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Diabetes Managed with Anterior Chamber Islet Cell Transplant A patient with past medical history of uncontrolled diabetes and open globe injury of the right eye presents with blurred vision in her left eye. She had LP vision in her right eye. Her examination demonstrated changes consistent with pri…

Intraocular Foreign Body A middle-aged patient sustained a penetrating open-globe injury from an alligator bone fragment while hunting. On presentation, visual acuity was hand motions with a large corneoscleral laceration and disorganized intraocular anatomy. Imaging revealed a hyperdense intraocul…

Pediatric Idiopathic Intracranial Hypertension (Pediatric IIH) A pediatric patient accompanied by their parent presented to BPEI ED complaining of an episode of complete loss of vision in the left eye that was initially blurry, then totally black, lasting from 20-30 seconds. The symptom was associa…

Orbital Myiasis A patient with PMHx of HTN and POHx of basal cell carcinoma involving the right lateral nasal wall s/p wide resection and orbital exenteration with subsequent reconstruction (complicated by a chronic open wound along the superior lateral nasal wall extending into the right frontal/e…

Ocular Toxoplasmosis A patient with history of amblyopia presented for two days vision loss and eye pain in the right eye. She denies prior trauma. She was born in Russia and denies exposure to cats. Vision was hand motion in the affected eye with normal intraocular pressure. Exam was notable for f…

Traumatic Hyphema with Sickle Cell Trait A child presented to the children’s hospital emergency room with blurred vision in the left eye, somnolence, and nausea after trauma of the left eye with a foam pellet toy gun. The intraocular pressure was 40mmHg on initial presentation and despite topical…

Morning Glory Disc Anomaly A child presented for evaluation of chronic poor vision of her right eye. Fundus exam showed an excavated nerve with peripapillary chorioretinal pigmentation, overlying central glial tuft, radial vessels, and inferior serous retinal detachment. Findings were consistent wi…

Complications of Titanium Mesh Floor Implant A patient with a disfiguring bony lesion of the orbit was eventually diagnosed with fibrous dysplasia. This needed eventual medial maxillectomy and removal of the orbital floor, requiring reconstruction. Titanium mesh orbital floor implant was utilized, …

Macular Telangiectasia Type 2 Macular Telangiectasia Type 2 (MacTel Type 2) is a rare, progressive retinal disorder characterized by neurodegeneration of Müller cells, leading to central vision loss and macular atrophy. We present a case of a patient with a 4-year history of gradual, bilateral vis…

Arsenic Toxicity A patient presented for slowly worsening vision over past two years. She was diagnosed with glaucoma at an outside hospital however vision continued to worsen throughout the years. She presented for second opinion. Due to her posterior exam, her diagnosis was difficult to ascertain…

Ocular Surface Neoplasia A patient presented to the clinic with progressive white corneal opacity, otherwise no past medical history. Ant seg OCT performed and lesion identified as ocular surface neoplasm. The patient was treated with cycles of topical 5FU with near total response. Advancements in …

Traumatic Optic Neuropathy A patient presented to a tertiary trauma center after a fall from standing. On arrival to the hospital, he was found to have extensive facial fractures and was describing loss of vision in the left eye. Detailed review of the CT scan revealed a bone fragment protruding in…

Candida Albicans Keratitis A young patient with a past ocular history of Stevens Johnson Syndrome and prior Candida and Providencia keratitis presented with multifocal white corneal infiltrates several months following a penetrating keratoplasty of the same eye. The patient’s exam was notable for…

Muckle-Wells Syndrome A patient with a past ocular history of retinal vasculitis with subretinal hemorrhage, vitreous hemorrhage, herpetic keratitis, and cataract surgery presented to the emergency room due to sudden onset blurred vision and retrobulbar pain of the left eye. The patient reported lo…

Radial Keratotomy Associated Corneal Ulcer A middle-aged patient with a history of radial keratotomy in both eyes presented with 3 days of pain, redness, and blurred vision in the right eye. Visual acuity was 20/80 and slit lamp exam was remarkable for a stromal infiltrate with overlying epithelial…

Corneal Edema and Secondary Angle Closure Glaucoma Due to Cosmetic Iris Implants Cosmetic iris implants have gained significant popularity in the media in the past 20 years. Despite their appeal to thousands of individuals across the globe, these implants have vision-threatening consequences. This …

Intraocular Helminth A middle-aged patient with past medical history significant for HIV (well-controlled on bictegravir, emtricitabine, and tenofovir) and history of Monkeypox infection presents to the emergency room complaining of foreign body sensation, redness, and itchiness in his right eye fo…

Whipple's Disease Associated Uveitis A middle-aged patient presented to the ophthalmology emergency room for bilateral blurry vision for 1 week after recent hospital admission for recurrent pleural effusions. After discharge, he presented to an outside eyecare specialist who referred him to the oph…

Retinitis Pigmentosa A patient presented with progressive loss of vision since eight years of age. His BCVA in the right eye was 20/300 and the left eye was 20/800. Anterior segment examination showed posterior subcapsular cataract in both eyes. Posterior segment examination showed bony spicule pig…

Cyclodialysis Cleft A patient with a history of sudden vision loss (hand motion) in the left eye following an intravitreal injection for chronic central serous retinopathy (CSR) presented with reduced vision five months later. At the time of presentation, the left eye's visual acuity had improved t…