathy) A patient was referred to our clinic for retinal evaluation. Vision was 20/20 in the right eye and 20/200 in the left eye. Exam showed unremarkable anterior segment exam. Posterior exam showed peripheral shallow retinal detachment in the right eye and ret…

Familial Exudative Vitreoretinopathy and Retinopathy of Prematurity An infant underwent ophthalmic examination. Born at 32 weeks, the infant weighed 680 grams and received high-flow nasal cannula for respiratory distress of the newborn. Dilated fundus examination of the right eye revealed periphera…

Familial Exudative Vitreoretinopathy A child with a history of full-term birth complicated by arrest of descent and resolved neonatal seizure with normal MRI and EEG was referred for evaluation of nystagmus. An examination under anesthesia was required, during which an electroretinogram demonstrate…

Familial Exudative Vitreoretinopathy A child presents to the retina clinic for exotropia. He has no relevant past birth, medical or family history, except that his maternal uncle was blind. His anterior segment exam is normal. Macular dragging with straightening of vessels is noted in the left eye.…

Exudative Retinal Detachment in a Patient with Phakomatosis Pigmentovascularis Secondary to Latanoprostene Bunod A young patient was brought in by her mother to evaluate elevated pressure in her right eye. Exam revealed a port wine birth mark over the V1/V2 distribution of the right eye and Nevus o…

Exudative Age-Related Macular Degeneration A patient with neovascular age-related macular degeneration in both eyes has been receiving intravitreal aflibercept in her left eye every 4-5 weeks, for more than 10 years. Whenever the interval between the intravitreal injections was increased there was …

Exposed Glaucoma Drainage Device A patient with a history of moderate primary open angle glaucoma, pseudophakia, and diabetic macular edema of the right eye presented for a regularly scheduled glaucoma follow-up examination. He had previously undergone a trabeculectomy and subsequent revision in th…

Ethambutol Induced Optic Neuropathy A patient with a past medical history of chronic Mycobacterium avium infection, on anti-mycobacterial medication for 5 months, presented with bilateral, painless, progressive visual loss for 1 month. Previous medical history significant for B cell lymphoma and ma…

Essential Iris Atrophy A patient presented to clinic as a referral due to uncontrolled elevated intraocular pressure in the right eye. The patient was on brimonidine, timolol/dorzolamide, and latanoprost in the right eye only. The patient denied a history of previous trauma or intraocular surgery. …

Esotropic Duane Retraction Syndrome, Right Eye An adult patient was referred to our service for strabismus evaluation due to crossing of the eyes. Patient complained of having difficulty looking towards the right side, which had occurred since childhood. The patient also reported moderate to severe…

Epithelial Downgrowth This case presents a 56-year-old female who presented with dramatic decrease of vision over a one-year duration. Patient has previously undergone both eyes corneal transplant, glaucoma drainage device. Patient developed right eye iris cyst, that started growing occupying the a…

Epithelial Downgrowth A patient with a history of bilateral corneal transplants, glaucoma drainage device, and iris cysts presented with gradually decreasing vision after surgical removal of the cyst and cataract surgery in that eye. The patient was diagnosed with epithelial downgrowth and underwen…

Epithelial Downgrowth A patient with ocular history of ruptured globe presented with a new pupillary membrane. Argon laser photocoagulation showed blanching of the iris epithelium concerning for epithelial downgrowth. A biopsy of this membrane was positive for epithelial downgrowth. It was observed…

Epithelial Downgrowth A patient with a history of keratoconus treated with penetrating keratoplasty, bilateral glaucoma, and cataracts underwent cataract extraction and intraocular lens implantation with iris cyst resection. Postoperatively, she developed persistent epithelial downgrowth leading to…

Enlarged Tube-Shunt Bleb After Glaucoma Tube Shunt Implantation A middle-aged patient with a past ocular history of a congenital cataract in the left eye, status-post cataract extraction without intraocular lens placement as child, subsequent iris-sutured intraocular lens placement in 2018, and mul…

Endophthalmitis in the Setting of a XEN Stent A patient presented with eye pain and worsening vision 1.5 months after cataract surgery. Exam revealed purulent discharge, severe anterior chamber inflammation, and a XEN stent with nearby erosion of conjunctiva and Tenon’s down to bare sclera. Cultu…