Bascom Palmer Learn

Post LASIK infectious keratitis and pressure-induced stromal keratopathy.

Age Related Macular Degeneration RPE tears occur in AMD as part of the normal disease progression. They are usually associated with vascularized pigment epithelial detachments at a rate of 10%. RPE tears are also associated with Central Serous Retinopathy, Retinal Angiomatous Proliferation, Polypoi…

Age-Related Macular Degeneration We present an elderly patient with new onset visual distortions in the right eye. Vision is 20/30 OD, 20/20 OS. She is diagnosed with exudative Age-related Macular Degeneration (AMD) in the right eye and non-exudative AMD in the left eye. Swept Source OCT Angiograph…

Central Serous Chorioretinopathy We present the case of a patient with decreased vision in the right eye. The patient immigrated to the United States in 2015, and discovered his decreased vision during an eye exam for a driver’s license. He was diagnosed with Wet AMD and had received 5-6 doses of…

Choroidal Change Post Internal Carotid Stenting The purpose is to report the changes in choroidal thickness (CT) and the choroidal vascularity index (CVI) measurements using widefield SS-OCT imaging in a patient undergoing treatments that should alter choroidal blood flow. Patient underwent 12x12mm…

Cystoid Macular Edema (CME) A patient presents with recent blurry vision OS. VA 20/200 OD and 20/25 OS. Exam significant for macular scar OD and macular edema OS. Imaging workup significant for OCT showing intra-retinal fluid and VMT OS, SS-OCTA OS showed CNV. Patient started on Aflibercept injecti…

Drug Associated Occlusive Retinal Vasculitis and Intraocular Inflammation A 78-year-old male with a known history of exudative age-related macular degeneration in both eyes had been treated with intravitreal aflibercept injections for many years unable to extend past 5 weeks. He was recently treate…

Exudative Age-Related Macular Degeneration A patient with neovascular age-related macular degeneration in both eyes has been receiving intravitreal aflibercept in her left eye every 4-5 weeks, for more than 10 years. Whenever the interval between the intravitreal injections was increased there was …

Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane A 68-year-old female with nonexudative AMD in both eyes, presents with new visual distortion in her left eye. Clinical exam shows markedly declined visual acuity, fundus examination shows small punctate extrafoveal hemo…

Idiopathic Central Serous Chorioretinopathy A 47-year-old male with previous diagnosis of exudative AMD s/p multiple Avastin injections presents with complaint of decreased vision OU. Exam was significant for VA 20/200 OD, 20/25 OS. DFE significant for macular mottling OU. OCT shows serous retinal …

Fundus photograph of the left eye demonstrating macular telangiectasia with surrounding exudates in the fovea and temporal macula.

Macular Neovascularization Secondary to Best Disease in a Pregnant Female A patient with a history of Best Disease mutation in BEST1 presented with a sudden onset of blurriness and distortion in her left eye (OS) for three weeks. The patient's family history reveals genetic and visual implications,…

Paracentral Acute Middle Maculopathy (PAMM) Associated with Antiphospholipid Antibody Syndrome and impending Central Retinal Vein Occlusion We report a case of paracentral acute middle maculopathy (PAMM) associated antiphospholipid antibody syndrome, and impending central retinal vein occlusion (CR…

Polypoidal Choroidal Vasculopathy (PCV) A patient diagnosed with neovascular AMD in the left eye was referred to retina clinic at Bascom Palmer Eye Institute because of poor answer to monthly Ranibizumab and Bevacizumab intra vitreal injections. VA was 20/200 in the left eye. OCT showed intra retin…

Sorsby Macular Dystrophy We present the case of a 33-year-old male who presented with visual distortions in the left eye. Visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fundus examination revealed reticular pseudodrusen in both eyes, and a choroidal neovascular membrane in the …

Submacular Hemorrhage An 82-year-old woman presents for follow-up for macular degeneration. Her vision in the right eye at the time of presentation is 20/60. After loss to follow-up due to Covid-19, the patient presents with decreased vision in the right eye secondary to a submacular hemorrhage. He…

Type 3 Macular Neovascularization/Retinal Angiomatous Proliferation A patient presented with decrease in vision in the left eye for 3 days. Her visual acuity was 20/40 in the right eye and 20/200 in the left eye. Examination revealed drusen in the right eye and large pigment epithelial detachment, …