Quiz: Metastatic Adenocarcinoma

A 71-year-old female with a history of adenocarcinoma of the lung presents with a 3-week history of decreased vision in the left eye. These color images are positron emission tomography (PET) scans of her chest. The arrow in the first image points to the mass in the upper lobe of her left lung. Visual acuities … Read more

Quiz: Central Corneal Opacities

A 1-year-old boy presents with bilateral (right > left) central corneal opacities with central irido-corneal adhesions on the right and mild microcornea. There appears to be a circular endothelial defect on the back of the corneal scar on the right side. The peripheral corneas are clear. Family and birth history are unremarkable. The child is … Read more

Quiz: Distorted Vision in the Right Eye

A 61-year-old woman presents with distorted vision in the right eye for the past month. She states that objects appear “warped” in her central vision. She denies any pain or associated photopsias. Visual acuity is 20/40 in the right eye and 20/20 in the left eye. There is no RAPD. Intraocular pressures are normal in … Read more

Quiz: Cloudy Corneas, Tearing and Photophobia

A one month-old male child presents with cloudy corneas, tearing and photophobia. He was born full-term by normal vaginal delivery and is otherwise healthy. There is no family history of glaucoma. Examination under anesthesia reveals increased corneal diameter, corneal epithelial edema and Haab’s striae in both eyes. IOP measures 45 mmHg right and 48 mmHg … Read more

Quiz: COVID-19 Telemedicine Visit

A 56-year-old female patient was seen by live “virtual visit” telemedicine during the 2020 COVID-19 pandemic quarantine restrictions. She had a two-year history of gradual onset diplopia and had been seen by several eye care providers including an optometrist, an ophthalmologist and a neuro-ophthalmologist. Other than the diplopia, she denied any visual changes, but she … Read more

Quiz: Drifting of the Right Eye

A four-week-old Caucasian female (born at 39 weeks via C-section, no complications during pregnancy or delivery) with past medical history only significant for bilateral club feet was brought in by her mother for “drifting of the right eye” and “cloudy” appearance of the pupil noted since birth. No significant family ocular history is reported by … Read more

Quiz: Left Side Headache & Blurry Vision

A 59-year-old black female presents to the Emergency Department with a 3-day history of left sided headache and blurry vision. She has a history of thyroid eye disease and hypertension and she smokes 1 pack of cigarettes a day. Her exam seemed normal to the treating physician and she was discharged home. The next day … Read more