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.

Suprachoroidal Hemorrhage – June, 2020

History A 52 year old male presents one day after IOL refixation and Ahmed tube placement with extreme pain. He states the pain started 2 hours post-op, and is not relieved by over the counter pain medication. He reports a sharp pain that radiates across the whole left side of his head. He has a ...Read more

Pigmented Paravenous Retinochoroidal Atrophy – May 2020

History A 48-year-old Caucasian female presented to clinic with referral for abnormal exam findings. She denied any visual complaints other than an occasional feeling she had some trouble adjusting to a dark room when coming from outside.  She had no eye pain, no redness, no floaters, no curtain, no veil, and no recent trauma.  Her ...Read more

Neurosyphilis – April, 2020

History A 43 year old male with a history of HIV presented to the Emergency Department with complaints of headaches, blurred vision and ringing in his ears. An ophthalmology consult was placed and the patient was seen in the emergency room. He reports seeing a blind spot in the temporal portion of his vision in ...Read more

Proliferative Diabetic Retinopathy – March 2020

History A 44-year-old African-American male (who had not seen an eye provider in years) presented to Illinois Retina for a diabetic evaluation.  He complained of blurry vision for many years, but denied floaters, eye pain, redness, or any acute visual changes.  His medical history was significant for type 1 diabetes mellitus, hypercholesterolemia, and hypertension.  Review ...Read more

High Altitude Retinopathy – February 2020

History A 32 year old female presents with sudden vision loss in the left eye. She notes it as a grey thumb print in her left eye and noticed it while she was washing dishes. She denies any physical exertion surrounding the vision loss, but she notes that the day before she was skiing difficult ...Read more

Maternally Inherited Diabetes and Deafness – January 2020

History A 62-year-old Hispanic female presented to clinic with a complaint of blurred vision for two months. She also noted intermittent flashes in both eyes, but no floaters.  She had no eye pain, no redness, no floaters, no curtain, no veil, and no recent trauma.  Her medical history was significant for type 2 diabetes mellitus, ...Read more

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