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.

CMV Retinitis – February 2021

History A 36-year-old African-American man presented to clinic with complaints of worsening blurry vision and progressive field loss in his left eye.  He also mentioned recently worsening flashes and floaters. He had no eye pain, no redness, no trauma, and no ocular history.  One month prior to presentation, he presented to his primary care physician ...Read more

Hypertensive Retinopathy – January 2021

History A 38-year-old male with hypertension and diabetes presented to clinic referred by an optometric colleague for evaluation of decreased vision and a hemorrhages of the left retina. He had noticed a sudden decrease in vision in the left eye more so than the right eye since last week. He was in the hospital the ...Read more

Incontinentia Pigmenti – December 2020

History A 50-year-old Caucasian female presented to clinic new onset floaters in her left eye after a recent car accident, although she did not suffer any facial or ocular trauma. She had no eye pain, no redness, no flashes, no curtain, and no veil. Her medical history was unremarkable and family history was significant for ...Read more

Branch Retinal Vein Occlusion – November 2020

History A 62-year-old female with hypertension and diabetes presented to clinic referred by an optometric colleague for evaluation of decreased vision and a hemorrhages of the left retina. She notes that with the left eye things seem blurry centrally and it doesn’t improve with blinking nor with artificial tears. She denies any flashes or floaters, ...Read more

Serpiginous Choroiditis – September 2020

History A 30-year-old South Asian male presented to clinic referred by an outside provider for evaluation of subretinal fluid and possible central serous chorioretinopathy of the left eye. Two months ago the patient had mild "pink eye" OS, no pain/photophobia, which resolved after two days. He recalls one prior episode as a child. He also ...Read more

Toxoplasmosis Chorioretinitis – August, 2020

History A 31-year-old Caucasian female presented to clinic with intermittent floaters and blurry vision in the right eye for six years. The eye sometimes hurts as well. She had never had any trauma nor eye surgery to this eye. Her medical history was significant only for kidney stones. She did have a family history of glaucoma. ...Read more

Retinal Cavernous Hemangioma – July 2020

History A 10-year-old Caucasian female presented to clinic with referral for abnormal exam findings after she was struck in the face with a tennis ball three weeks prior. She denied any visual complaints.  She had no eye pain, no redness, no floaters, no curtain, no veil, and no recent trauma.  Her medical history was unremarkable ...Read more

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