Spotlight


Cataract Surgery for Greenhorns

Video Atlas of Gonioscopy


Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year old female with bilateral tearing worsening over the preceding year.  She describes tears that run down the front of her face and denies any ocular irritation. 

Oculopharyngeal muscular dystrophy: 58-year-old female with gradual worsening of bilateral blepharoptosis. She also has mild dysphagia and proximal muscle weakness.

Morgagnian Cataract: 59-year-old female with decreased vision at distance and near, more so in the right eye than the left and iincreasing difficulty with glare from bright lights at night, seeing road signs, watching television, and reading the newspaper.

White-eyed blowout fracture: 17 year-old male with diplopia, pain with eye movement, nausea and vomiting after blunt trauma to the left eye


Ophthalmology Cases Indexed by Condition

Cataract

Cataracts

Communication Issues Following a Post Operative Surprise: Blurry Vision Following Cataract Surgery

Endophthalmitis: 82 year-old male status post phacoemulsification in the left eye with acute decrease in vision

Intralenticular Foreign Body: 23 year-old male with staple in the eye

Intraocular Foreign Body:  A Classic Case of Metal on Metal Eye Injury

Intraocular Lens "Time Out": A Systems Based Case

Marfan Syndrome: 28-year-old woman with Marfan syndrome and decreased vision/glare in both eyes

Morgagnian Cataract: 59-year-old female with decreased vision at distance and near, more so in the right eye than the left and iincreasing difficulty with glare from bright lights at night, seeing road signs, watching television, and reading the newspaper.

Phacoemulsification: Considerations for Astigmatism Management, a tutorial and case

Posterior Polar Cataract. 38 year old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night.

Toxic Anterior Segment Syndrome (TASS): A System's Based View of a Day in the Life of a Canula

Traumatic Cataract: 11 year-old boy with glass injury to the right eye


Cornea & Anterior Segment

Cornea & Anterior Segment

Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain

Allergic Contact Dermatoblepharitis: 55 year-old woman with a past medical history significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision

Bilateral Corneal Edema Associated with Amantadine Use.
42 year-old female with 2-month history of blurry vision, photophobia, and mild, aching pain in both eyes. History of Huntington disease-related movement disorder

Boston Keratoprosthesis: An option for patients with multiple failed corneal grafts

Cogan's Syndrome: 42 year-old Female with Interstitial Keratitis and Vertigo

Corneal Endothelial Transplantation: Descemet's Stripping Endothelial Keratoplasty (DSEK)

Corneal Stromal Dystrophies: A Clinicopathologic Review

Cystinosis: 4 y.o. girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency.

Deep Lamellar Endothelial Keratoplasty (DLEK) for Fuchs: 72 y.o. woman with Fuchs.

The Evolution of Surgical Approaches to AlphaCor Keratoprosthesis Insertion and Associated Complications

Fuchs Endothelial Dystrophy: 35 y.o. woman with blurry vision OU lasting hours in the morning.

Fungal Keratitis - Fusarium: 41 year-old female contact lens wearer with persisting keratitis

Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. 44-year-old man with progressive decrease in vision in both eyes with "tremendous" glare symptoms. Eight years prior to presentation he underwent Laser-assisted in situ keratomileusis (LASIK) in both eyes.

Infectious Crystalline Keratopathy (ICK): 72 year-old female with decreased vision

Iris Melanoma: 47 yo man referred in 1997 for evaluation of iris lesion OS.

Laser Assisted Keratoplasty: 63-year-old female with history of Fuchs endothelial dystrophy and bilateral pseudophakic bullous keratopathy presents with decreasing vision in the right eye

Megalocornea. 60 year-old man with a history of simple megalocornea reported visual disturbance while changing head position, his vision worsened with his head bent down. He previously had cataract surgery with an iris-sutured IOL.

