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Iris cyst of right and left eye.

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…

Intraocular Foreign Body A patient with past ocular history of remote trauma, unilateral retinal detachment repair, and cataract extraction presented with inferior iris pigmentation and chronic corneal edema. He complains of decreased vision, redness, and foreign body sensation. His visual acuity w…

Multimodal imaging of a patient with ciliochoroidal melanoma with extraocular extension associated with sympathetic ophthalmia before and after treatment.

Ciliochoroidal Melanoma with Extraocular Extension Complicated by Sympathetic Ophthalmia A patient presented with a pigmented conjunctival lesion in the right eye of insidious onset and progressive course. She was found to have a ciliochoroidal melanoma with extraocular extension and underwent exci…

Conjunctival melanoma treated with I-125 brachytherapy.

Fundus photo of a patient showing a choroidal melanocytic lesion of the macula with subretinal fluid and orange pigment. The patient has a history of metastatic cutaneous melanoma.

Choroidal Metastases from Cutaneous Melanoma A patient with history of cutaneous melanoma presents with worsening vision of the right eye over a period of a few weeks. His exam was notable for visual acuity of 20/40 in the right eye and 20/25 in the left eye. Intraocular pressure was 18 in both eye…

Diffuse Iris Melanoma A patient presented for evaluation of multiple melanocytic lesions of the right iris that were noticed a few months prior. She was found to have a visual acuity of 20/25 in the right eye and 20/20 in the left eye, with intraocular pressures of 19mmHg in both eyes. Slit lamp ex…

Melanocytoma with Vitreous Seeding A patient with 7 years of blurry vision in the right eye presents to clinic for evaluation. He reports no recent acute changes in vision and no precipitating events in the past. He noticed the blurry vision incidentally while driving when he covered his left eye. …

Metastatic Cutaneous Melanoma to Choroid An elderly patient presented with vision loss in the right eye and self-referred to BPEI for a second opinion. A pigmented, elevated choroidal lesion concerning for malignancy was noted in the right eye with sub retinal fluid extending into the macula. The p…

Group E retinoblastoma

Uveal Effusion Syndrome A patient was referred to the ocular oncology service for evaluation of a suspicious choroidal mass and serous retinal detachment in the right eye. The Snellen visual acuity was 20/80 and intraocular pressures were normal in both eyes. Examination and imaging of the right ey…

Pseudoangiomatous Retinal Gliosis (PARG) A patient with known history of a chronic inferior rhegmatogenous retinal detachment (RD) of the left eye (OS) presented to the Bascom Palmer Eye Institute (BPEI) emergency department (ED) complaining of new floaters OS. On examination the patient had a visu…

A patient with double Torpedo Maculopathy lesions in the left eye. Two lesions are noted inferior to the macula with associated RPE changes and overlying fluid. Funds autofluorescence images show areas of hypofluorescence and hyperfluorescence correlating with the RPE changes on fundus photos.

Uveal Effusion Syndrome A patient was referred by an outside provider with a history of decreased vision in the right eye for one year. Their ocular history included glaucoma in both eyes and Fuch’s corneal dystrophy. The visual acuity was 20/200 OD and 20/30 OS. The IOP was 18 OD and 24 OS. The …