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Infectious Sclerokeratitis A 79-year-old male presented to BPEI with 4 days of decreased vision and pain in the right eye. Visual acuity was hand motion and exam revealed a large multifocal corneal infiltrate with associated corneal and scleral thinning. B scan demonstrated large choroidal and reti…

Infectious Sclerokeratitis A 79-year-old male presented to BPEI with 4 days of decreased vision and pain in the right eye. Visual acuity was hand motion and exam revealed a large multifocal corneal infiltrate with associated corneal and scleral thinning. B scan demonstrated large choroidal and reti…

Oculocutaneous Albinism A 12-year-old female with a history of OCA was referred to the retina clinic for evaluation. She had no significant family history. Best corrected visual acuity was 20/80 in the right eye and 20/70 in the left eye. On exam she was noted to have nystagmus and a small angle in…

Oculocutaneous Albinism A 12-year-old female with a history of OCA was referred to the retina clinic for evaluation. She had no significant family history. Best corrected visual acuity was 20/80 in the right eye and 20/70 in the left eye. On exam she was noted to have nystagmus and a small angle in…

Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect A 51-year-old female was transferred from an outside facility 5 days after buttock augmentation surgery in the prone position. On examination, there was no light perception in the right eye and hand motion vision i…

Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect A 51-year-old female was transferred from an outside facility 5 days after buttock augmentation surgery in the prone position. On examination, there was no light perception in the right eye and hand motion vision i…

Peters Anomaly Type II A 2-day-old male was referred by a neonatologist for evaluation and management of corneal clouding and buphthalmos of the left eye. The patient was found to have unilateral elevated intraocular pressure, corneal clouding, enlarged corneal diameter, and a poor red reflex. B-sc…

Peters Anomaly Type II A 2-day-old male was referred by a neonatologist for evaluation and management of corneal clouding and buphthalmos of the left eye. The patient was found to have unilateral elevated intraocular pressure, corneal clouding, enlarged corneal diameter, and a poor red reflex. B-sc…

Proliferative Sickle Cell Retinopathy with Combined Tractional-Rhegmatogenous Retinal Detachment A 50-year-old female with previous history of sickle cell disease of unknown type presented with a vitreous hemorrhage in the left eye. Subsequent follow up revealed Stage 3 proliferative sickle cell re…

Proliferative Sickle Cell Retinopathy with Combined Tractional-Rhegmatogenous Retinal Detachment A 50-year-old female with previous history of sickle cell disease of unknown type presented with a vitreous hemorrhage in the left eye. Subsequent follow up revealed Stage 3 proliferative sickle cell re…

Fungal Endogenous Endophthalmitis A 32-year-old male presented with eye pain and decreased vision and was found to have vitritis in a “string-of-pearls” configuration. Clinical findings, epidemiology, diagnostic techniques and management of fungal endogenous endophthalmitis are described. Prese…

Fungal Endogenous Endophthalmitis A 32-year-old male presented with eye pain and decreased vision and was found to have vitritis in a “string-of-pearls” configuration. Clinical findings, epidemiology, diagnostic techniques and management of fungal endogenous endophthalmitis are described. Prese…

Pulled-in-Two Syndrome A 61-year-old female with longstanding left sixth nerve palsy secondary to meningioma that was resected. Her visual acuity OD was 20/20, OS 20/40. Her traction testing OS revealed severe restriction to abduction. She had visual confusion with superimposition of the images tha…

Pulled-in-Two Syndrome A 61-year-old female with longstanding left sixth nerve palsy secondary to meningioma that was resected. Her visual acuity OD was 20/20, OS 20/40. Her traction testing OS revealed severe restriction to abduction. She had visual confusion with superimposition of the images tha…

VKH A 52-year-old female that presents with blurry vision and eye pain for 2 days. VA OD E at 6' and OS 20/400. AC trace cell. Vit 1+ cell. DFE and OCT showed swollen optic disc and bilateral serous retinal detachments. Most likely diagnosis for bilateral panuveitis with serous retinal detachments …

VKH A 52-year-old female that presents with blurry vision and eye pain for 2 days. VA OD E at 6' and OS 20/400. AC trace cell. Vit 1+ cell. DFE and OCT showed swollen optic disc and bilateral serous retinal detachments. Most likely diagnosis for bilateral panuveitis with serous retinal detachments …

Basal Cell Carcinoma A 73-year-old female presented to clinic with a large ulcerated lesion involving the forehead, glabella, upper eyelids and extending towards the medial canthi bilaterally. The lesion had been present and growing for over 19 years, but the patient was reluctant to seek medical c…

Basal Cell Carcinoma A 73-year-old female presented to clinic with a large ulcerated lesion involving the forehead, glabella, upper eyelids and extending towards the medial canthi bilaterally. The lesion had been present and growing for over 19 years, but the patient was reluctant to seek medical c…

Macular Hole A 64-year-old male veteran presents to the clinic on Feb. 15, 2019, with report of having blurry vision in the left eye for 30 years, following left-sided head trauma. He has been told by multiple providers that there was nothing that could be done for his vision. He complains of a “…