Ocular Cicatricial Pemphigoid: atypical presentation as pseudopterygium and limbal stem cell deficiency. 78 year-old male with chronic irritation and dry eye unresponsive to aggressive lubrication, punctal occlusion, and prednisolone/sulfacetamide drops

Ocular Rosacea: 62 year-old female with blurry vision and red, itchy eyes

Phlyctenular Keratoconjunctivitis: 12-year-old Female with Staphylococcal Blepharitis

Phacoemulsification: Considerations for Astigmatism Management, a tutorial and case

Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy.

Surgical Management of Keratoconus: A 22-year-old male with a history of progressive keratoconus

Vernal Keratoconjunctivitis: 8 year-old asthmatic male with reduced vision

Verticillata: 54 yo WM with a known history of atrial fibrillation and hypertension on amiodarone.


External Disease

External Disease

Adenoviral Conjunctivitis: 38 y.o. WF with watery, red, irritated eyes; left more than right.

Allergic Contact Dermatoblepharitis: 55 year-old woman with a past medical history significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision.

Adult Chlamydial Conjunctivitis: 23 year-old male with 6-week duration of red eyes

Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection: 1-week-old male with hydrocephalus and bilateral chorioretinitis

Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM): 61 y.o. Caucasian woman presenting for evaluation of corneal mass OS found on routine exam ~2 months previous.

Erythema Multiforme: 22 year-old male with a persistent red eye for two weeks

Herpes Zoster Post-herpetic Neuralgia: 68 year-old male with decreased vision

Interferon Retinopathy: 60 year-old male with hepatitis C virus infection presents with new floaters in both eyes. Treated with peginterferon and ribavirin for 6 weeks prior to visit.

Kayser-Fleischer Ring: A Systems Based Review of the Ophthalmologist’s Role in the Diagnosis of Wilson’s Disease

Kyphotic Patient Presents for Cataract Surgery: A Systems Based Case. Patient unable to assume typical supine position used for cataract surgery.


Genetic Eye Disease

Genetic Eye Disease

Autosomal Dominant Optic Atrophy: 47 year-old female with chronic, mildly subnormal vision

Best Vitelliform Macular Dystrophy: 30 y.o. woman referred for bilateral macular lesions.

Juvenile open-angle glaucoma: 22 year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP)

Malattia Leventinese (Familial Dominant Drusen): 30 year-old female with drusen

RPE65-associated Leber Congenital Amaurosis

Unilateral Retinitis Pigmentosa: Visual field changes in a 31 year old woman


 

Glaucoma

Glaucoma

Blebitis: 74 year-old with red eye after trabeculectomy

Competition Leads to Healthcare Savings: A systems based case from the VA

Iris Cyst: 38-year-old woman with iris lesion and gradual decrease in vision

Iris Melanoma: 47 yo man referred in 1997 for evaluation of iris lesion OS

Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63 y.o. woman with PAS, “iris mass”, corectopia, and increased IOP OS.

Juvenile open-angle glaucoma: 22 year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP)

Normal Tension Glaucoma: 50 year-old female with progressive visual field loss, glaucomatous disc change and normal IOP

Plateau Iris: A healthy 47-year-old woman referred for evaluation for glaucoma exhibitsan uncommon form of primary angle closure glaucoma

Primary Congenital Glaucoma (Infantile Glaucoma): 3 year-old female referred for evaluation of increased eye size, OS.

Pseudoexfoliation Glaucoma: 65 y.o. man with complaints of painless, gradual loss of vision OS.

Seton Infection: Serratia Marcescens: 57 y.o. WF with 1 day history of redness, swelling, and pain in her right eye.

Sturge-Weber Syndrome: 4 y.o. child with a history of seizures and glaucoma.


Neuro-Ophthalmology

Neuro-ophthalmology

Acute Demyelinating Encephalomyelitis (ADEM) with associated optic neuritis: 9 year-old girl presents to an outside hospital with fatigue, poor appetite, and decreased activity for 3 weeks.

All-trans retinoic acid (ATRA) induced intracranial hypertension in a patient with acute promyelocytic leukemia: 19 year old male ungergoing ATRA and Idarubicin induction therapy for APL with one-week complaint of intermittent headaches and transient visual obscurations.

ANCA-associated granulomatous vasculitis (Wegener's granulomatosis)
54 year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Vision in the right eye was starting to "darken." Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. 

Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43 year-old man referred for evaluation of binocular diplopia.

Ethambutol Toxicity and Optic Neuropathy: 60 year-old female with bilateral painless central vision loss

Horner's Syndrome (due to Cluster Headache): 46 y.o. man presenting with HA and ptosis.

Idiopathic Intracranial Hypertension (Pseudotumor Cerebri): 31-year-old obese female presenting with a history of headaches and transient visual obscurations for six months.

Myasthenia Gravis: 32 y.o. woman with progressive LUL ptosis for several years.

Neurofibromatosis Type 1 - Optic Nerve Glioma: 8 y.o. WF with acute awareness of complete vision loss, OS.

Ophthalmoplegic Migraine: 30 year-old male with migraine headaches and occasional diplopia

Optic Nerve Drusen: 19 year-old female with blurred vision

Optic Nerve Hypoplasia: 51 year-old woman referred for consideration of cataract surgery. {Related Case: Communicating with patients about alternative therapies:  A case of optic nerve hypoplasia in a 14 year old male with “poor vision since birth”}

Orbital inflammation secondary to bisphosphonate therapy: 80 year old woman with right eyelid swelling, pain, decreased vision, diplopia

Pseudoabducens palsy: When a VI nerve palsy is not a VI nerve palsy

Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision OD, diminished central vision, and pain with eye movements.

Sarcoidosis: 53 y.o. A woman with gradual, painless loss of vision in both eyes. (also see Ocular Sarcoidosis)

See-Saw Nystagmus: 64 year-old man who first noted the onset of oscillopsia five months prior to presentation.

Spinocerebellar Ataxia with Ophthalmoplegia: 46-y.o. male presenting with progressive esotropia

Thyroid Eye Disease (Graves' ophthalmopathy): 51 year-old man seen in consultation from the internal medicine service for evaluation and management of “dry and red eyes.

Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. 17 year old male with a longstanding sensory left exotropiainquiring about strabismus surgery.


Oculoplastic Surgery, Orbit, Eyelids, Lacrimal

Oculoplastic Surgery, Orbit, Eyelids, Lacrimal

Allergic Contact Dermatoblepharitis: 55 year-old woman with a past medical history significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision

ANCA-associated granulomatous vasculitis (Wegener's granulomatosis)
54 year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Vision in the right eye was starting to "darken." Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. 

Basal Cell Carcinoma, Morpheaform subtype: 78 y.o. man with complaints of enlarging Left Lower Lid lesion.

Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year old female with bilateral tearing worsening over the preceding year.  She describes tears that run down the front of her face and denies any ocular irritation. 

Canalicular Laceration - Dog Bite: 5 y.o. WF presenting with dog bite to left side of face.

Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid

Carotid Cavernous Fistula: 46 year old female patient presented twith double vision and visual distortion.

Cavernous Hemangioma: Painless Proptosis in a 62 year-old Woman: Patient states that over the last year she has noticed that her right pupil is higher than her left

Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome: 12 y.o. boy with painless, progressive ptosis OU over 3 years

Churg-Strauss Syndrome with Orbital Inflammation. 56 year-old male with two-month history of progressive proptosis & drooping of the left upper eyelid and binocular diplopia for several weeks

Ciliary Body Leiomyoma: Clinicopathologic Correlation

Congenital Ptosis. Seven month-old male patient with drooping of the left upper lid/left upper eyelid ptosis

Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass.

Distichiasis: 64 year-old white male with bilateral eye irritation.

Enophthalmos Secondary to Metastatic Breast Cancer. 63 year-old female presenting with progressive double vision and a droopy right eyelid.

Invasive Fungal Orbitorhinocerebral Mucormycosis

Lymphoma, Orbital: 60 y.o. man who was evaluated 1 wk ago for “conjunctivitis” OS by internal medicine.

Meningiomas: a case and review. A 36 year old female presented with a “bulging” and apparently swollen left eye noticed about one month prior to her visit.

Myeloid Sarcoma: 20 year old woman with a history of intermittent binocular diplopia that worsened with right head tilt and a six week history of progressive fullness of the right upper eyelid. Past Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. 

