Category Archives: Case of the Month

Toxoplasmosis – September 2019

History A 50-year-old man presented urgently with blurred central vision in his right eye.  It had started 5 days prior and progressively worsened to the point that he felt he could barely see anything in front of his face.  The patient denied pain, redness, irritation, flashes or floaters and had no recent illness, no headaches,… Read More »


Acute Macular Neuroretinitis – August 2019

History A 42 year old female presents with one week of blurred vision in the left eye. She states that a week ago she had a “spider bite” and subsequently developed flu-like symptoms. As a result, the patient was started on doxycycline but noticed the vision change the day after the symptoms started. She has… Read More »


Tuberculosis – July 2019

History A 71 year old man presented to the Illinois Retina for baseline eye exam upon starting Ethambutol. He has no vision complaints and has no history of eye problems or eye surgery. Exam: On exam, he is 20/25 in both eyes.  His pressure is 9 and 13. His anterior segment exam displayed 1.5+ nuclear… Read More »


Multifocal Central Serous Chorioretinopathy – June 2019

History A 38-year-old man presents with complaints of blurry vision, mostly at near, in the left eye for several weeks. No known ocular problems, but did have a similar episode several years ago which resolved without intervention. POH: No past ocular problems PMH: No prior medical problems PSH: No significant past surgical history FHx: Non-contributory… Read More »


Branch Retinal Artery Occlusion – May 2019

History A 60 year old female presents with new onset “pink blob in my vision” which has been present for several weeks. She denies other episodes of vision loss. She also denies hearing loss, tinnitis headaches, weight loss, jaw claudication, fevers/chills, scalp tenderness, or muscle pain/weakness. On examination, her vision was 20/20 and IOP was… Read More »


Acute Retinal Necrosis – April 2019

History A 32 year old man with a history of HSV keratitis presents with injection and sensitivity to light. He was started on topical antibiotic drops by his primary care provider, but symptoms did not improve. He was then seen by his optometrist who started oral acyclovir and durezol and promptly sent him for evaluation.… Read More »


Optic Nerve Pit – February 2019

History A 45-year-old woman with no significant past medical history presenting with complaint of a shadow in the temporal visual field of the left eye that has been present for one week. Denies flashing, floaters, or curtains. She does not have any eye pain. POH: No past ocular problems PMH: No prior medical problems PSH:… Read More »


VKH – January 2019

History A 39 year old African American woman presented to the clinic with eye pain and blurred vision. She had a history of angle recession glaucoma in the left eye and unfortunately developed bleb associated endophthalmitis following trabeculectomy, leaving that eye with LP vision. Her right eye had previously done well with no signs of… Read More »


Focal Choroidal Excavation – December 2018

History A 52 year-old man was referred to Illinois Retina for suspected central serous chorioretinopathy. He has had increasing central visual distortion in his left eye for one month. Denies other symptoms, including flashes, floaters, or peripheral vision changes. Denies steroid medication use. Exam Best-corrected visual acuity is 20/20 in the right eye and 20/30… Read More »


Astrocytic Hamartoma – November 2018

History: The patient is a 10 year old boy who was referred for a stable mass in the posterior pole. The patient was first seen by the referring provider 3 years ago as a routine school evaluation and the lesion has not changed since then. He has no other medical history. He denies any vision… Read More »