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.

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 problems PMH: No prior medical problems PSH: No significant past surgical history FHx: 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 problems PMH: No prior medical problems PSH: ...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

Focal Choroidal Excavation – December 2018

History A 52 year-old man was referred to Illinois Retina for suspected central serous chorioretinopathy. He has had increasing central visual distortion in his left eye for one month. Denies other symptoms, including flashes, floaters, or peripheral vision changes. Denies steroid medication use. Exam Best-corrected visual acuity is 20/20 in the right eye and 20/30 ...Read more

Astrocytic Hamartoma – November 2018

History: The patient is a 10 year old boy who was referred for a stable mass in the posterior pole. The patient was first seen by the referring provider 3 years ago as a routine school evaluation and the lesion has not changed since then. He has no other medical history. He denies any vision ...Read more

West Nile – October 2018

History A 54-year-old woman with past medical history of stage III uterine carcinosarcoma, currently receiving treatment with Keytruda, who presents with new numerous floaters in both eyes for several days as well as flashing lights in the periphery of her right eye. Symptoms began two to three weeks prior, but worsened since. Of note, she ...Read more

MEWDS – September 2018

History A 34 year old man presents with blurry vision in a new “blind spot” in his left eye vision that has been present for ten days. He noticed it has slowly gotten worse. He denies flashes or floaters. His review of systems is otherwise negative except for a recent viral illness four weeks ago ...Read more

UAIM – August 2018

History 30-year-old female presenting with blurry vision in her left eye, described as a blind spot in her central vision, which has been present for about a week and has not changed since onset. She was suspected by another specialist of having myopic degeneration with a resultant choroidal neovascular membrane and subsequently underwent an intravitreal ...Read more