Nodular Basal Cell Carcinoma: 49 year-old female with left lower lid lesion

Oculopharyngeal muscular dystrophy: 58-year-old female with gradual worsening of bilateral blepharoptosis. She also has mild dysphagia and proximal muscle weakness

Orbital Cellulitis in a Child: 9 year-old female with left nasal pain, swollen, red left eye and diplopia in all gazes

Orbital Eosinophilic Granuloma. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection

Orbital inflammation secondary to bisphosphonate therapy: 80 year old woman with right eyelid swelling, pain, decreased vision, diplopia

Orbital Osteoma: 20 year-old woman with a 9-month history of left upper lid droopiness

Pan-endophthalmitis and Orbital Cellulitis: 89 y.o. woman with a history of gradual redness and proptosis OD over 3 weeks.

Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel: 38 year-old female with persisting tearing for 6 months.

Sarcoidosis Affecting the Lacrimal Gland: 39 year-old woman with left upper eyelid swelling of 4 months duration

Sebaceous Cell Carcinoma: A Masquerade Syndrome

Secondary Tumors After Hereditary Retinoblastoma: A Case of Orbital Leiomyosarcoma 50 Years After Initial Enucleation and Radiation Therapy..

Silent Brain Syndrome: 32 year-old male with history of excess tearing in both eyes with mucous-like yellowish discharge. Excess tearing henders vision.

Silent Sinus Syndrome: 36 year old man with sunken left orbit (Enophthalmos)

White-eyed blowout fracture: 17 year-old male with diplopia, pain with eye movement, nausea and vomiting after blunt trauma to the left eye


Pediatric Ophthalmology & Strabismus

Pediatric Ophthalmology & Strabismus

Acute Acquired Brown Syndrome: 38 year-old Male with Ethmoidal Sinus Mucocele

Anisometropic Amblyopia. 5 year-old male with unequal vision.

Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid

Coats Disease: 11 year-old male with poor vision in left eye

Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection: 1-week-old male with hydrocephalus and bilateral chorioretinitis

Congenital Ptosis. 7 month-old male patient with drooping of the left upper lid/left upper eyelid ptosis.

Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass.

Duane Retraction Syndrome: 31 year-old Male With Globe Retraction

Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum): 6 day-old male with limbal dermoids

Infantile (Congenital) Esotropia: 2 month-old female began crossing her eyes shortly after birth. Parents feel that it is worsening. Crossing is worse when patient is tired and alternates between the right eye and the left eye

Non-accidental Trauma: An unresponsive infant with bilateral retinal hemorrhages

Orbital Cellulitis in a Child: 9 year-old female with left nasal pain, swollen, red left eye and diplopia in all gazes

Orbital Eosinophilic Granuloma. 16 month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection

Refractive Accommodative Esotropia
4 year-old boy originally presented to ophthalmologist at 2 years of age with crossed eyes. Discussion of the management of Refractive Accommodative Esotropia.

Retinoblastoma: 4 month old boy with a "blur" in one eye since birth

Rhabdomyosarcoma: Eleven-year-old male with two weeks of blurry vision, headaches, and difficulty moving the right eye for the past two weeks

Unilateral Optic Nerve Hypoplasia in a patient desiring surgical treatment for exotropia. 17 year old male with a longstanding sensory left exotropiainquiring about strabismus surgery.

Vernal Keratoconjunctivitis: 8 year-old asthmatic male with reduced vision


Professionalism

Professionalism

Please see "Cases Indexed by competency"


Retina

Retina

Acquired Ocular Toxoplasmosis: 42 year-old female with "fuzzy" vision for two weeks

Acute Zonal Occult Outer Retinopathy (AZOOR) and Acute Idiopathic Blind Spot Enlargement Syndrome (AIBSE): 34 y.o. woman awoke with painless loss of vision OS 3 weeks prior to presentation.

