Ptosis With Fluctuating Diplopia
A patient in their 60s had a 2-month history of new-onset fluctuating diplopia and worsening right upper eyelid ptosis that did not improve after ptosis repair. What would you do next?
JAMA Ophthalmology
Giant Conjunctival Carcinoma in an Adult Man
This case report describes a diagnosis of giant conjunctival carcinoma in a man aged 67 years with a presentation of decreased visual acuity.
Retinopathy in an Older Adult Man With Waldenström Macroglobulinemia
This case report describes a diagnosis of Waldenström macroglobulinemia in a man aged 73 years who presented with bilateral decreased vision and retinal hemorrhages on fluorescein angiography.
Optic NerveAssociated Astrocytic Hamartoma With Corresponding Visual Field Defect
This case report describes a diagnosis of astrocytic hamartoma of the optic nerve head in a man aged 66 years with an inferotemporal defect on visual field examination.
Endothelial Cell Morphology Surrounding a Descemet Membrane Break
This case report describes a diagnosis of Descemet membrane break and the surrounding endothelial cell morphology in a woman aged 56 years with blurred vision.
Unilateral Yellowish Eye in a Woman With an Intraocular Mass
A 65-year-old woman presented with a 6-week history of blurry vision, ocular pain, and subconjunctival yellow discoloration in the left eye but no symptoms in the right eye. Suspicious retinal detachment and intraocular mass were identified, raising concerns for choroidal…
Progressively Worsening Unilateral Ptosis in a Woman in Her 60s
A woman in her 60s with a history of hyperlipidemia, hypothyroidism, and chronic migraines presented with progressively worsening left-sided ptosis. Examination revealed mild fullness in the left superior sulcus and mildly increased left-sided resistance to retropulsion. What would you do…
Sudden-Onset Headache and Binocular Vertical Diplopia in a Young Patient
A 24-year-old woman was experiencing sudden onset of headache, nausea, and binocular vertical diplopia. There was minimal limitation in infraduction in the left eye with corresponding left hypertropia, while ophthalmoscopy and visual field findings were normal in both eyes. What…
Unilateral Intraocular Lens Implant Subluxation in an Adult
A middle-aged patient with a remote history of bilateral juvenile cataracts after posterior chamber intraocular lens placement (PCIOL) presented with decreased vision in the right eye for several months. Examination was notable for a superonasal area of pigmentation with elevation…
Changes in the Incidence of Retinal Vascular Occlusions After COVID-19 Diagnosis
Importance COVID-19 is associated with systemic vascular damage; however, the risk posed to the retinal vasculature remains incompletely understood. Objective To assess if there is a change in the incidence of retinal vascular occlusions after COVID-19 infection. Design, Setting, and Participants This cohort…
