JAMA Ophthalmology

Bilateral Papilledema and Intact Vision With Normal Intracranial Pressure

A 23-year-old woman presented with 6 months of intermittent bilateral retro-orbital pain associated with blurred vision and wavy lines in the vision of both eyes, followed by worsening numbness and tingling of her hands and legs. Ophthalmoscopic examination revealed blurring…

An Unusual Case of Severe Bilateral Extraocular Muscle Enlargement

A 47-year-old woman with a history of metastatic neuroendocrine carcinoid tumor status in remission after liver transplant was hospitalized for workup of a new pancreatic mass concerning for recurrence. Examination revealed restriction of extraocular movements in all directions of gaze,…

A Middle-aged Man With Macular Lesions and Vitritis

A man aged 55 years presented with worsening vision, photopsia, floaters, and eye redness, left eye greater than right. Dilated examination of the left eye revealed vitreous haze and cell, along with multifocal chorioretinal scars extending from the optic nerve…

Elevated Intraocular Pressure With Visual Deterioration in a Pseudophakic Eye

A man aged 78 years with a history of open-angle glaucoma presented with decreased visual acuity over a 6-month period, right eye greater than left, and uncontrolled intraocular pressure. Examination revealed a milky substance in the retrolental space. What would…

Association of Smoking, Alcohol Consumption, Blood Pressure, Body Mass Index, and Glycemic Risk Factors With Age-Related Macular Degeneration

Importance  Advanced age-related macular degeneration (AMD) is a leading cause of blindness in Western countries. Causal, modifiable risk factors need to be identified to develop preventive measures for advanced AMD. Objective  To assess whether smoking, alcohol consumption, blood pressure, body mass index,…

Feasibility of a Risk-Based Approach to Cataract Surgery Preoperative Medical Evaluation

Importance  In 2019, the US Centers for Medicare & Medicaid Services implemented the Patients Over Paperwork initiative, allowing hospitals and ambulatory surgery centers to establish their own policies on preoperative history and physical requirements. A risk-based approach to preoperative medical evaluation…