Age-related Macular Degeneration: Progression from Atrophic to Proliferative: 76 year-old woman with 17-year history of atrophic AMD and increased size of existing central scotoma discovered with home Amsler grid testing

Birdshot Choroiditis: 55 year old woman with persistent vitreous floaters

Cat-Scratch neuroretinitis (Ocular bartonellosis): 44 y.o. woman with non-specific "blurriness" of vision, left eye (OS).

Central Retinal Artery Occlusion (CRAO): 81 y.o. white man with sudden, painless vision loss OS.

Changing Trends in Sympathetic Ophthalmia: Sympathetic ophthalmia following repeated vitreoretinal surgery with no history of trauma

Choroidal Hemangioma: Central scotoma in the right eye. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months.

Choroidal Osteoma: 10 y.o. girl presents for annual follow-up. She reports that she recently failed a school screening.

Congenital Lymphocytic Choriomeningitis Virus (LCMV) infection: 1-week-old male with hydrocephalus and bilateral chorioretinitis

Cytomegalovirus (CMV) Retinitis: 36 year-old Indian male with HIV and decreasing visual acuity.

Hydroxychloroquine (Plaquenil) Toxicity: 57-year-old female with bilateral central photopsias for two years. Currently treated with prednisone and methotrexate for Sjogren syndrome and inflammatory arthritis and was previously treated with hydroxychloroquine for 10 years, stopped one year ago.

Interferon Retinopathy: 60 year-old male with hepatitis C virus infection presents with new floaters in both eyes. Treated with peginterferon and ribavirin for 6 weeks prior to visit.

Malattia Leventinese (Familial Dominant Drusen): 30 year-old female with drusen

Multiple Evanescent White Dot Syndrome (MEWDS): 24 y.o. woman with one week duration of central scotoma, OD

Optic Nerve Drusen: 19 year-old female with blurred vision

Purtscher's Retinopathy: 22 y.o. man with vision loss after trauma

Presumed Ocular Histoplasmosis (POHS): 30 year-old man with blurred central vision

Recurrent Neuroretinitis: 29-year-old white female with progressively worsened vision OD, diminished central vision, and pain with eye movements.

Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye.

Retinochoroidal coloboma: 54 year-old female with blurred vision

Serpiginous Choroiditis: 60 year-old male with 15 year history of serpiginous choroiditis reports a 2 day history of a new scotoma noticed on Amsler Grid testing of his right eye.

Unilateral Retinitis Pigmentosa: Visual field changes in a 31 year old woman

Valsalva Retinopathy: Vision loss after asthma attack: 32 year-old female patient presented with a "black spot" in the vision of her left eye.

Vitamin A Deficiency and Nyctalopia: 55 year-old man with gradual onset of night blindness


Systemic Disorders

Systemic Disorders

Accelerated Hypertension : 67 y.o. woman with HTN and DM with painless vision loss.

Invasive Fungal Orbitorhinocerebral Mucormycosis

Kayser-Fleischer Ring: A Systems Based Review of the Ophthalmologist’s Role in the Diagnosis of Wilson’s Disease

Kyphotic Patient Presents for Cataract Surgery: A Systems Based Case. Patient unable to assume typical supine position used for cataract surgery.

Metastatic Choroidal Lesion: 61 y.o. man presents with pain and blurry vision OD.

Myasthenia Gravis: 32 y.o. woman with progressive LUL ptosis for several years.

Herpes Zoster Post-herpetic Neuralgia : 68 year-old male with decreased vision.

Ocular Rosacea: 62 year-old female with blurry vision and red, itchy eyes

Ocular Sarcoidosis: A systems-based approach to diagnosis and treatment (also see Sarcoidosis)

Orbital inflammation secondary to bisphosphonate therapy: 80 year old woman with right eyelid swelling, pain, decreased vision, diplopia

Sarcoidosis Affecting the Lacrimal Gland: 39 year-old woman with left upper eyelid swelling of 4 months duration

TTP-HUS: 29 y.o. man with HA, hematuria, and visual obscurations.

Vitamin A Deficiency and Nyctalopia: 55 year-old man with gradual onset of night blindness


Trauma

Trauma

Canalicular Laceration - Dog Bite: 5 y.o. WF presenting with dog bite to left side of face.

