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Penetrating Ocular Fishhook Injury A patient with a history of stroke, hypertension, and pseudophakia of both eyes, presented with eye trauma while fishing without protective eyewear. While reeling in, his fishhook flew out of the water and hit him in the right eye. On presentation, his right eye v…

Neovascular Glaucoma Secondary to Anterior Segment Ischemia After Vitreoretinal Surgery A middle-aged patient with a past ocular history of retinal detachment status-post repair with a combined pars plana vitrectomy and scleral buckle was managed by an outside ophthalmologist for elevated intraocul…

Dorzolamide Induced Choroidal Effusion A patient with POAG of both eyes presented with unilateral decreased vision and flashes to the left eye after starting dorzolamide two days prior. Visual acuity was 20/40 in the right eye and 20/20 in the left eye. Intraocular pressure was 09 OD and 08 OS. Ant…

Bartonella Neuroretinitis A patient presented with subacute painless decreased vision in the left eye. On examination, she had evidence of stellate macular exudates in the left eye, as well as optic disc edema in the right eye. Imaging including fluorescein angiography and OCT of the macula and ret…

Fundus photo demonstrating grade 1 optic nerve head edema in the right eye and grade 3 optic nerve head edema in the left eye. The left eye also demonstrates retinal folds, subretinal hemorrhage, and leakage on fluorescein angiography consistent with a choroidal neovascular membrane.

Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane A patient with no past ocular history presented to the emergency department complaining of floaters in the left eye for 4 days. Exam was notable for visual acuity of 20/20 in the right eye and 20/25 in the left eye. …

Retinopathy of Prematurity An 19-year-old woman presented with decreased vision in the right eye and was found to have a retinal detachment. She had a history of retinopathy of prematurity as an infant and had been treated with laser photocoagulation. Treatment for retinopathy of prematurity in the…

Bilateral Diffuse Uveal Melanocytic Proliferation A patient with a past medical history of bladder and lung cancer s/p primary excisional therapy, chemotherapy, and a short course of immunotherapy presented with a recent episode of blurry vision in both eyes. Patient’s exam was notable for visual…

Endogenous Endophthalmitis A middle-aged patient presented to the ophthalmology emergency department with 1-day of blurred vision in his left eye. He reported fevers the week prior. Examination of the left eye was remarkable for a subretinal abscess with hemorrhage, vasculitis, and a preretinal hyp…

This photo demonstrates a large amelanotic yellow/white lesion that appears elevated in the temporal macula with adjacent vasculitis and multifocal hemorrhage. CT scan showed a large hypoattenuating lesion within the right lobe of the liver concerning for a liver abscess. The cultures grew Klebsiel…

Leukemic Retinopathy A patient with no significant past medical history presented to BPEI ER complaining of blurry vision in the left eye for two weeks. On fundus exam, he had hemorrhages in multiple layers of the retina, venous dilation and tortuosity, and Roth spots. CBC was obtained which reveal…

Lipemia Retinalis A patient with past ocular history of nonproliferative diabetic retinopathy presented for routine examination to retina clinic. Patient had no vision concerns nor any systemic symptoms on review of systems. On examination, patient found to have cream colored large calibre vessels …

PFO liquid in the anterior chamber after retinal surgery. This caused some corneal edema and required removal.

Peripheral Exudative Hemorrhagic Chorioretinopathy An elderly patient presented to the emergency room with 2 days of progressive floaters and vision loss in the right eye. His visual acuity was 20/80 in the right eye and 20/25 in the left eye. His intraocular pressure was normal in both eyes. Fundu…

A patient with premacular hemorrhage secondary to Valsalva retinopathy

Retinal Displacement After Retinal Detachment Repair A patient with no past ocular history presented to the emergency department complaining of floaters and decreased vision in the right eye. The patient was diagnosed with a rhegmatogenous retinal detachment with multiple retinal breaks. The patien…

Uveal Effusion Syndrome A patient with an ocular history of a retinal detachment (RD) in the left eye (OS) status post repair by pars plana vitrectomy (PPV) complicated by suprachoroidal hemorrhage presented with bullous serous RD in the right eye (OD). His initial visual acuity (VA) was hand motio…