Category Archives: Case of the Month

Posterior Scleritis – January, 2022

History A 21-year-old woman presented to the emergency department with right eye pain, right temporal visual field “haziness” and headaches. She felt a pulling sensation on her eye with extraocular movements. She was otherwise healthy. On review of systems, she noted a single episode of hematuria.  Around the same time, she developed a facial rash… Read More »

Vogt-Koyanagi-Harada Disease (VKH) – December, 2021

History A 33-year-old Hispanic male presented to our retina and uveitis specialist after self-referring due to blurry vision that was not improving despite antibiotic therapy initiated by an outside doctor. The patient had symptoms of blurry vision in the left eye followed by the right eye starting 5 weeks prior. He was started on topical… Read More »

White Without Pressure – November, 2021

History A 24-year-old pregnant woman with type 2 diabetes presented upon referral from a primary care physician for diabetic eye exam. The patient had occasional fluctuation of her vision and rare floaters. Her past medical history was significant for insulin dependent type 2 diabetes mellitus. Her review of systems was otherwise unremarkable. Exam Her visual… Read More »

Usher Syndrome – October, 2021

History A 14-year-old boy presented to clinic after referral from his optometrist for peripheral retinal pigmentary changes in both eyes. He also had vague complaints of worsening vision at both distance and near in both eyes. He had no eye pain, redness, trauma, flashes, floaters, or field loss. Review of systems was negative aside from… Read More »

Toxoplasmosis Chorioretinitis – September, 2021

History A 58 year-old woman presented upon referral from a retina specialist for evaluation of posterior uveitis in the left eye. The patient had developed new floaters and blurry vision in the left eye a few months prior. She was treated by the referring doctor with prednisolone and Combigan eye drops as her intraocular pressure… Read More »

Proliferative Diabetic Retinopathy – August, 2021

History A 36-year-old male presented upon referral from an optometrist for evaluation of 5-year vision loss in the right eye. The patient had only recently established insurance and developed better control of his Type 1 Diabetes. The patient also had floaters of the left eye and some decrease in vision in the left eye. Other… Read More »

Irvine-Gass Cystoid Macular Edema – July, 2021

History A 60-year old male presented upon referral from a comprehensive ophthalmologist for concern for retinal swelling unknown significance with concern for macular swelling due to Presumed Ocular Histoplasmosis Syndrome (POHS). He had undergone submacular surgery for resection of a chroidal neovascular membrane 10 years prior followed by a series of intravitreal avastin injections with… Read More »

Astrocytic Hamartoma – May 2021

History A 16-year-old boy presented upon referral from an optometrist for concern for intraocular lesion of unknown significance with concern for retinoblastoma. He has not had any visual symptoms. He has a history of low myopia of both eyes. He recently started noticing some light colored patches on his skin. Other than that, his past… Read More »

Pentosan Polysulfate Maculopathy – April 2021

History A 67-year-old Caucasian woman presented to clinic with complaints of worsening vision at both distance and near. Her ophthalmic history included dry macular degeneration bilaterally and cataracts. She had no eye pain, no redness, no trauma, no flashes, no floaters, and no field loss.  Review of systems was negative. Medical history was significant for… Read More »