Carotid Cavernous Fistula: 46 year old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion.

Intralenticular Foreign Body: 23 year-old male with staple in the eye

Intraocular Foreign Body:  A Classic Case of Metal on Metal Eye Injury

Patient Non-Compliance: Physician responsibility. 50 year old man with penetrating globe injury

Purtscher's Retinopathy: 22 y.o. man with vision loss after trauma.

Traumatic Cataract: 11 year-old boy with glass injury to the right eye

White-eyed blowout fracture: 17 year-old male with diplopia, pain with eye movement, nausea and vomiting after blunt trauma to the left eye


Tumor / Oncology

Tumor / Oncology

Basal Cell Carcinoma, Morpheaform subtype: 78 y.o. man with complaints of enlarging LLL lesion.

Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid

Cavernous Hemangioma: 31 y.o. caucasian woman with a painless, “dark spot” in her left visual field. (also see: Painless Proptosis in a 62 year-old Woman)

Ciliary Body Leiomyoma: Clinicopathologic Correlation

Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass.

Enophthalmos Secondary to Metastatic Breast Cancer. 63 year-old female presenting with progressive double vision and a droopy right eyelid.

Iris-Ciliary Body Melanoma: 57-year-old female with iris lesion

Iris Cyst: 38-year-old woman with iris lesion and gradual decrease in vision

Iris Melanoma: 47 yo man referred in 1997 for evaluation of iris lesion OS.

Leiomyosarcoma: 53-year-old male with a bump along his left upper eyelid accompanied by mild discharge, but no pain, duration of one month.  Patient's ocular history is significant for bilateral retinoblastoma diagnosed at the age of 2 years, at which time he underwent bilateral enucleation followed by 6 weeks of radiation.

Lymphoma, Orbital: 60 y.o. man who was evaluated 1 wk ago for “conjunctivitis” OS by internal medicine.

Meningiomas: a case and review. A 36 year old female presented with a “bulging” and apparently swollen left eye noticed about one month prior to her visit.

Myeloid Sarcoma: 20 year old woman with a history of intermittent binocular diplopia that worsened with right head tilt and a six week history of progressive fullness of the right upper eyelid. Past Medical History is notable for Acute Myelogenous Leukemia reported to be in remission. 

Nodular Basal Cell Carcinoma: 49 year-old female with left lower lid lesion

Orbital Eosinophilic Granuloma. 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection

Orbital Osteoma: 20 year-old woman with a 9-month history of left upper lid droopiness.

Painless Proptosis in a 62 year-old Woman: Patient states that over the last year she has noticed that her right pupil is higher than her left (case presentation: Cavernous hemangioma

Retinoblastoma: 4 month old boy with a "blur" in one eye since birth

Rhabdomyosarcoma: Eleven-year-old male with two weeks of blurry vision, headaches, and difficulty moving the right eye for the past two weeks

Sarcoidosis Affecting the Lacrimal Gland: 39 year-old woman with left upper eyelid swelling of 4 months duration

Sebaceous Cell Carcinoma: A Masquerade Syndrome


 

Uveitis

Uveitis

Birdshot Choroiditis: 55 year old woman with persistent vitreous floaters

Churg-Strauss Syndrome with Orbital Inflammation. 56 year-old male with two-month history of progressive proptosis & drooping of the left upper eyelid and binocular diplopia for several weeks

TB Uveitis: 48 y.o. A woman with c/o of photophobia, tearing, and eye pain OU.


Vascular Disorders

Vascular Disorders

ANCA-associated granulomatous vasculitis (Wegener's granulomatosis)
54 year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Vision in the right eye was starting to "darken." Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. 

Carotid Cavernous Fistula: 46 year old female patient presented to the Oculoplastics Clinic reporting double vision and visual distortion.

Cavernous Hemangioma: Painless Proptosis in a 62 year-old Woman: Patient states that over the last year she has noticed that her right pupil is higher than her left

Retinal Artery Macroaneurysm (RAMA): Sudden painless decreased vision in the right eye.


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