Category Archives: Case of the Month

Acute Macular Neuroretinopathy – May, 2023

History: A 30-year-old female was referred for central scotoma in the right eye for the past week. Her past medical history is remarkable for a kidney transplant as well as renal dialysis. Her medications included nifedipine, losartan, prednisone, and mycophenolate. Her review of systems was remarkable for COVID infection 2 weeks prior. Exam: Her visual… Read More »

Solar Retinopathy – April, 2023

History: A 20-year-old male presented with dark spots in both eyes. He endorsed staring at the sun for an extended period of time about 1 week prior to presentation. He denied any past medical or ocular history. He did not take any daily medications. Exam: His visual acuity was 20/30 in both eyes. His pupils… Read More »

Proliferative Hypertensive Retinopathy – March, 2023

History: A 55-year-old man was referred for floaters in the right eye for the past month. His past medical history was remarkable for hypertension and kidney disease. His medications included amlodipine, labetalol, and hydralazine. He was a former smoker and quit one year prior with a 30-year pack history. His review of systems was otherwise… Read More »

Geographic Atrophy – February, 2023

History: An 86-year-old female presented for age-related macular degeneration (AMD) evaluation and treatment. The patient had been receiving intravitreal Eylea injections in the left eye for over 2 years. She was continued on Eylea in the left eye for neovascular AMD. The right eye monitored for intermediate dry AMD. Over the following 3 years, she… Read More »

Isolated Choroidal Melanocytosis – January, 2023

History: A 65-year-old woman was referred for a blurred vision in both eyes over several months. Her past medical history was unremarkable and the patient took no medications. Her review of systems was otherwise unremarkable. Exam: Her visual acuity was 20/100 in both eyes. With pinhole testing the patient’s vision improved to 20/60 in each… Read More »

Acute Idiopathic Maculopathy – December, 2022

History: A 33-year-old female with no significant past medical history presented with 1-2 weeks of a blind spot and ring of light in her right eye. She endorses a recent viral illness (not COVID) around the onset of symptoms. Her 4-month-old child also had a similar illness during this time. She was otherwise healthy and… Read More »

Retinal Artery Macroaneurysyms – November, 2022

History: A 77-year-old woman was referred for a paracentral scotoma in her left eye starting 3 days prior. The patient’s vision had been stable since then. Her past medical history was significant for a remote history of breast cancer treated with lumpectomy. Her review of systems was otherwise unremarkable. Exam: Her visual acuity was 20/25… Read More »

Best Vitelliform Macular Dystrophy – October, 2022

History: A 32-year-old female presented with complaints of decreased vision in both eyes for 6 months. She endorsed some pressure sensation in both eyes but denies flashing lights, floaters, curtains over vision. She had a past medical history for depression, controlled on Lexapro. Her review of symptoms is noncontributory. Exam: Her visual acuity was 20/20… Read More »

Cystoid Macular Edema (CME) – September, 2022

History: A 78-year-old woman who was an established patient returned for her annual eye exam. Her past ocular history was significant for mild non-proliferative diabetic retinopathy, dry age-related macular degeneration (AMD), and uncomplicated cataract surgery 3 years ago. The patient noted worsening blurry vision for the past several weeks. Her past medical history was significant… Read More »

Foveal Cavitation – August, 2022

History: A 65-year-old female presents as a new patient referral for decreased vision. She has complaints of difficulty seeing at a distance for some time and feels like she needs stronger glasses. She has a history of radial keratotomy in both eyes about 20 years prior. She has no significant past medical history and takes… Read More »