JAMA Ophthalmology

A Retinal Detachment After International Travel

A 58-year-old man had a large, white, preretinal lesion in the inferior macula and a retinal detachment with no identifiable retinal break and shifting subretinal fluid. Four months prior to presentation, he had traveled to Costa Rica on vacation and…

Bilateral Panuveitis and Myeloradiculopathy in a 12-Year-Old Girl

A 12-year-old girl with bilateral panuveitis presented for abnormal gait. Her subsequent workup revealed elevated inflammatory markers and subcentimeter chest and abdominal lymph nodes. What would you do next?

Bilateral Hemorrhagic Optic Disc Edema in a Middle-aged Man

A 49-year-old man with a history of diabetes, hypertension, intravenous drug abuse, and multiple sexual partners presented with painless vision loss in both eyes for 10 days, left eye worse than right eye, and photophobia in both eyes. What would…

Decreased Vision and Eye Pain in a 55-Year-Old Man

A 55-year-old man with advanced primary open-angle glaucoma presented with 1 day of decreased vision and eye pain. He had undergone trabeculectomy and 5-fluorouracil injection 1 month prior. What would you do next?

Orbital Inflammation in an Adult With Crohn Disease

A man aged 57 years with a history of Crohn disease presents to the emergency department after 3 weeks of bilateral periorbital pain and swelling. Computed tomography of the orbits reveals moderate bilateral lateral rectus muscle enlargement and mild enlargement…

Multifocal Macular Lesions in a Middle-aged Woman

A 49-year-old African American woman has had abnormal retinal findings for at least 10 years. A fundus examination now showed multiple vitelliform lesions involving the macula and superior macula bilaterally. What would you do next?