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A patient with a history of pseudophakia OS presented with 5 years of low vision and 9 days of pain OD and was found to have light perception only vision and an IOP of 44mmHg OD. She had a granular appearing hypopyon in the anterior chamber corneal edema and a mature cataract. Immunohistological an…

Acute Retinal Necrosis Secondary to HSV-2 Acute retinal necrosis is a rare entity clinically defined by one or more foci of retinal necrosis in the peripheral retina with circumferential spread and rapid progression in the absence of therapy. It typically includes an occlusive vasculopathy and prom…

Cataract Associated with Ciliary Body Melanoma A patient with recently diagnosed ciliary body melanoma was referred to the BPEI glaucoma service for cataract evaluation. Examination revealed CF vision, a dense white cataract, and ciliary body melanoma that had extended into the iris. The patient ha…

Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine A patient with history of pseudophakic bullous keratopathy (PBK) of the right eye (OD) was self-referred to cornea service for progressively decreasing vision. He subsequently underwent uncomplicated Descemet’s membrane endo…

Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment A patient with past medical history of chronic sciatica and recurrent skin abscesses presented to an outside hospital with positive blood, urine, and skin abscess cultures positive for methicillin sensitive st…

Uveitic Glaucoma A patient presented to the Bascom Palmer Eye Institute emergency room with complaints of decreased vision, pain, and photophobia in the right eye for 3 months. The patient has no past medical history. He has a past ocular history of prior pars plana vitrectomy and trabeculectomy in…

Vitreopapillary Traction Syndrome The patient presented to the emergency room (ER) with recent-onset photopsia and blurred vision in the left eye, ocular discomfort, and headache. Examination revealed 20/25 vision in the left eye, blurred disc margin, and inferior disc hemorrhage. MRI orbit was unr…

Metallic Foreign Body A patient with a history of well-controlled HIV and bipolar affective disorder presented to the clinic with a history of recurrent intermittent periorbital eyelid swelling and pain of 16 years duration. His symptoms began six months after receiving “black market facial fille…

Mycobacterium Abscessus Keratitis A patient was referred for management of a corneal ulcer in their right eye. Initial exam revealed VA OD CF with diffuse corneal epithelial defect, infiltrate, and endothelial plaque and anterior inflammation with a hypopyon. Corneal cultures were positive for Myco…

Mycobacterium Abscessus Keratitis A patient was referred for management of a corneal ulcer in their right eye. Initial exam revealed VA OD CF with diffuse corneal epithelial defect, infiltrate, and endothelial plaque and anterior inflammation with a hypopyon. Corneal cultures were positive for Myco…

Mycoplasma Pneumoniae-Induced Rash and Mucositis (MIRM) A patient presented to BPEI ED with dysuria x4 days and worsening red eye and irritation OU x2 days. Diagnosed with possible STI + conjunctivitis by outside Urgent Care 2 days prior. On our examination, he had decreased BCVA of 20/50 OD and 20…

Conjunctival SCC A patient presented to the emergency department with a right eye conjunctival mass. Examination showed a large mass, emanating from the conjunctiva. CT scan showed inferior orbital involvement. Surgical treatment via exenteration was carried out, using a lid sparing technique, prov…

Conjunctival SCC A patient presented to the emergency department with a right eye conjunctival mass. Examination showed a large mass, emanating from the conjunctiva. CT scan showed inferior orbital involvement. Surgical treatment via exenteration was carried out, using a lid sparing technique, prov…

Tattoo Granuloma with Uveitis A patient presented with painful decreased vision in the right eye for 3 weeks. He was found to be in pupillary block with 360* posterior synechiae and anterior chamber cell in both eyes. A laser peripheral iridotomy was performed with relief of pain and elevated press…

Tattoo Granuloma with Uveitis A patient presented with painful decreased vision in the right eye for 3 weeks. He was found to be in pupillary block with 360* posterior synechiae and anterior chamber cell in both eyes. A laser peripheral iridotomy was performed with relief of pain and elevated press…

Vitreous Amyloidosis A patient presented to clinic with four months of blurry vision in the right eye. Of note, patient had previous vitrectomy for vitreous floaters of the left eye and panretinal photocoagulation in both eyes for retinal neovascularization. Examination of the right eye revealed de…

Vitreous Amyloidosis A patient presented to clinic with four months of blurry vision in the right eye. Of note, patient had previous vitrectomy for vitreous floaters of the left eye and panretinal photocoagulation in both eyes for retinal neovascularization. Examination of the right eye revealed de…