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.

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

Putscher’s retinopathy – July 2018

History: A 40-year-old Caucasian man with a complaint of floaters in the left eye that started two weeks prior to presentation, at which time he had a seizure secondary to alcohol withdrawal while being evaluated in the emergency department for severe epigastric pain. Following stabilization, he was subsequently found to have profoundly elevated serum lipase ...Read more

Retinal Hemangiomas – June 2018

History: Patient was referred to Illinois Retina Associates for 3 years of poor vision in his right eye. He was a healthy 14-year old boy with no prior medical history. He had no history of trauma or eye surgery. Exam: Vision was hand motion in the right eye and 20/20 in the left without correction. ...Read more

West African Crystalline Dystrophy – May 2018

A 63-year-old African man presenting with complaints of intermittent flashing of the left eye which resolved spontaneously two months ago, as well as chronic blurry vision in the context of non-proliferative diabetic retinopathy. POH/PMH: Type II diabetes mellitus with known non-proliferative diabetic retinopathy, for which he takes Metformin, and hypertension which is controlled on amlodipine. ...Read more

Astrocytic Hamartoma – April 2018

13-year-old boy was referred to Illinois Retina Associates for suspicion for a choroidal nevus. He had no complaints. Past Medical History He had a history of hypertension due to underlying polycystic kidney disease. Medications He was on medications for hypertension Ocular Examination Vision was 20/25 both eyes Pressures were 10 and 12 Pupils were equal ...Read more

Pseudoxanthoma Elasticum – March 2018

23-year-old Caucasian female presented to Illinois Retina Associates reporting a large blind spot with resulting poor vision in her right eye since 2016. She had been previously treated with a series of intravitreal injections in the affected eye at a California retina practice. Her left eye is unaffected. Past Medical History Otherwise healthy, non-contributory Ocular ...Read more

Submacular Bleed – February 2018

A 71-year-old woman was referred to Illinois Retina Associates after noticing a black film over her vision in her left eye for 4 days. There was no pain and over that time the vision has not been getting better or worse. There was no inciting incident. Past Medical History Insulin dependent diabetes, hypertension, congestive heart ...Read more