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.

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

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