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Chronic CRVO with Diffuse Exudates A patient presents with vision loss in both eyes that progressively worsens over the course of 11 months to bilateral diffuse exudates with a unilateral exudative retinal detachment. Medical history was most significant for recurrent chronic pancreatitis, hypercho…

Retinal Detachment Associated with Retinal Dialysis A soccer player presented to the Bascom Palmer Emergency Department after failing a driver’s test. Past medical history was unremarkable. Exam was notable for visual acuity of 20/20 in the right eye and 20/300 in the left eye. Intraocular pressu…

Best Vitelliform Macular Dystrophy A patient presented to the clinic after years of progressive blurry vision. The patient reported that at the age of 5 while he lived abroad, that he had a retinal scar, but he was asymptomatic at that time. The patient tried wearing glasses over the years, but the…

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. …

Iris Pigment Epithelial Cysts A patient with a history of amblyopia and coloboma presented with decreased vision in both eyes over the past 2 years. Slit lamp exam was notable for pigmented lesions prolapsing through pupil and adhering to posterior cornea in both eyes. The patient sought surgical i…

Acute Myeloid Leukemia A previously healthy child presented with bilateral periorbital edema, right greater than left proptosis, with generalized facial swelling and copious nasal discharge, not improved on antibiotics. Imaging revealed multiple extraconal soft tissue masses in the orbits bilateral…

MacTel Type 1 A patient presented with chronic cystoid macular edema (CME) in the left eye. His BCVA OS was 20/60. Despite prior long-term interventions with intravitreal steroids and anti-VEGF agents (ranibizumab and aflibercept), the macular edema persisted, prompting the exploration of alternati…

Nontuberculous Mycobacterial Keratitis A patient with past ocular history of uncomplicated pterygium surgery develops mycobacterial keratitis which progresses to a descemetocele. After worsening on topical antibiotics to the point of nearly perforating, the patient undergoes rose-Bengal photodynami…

Glaucoma Drainage Device Related Endophthalmitis A patient with extensive past ocular history and multiple ocular surgeries, most recently a few months prior to presentation came to the emergency department with one day of pain and vision loss. On examination, patient was found to have a hypopyon, …

Juvenile Xanthogranuloma A baby was referred for a new-onset subconjunctival lesion in the right eye. He was found to have a thickened, yellow corneoscleral lesion and hyphema, presumed to be ocular juvenile xanthogranuloma (JXG). He was started on topical steroids as empiric treatment, with initia…

Orbital Necrotizing Fasciitis A patient found down by EMS with left orbital swelling for 2 days after he was unable to take his medications due to a recent illness. He was admitted to a hospital and treated for diabetic ketoacidosis, Group A Streptococcus sepsis and left orbital infection before pr…

Zonular Insufficiency in Case of Acute Angle Closure Crisis A patient presented to the BPEI Emergency Room with painful red eye and blurred vision. Prior history included possible eye trauma in the contralateral eye with inferior lens subluxation and normal lens anatomy without phacodonesis in the …

Cyclodialysis Cleft After Atent Implantation Patient with history of primary open angle glaucoma presented with persistent hyphema and hypotony after combined cataract surgery and implantation of a stent. Vision on presentation was hand motion with an intraocular pressure of 6. Exam was notable for…

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…

Myopic Traction Maculopathy This is a case of an elderly woman with pathologic myopia referred for asymptomatic worsening macular schisis in the right eye on optical coherence tomography (OCT). Fundus examination showed pathologic myopia and a posterior pole staphyloma. She was diagnosed with myopi…

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…

Choroidal Granuloma from Presumed Ocular Tuberculosis An adult patient presented to the Bascom Palmer emergency room with 1 year of vision loss in the right eye and 3 months of vision loss in the left eye. She lived outside the United States in a country where tuberculosis was non-endemic, however …

Paracentral Acute Middle Maculopathy (PAMM) Associated with Antiphospholipid Antibody Syndrome and impending Central Retinal Vein Occlusion We report a case of paracentral acute middle maculopathy (PAMM) associated antiphospholipid antibody syndrome, and impending central retinal vein occlusion (CR…

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…

Squamous Cell Carcinoma of the Lacrimal Sac A patient presented to the emergency department for a history of tearing on the right eye and medial canthal mass. He had a history of chronic sinus pain for months, initial examination was notable for increased tear lake on the right eye, along with an i…