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.

Irvine-Gass Cystoid Macular Edema – July, 2021

History A 60-year old male presented upon referral from a comprehensive ophthalmologist for concern for retinal swelling unknown significance with concern for macular swelling due to Presumed Ocular Histoplasmosis Syndrome (POHS). He had undergone submacular surgery for resection of a chroidal neovascular membrane 10 years prior followed by a series of intravitreal avastin injections with ...Read more

Central Retinal Artery Occlusion with Cilioretinal Artery Sparing – June, 2021

History A 67-year-old man presented to clinic with complaints of acute vision loss in the right eye. He had no eye pain, no redness, no trauma, no flashes, and no floaters. Review of systems was negative. His medical history was significant for diabetes, hypertension, hyperlipidemia, and coronary artery disease. He had a 20-pack year smoking ...Read more

Astrocytic Hamartoma – May 2021

History A 16-year-old boy presented upon referral from an optometrist for concern for intraocular lesion of unknown significance with concern for retinoblastoma. He has not had any visual symptoms. He has a history of low myopia of both eyes. He recently started noticing some light colored patches on his skin. Other than that, his past ...Read more

Pentosan Polysulfate Maculopathy – April 2021

History A 67-year-old Caucasian woman presented to clinic with complaints of worsening vision at both distance and near. Her ophthalmic history included dry macular degeneration bilaterally and cataracts. She had no eye pain, no redness, no trauma, no flashes, no floaters, and no field loss.  Review of systems was negative. Medical history was significant for ...Read more

Unilateral Plaquenil Toxicity – March 2021

History A 66-year-old African American female with hypertension, coronary artery disease, rheumatologic illness, and hyperlipidemia presented to clinic referred by cornea specialist for evaluation of decreased vision of the left eye. She had a slow, progressive decrease in vision in the left eye over the prior year. It is now interfering with her reading vision ...Read more

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