Category Archives: Case of the Month

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 »


Unilateral Plaquenil Toxicity – March 2021

History A 66-year-old African American female with hypertension, coronary artery disease, rheumatologic illness, and hyperlipidemia presented to clinic referred by cornea specialist for evaluation of decreased vision of the left eye. She had a slow, progressive decrease in vision in the left eye over the prior year. It is now interfering with her reading vision… Read More »


CMV Retinitis – February 2021

History A 36-year-old African-American man presented to clinic with complaints of worsening blurry vision and progressive field loss in his left eye.  He also mentioned recently worsening flashes and floaters. He had no eye pain, no redness, no trauma, and no ocular history.  One month prior to presentation, he presented to his primary care physician… Read More »


Hypertensive Retinopathy – January 2021

History A 38-year-old male with hypertension and diabetes presented to clinic referred by an optometric colleague for evaluation of decreased vision and a hemorrhages of the left retina. He had noticed a sudden decrease in vision in the left eye more so than the right eye since last week. He was in the hospital the… Read More »


Incontinentia Pigmenti – December 2020

History A 50-year-old Caucasian female presented to clinic new onset floaters in her left eye after a recent car accident, although she did not suffer any facial or ocular trauma. She had no eye pain, no redness, no flashes, no curtain, and no veil. Her medical history was unremarkable and family history was significant for… Read More »


Branch Retinal Vein Occlusion – November 2020

History A 62-year-old female with hypertension and diabetes presented to clinic referred by an optometric colleague for evaluation of decreased vision and a hemorrhages of the left retina. She notes that with the left eye things seem blurry centrally and it doesn’t improve with blinking nor with artificial tears. She denies any flashes or floaters,… Read More »


Serpiginous Choroiditis – September 2020

History A 30-year-old South Asian male presented to clinic referred by an outside provider for evaluation of subretinal fluid and possible central serous chorioretinopathy of the left eye. Two months ago the patient had mild “pink eye” OS, no pain/photophobia, which resolved after two days. He recalls one prior episode as a child. He also… Read More »


Toxoplasmosis Chorioretinitis – August, 2020

History A 31-year-old Caucasian female presented to clinic with intermittent floaters and blurry vision in the right eye for six years. The eye sometimes hurts as well. She had never had any trauma nor eye surgery to this eye. Her medical history was significant only for kidney stones. She did have a family history of glaucoma.… Read More »


Retinal Cavernous Hemangioma – July 2020

History A 10-year-old Caucasian female presented to clinic with referral for abnormal exam findings after she was struck in the face with a tennis ball three weeks prior. She denied any visual complaints.  She had no eye pain, no redness, no floaters, no curtain, no veil, and no recent trauma.  Her medical history was unremarkable… Read More »