Case of the Month

The Case of the Month shares a spectrum of challenging and unique retinal cases seen by physicians at Illinois Retina Associates. The cases range from diagnostic dilemmas to rare conditions to cases highlighting advances in retinal imaging. They provide a platform for education for retinal specialists and primary eye care providers alike. We welcome your feedback.

Combined Hamartoma of Retina – November 2019

History A 23-year-old man presented with blurred vision in his right eye for the last 2-3 months.  At his last outside visit 7 months prior, he said his vision was normal and there were no findings on exam.  He denied flashes, floaters, redness, eye pain, and diplopia and had no prior ocular history, no issues ...Read more

Choroidal Melanoma – October 2019

History A 64 year old woman presents to clinic with a 2 month history of shadow in her vision. She states that over the last 6 months, she has noticed her vision worsening.  However two months ago she noticed a shadow in her vision and found that her central vision was diminished. She also reports ...Read more

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 problemsPMH: No prior medical problemsPSH: No significant past surgical historyFHx: 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 problemsPMH: No prior medical problemsPSH: ...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