Category Archives: Case of the Month

Angioid Streaks – July, 2022

History: A 50-year-old woman was referred by an Optometrist for macular changes in both eyes. She had been followed for a retinal condition that her sister also has since her early 20s. The patient has noted distorted vision in her left eye for about 2-3 weeks. Her past medical history was significant for asthma. Other… Read More »

Toxoplasmosis Chorioretinitis – June, 2022

History: A 41-year-old Jamaican man presented to our clinic for evaluation of new floaters in the left eye. He described having such floaters intermittently in both eyes over a period of 5-10 years, sometimes associated with a dull ache. This time, the floaters were blurring his vision in the left eye, though the right eye… Read More »

Stargardt Disease – May, 2022

History: A 32-year-old woman was referred by an optometrist for macular changes in both eyes. She noted intermittent mild blurriness she attributed to dryness but was otherwise asymptomatic. Her past medical history was significant for migraines. She denied any family history of any ocular diseases. Review of systems was non-contributory. Exam: Her visual acuity was… Read More »

Multifocal Choroiditis and Panuveitis (MFCPU) – April, 2022

History A 54-year-old woman presented to our clinic for evaluation of possible age-related macular degeneration (AMD) with choroidal neovascular membrane of the left eye. The referring physician recommended injecting the left eye with anti-VEGF injections to treat wet AMD. The patient had noted intermittent blurry vision of the left eye for a few months, with… Read More »

Pentosan Maculopathy – March, 2022

History A 75-year-old woman was referred by her ophthalmologist for age-related macular degeneration (AMD) with new subretinal fluid in the left eye. She noticed metamorphopsia starting 5 days prior. Her past medical history was significant for interstitial cystitis for which she took Pentosan polysulfate sodium (Elmiron). Review of systems was non-contributory. Exam Her visual acuity… Read More »

Chorioretinal Colobomas – February, 2022

History A 41 year-old female patient presented from optometry for a central visual field defect in the left eye. The patient described a slow, progressive loss of vision in the left eye over many years. She had a retinal detachment of the right eye that was repaired many years ago with vitrectomy and scleral buckling.… Read More »

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 »