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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…

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…

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…

Macular Telangiectasia Type 1 - Torpedo Maculopathy This is a case of a middle-aged man presenting with a decrease in vision in his left eye for a period of 2 months. On fundus examination the patient presented with a pigmented macular asymptomatic lesion in the right eye and vascular telangiectasi…

Post-LASIK Infectious Keratitis A healthy patient with prior history of LASIK OU presents with acute-onset decreased vision and eye pain in the left eye. On presentation, patient’s exam was notable for visual acuity of 20/20 in the right eye and 20/60 in the left eye. Intraocular pressure was 11 …

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 …

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.…

Human T-lymphotropic Virus Type-1 Associated Adult T-Cell Lymphoma with Vitreoretinal Infiltration Our patient with a history of HTLV-1 related lymphoma who was in remission for several years presented with decreased vision in the right eye for about 1 week. Initial visual acuity was 20/50 in the r…

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…

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…

Ocular Surface Squamous Neoplasia A patient with an ocular history of OSSN presents with several months of monocular double vision in his right eye. He states that symptoms came on slowly and have progressively gotten worse. His exam was notable for a vision of 20/150 in the right eye that pin-hole…

Posterior Cortical Atrophy Variant of Alzheimer's Disease A patient presented for evaluation of optic nerve atrophy and gradually progressive, painless visual distortions for 3 years. She reported difficulty keeping track of characters while reading, judging the speed of other moving vehicles, calc…

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…

Uveitis-Glaucoma-Hyphema Syndrome A patient with past ocular history of congenital cataracts status post cataract extraction with posterior chamber intraocular lens insertion in both eyes was managed by an outside ophthalmologist for elevated intraocular pressure (IOP) in the right eye. The patient…

Presumed Rhino-Orbital Mucormycosis A patient with a past medical history of PCOS and type 2 diabetes mellitus presented to an outside hospital six weeks pregnant with right sided facial pain and periorbital swelling. Ophthalmology was consulted for sudden, progressive vision loss in the right eye.…

Primary Congenital Glaucoma An infant with a past ocular history of epiphora, increased corneal diameter, and elevated intraocular pressure was referred to the Bascom Palmer Eye Institute for diagnosis and management. Upon initial presentation, the patient's intraocular pressure measured 18/22, whi…

Systemic Lupus Erythematous Associated Anterior Scleritis and Uveitis A patient with a past medical history of ITP presented with recurrent episodes of red, painful eyes. Slit lamp exam was notable for sectoral injection without nodules that was tender to palpation and did not completely blanch wit…