Upon examination, there was extensive inflammation of the left lacrimal gland and the patient had reported this was the third recurrence in the same location within 2 years. He was diagnosed at the ER with orbital cellulitis and was told to follow up with optometry in 3 days. This case report will discuss the incidence, pathophysiology, diagnosis, management, and prognosis of RAM.ĭacryoadenitis secondary to Hidradenitis suppurativaĪ 38-year-old Caucasian male presented to the ER 3 days prior with a complaint of “painful swelling over the left eye”. The diagnosis was resolving exudative RAM OS. The diagnosis was hemorrhagic RAM OD.Ī 70-year-old female reported a recent history of painless decrease in vision OS. We will present a case of extramacular hemorrhagic RAM and a case of exudative macular RAM.Ī 61-year-old male presented with reduced vision. Uncontrolled hypertension can lead to retinal arterial macroaneurysms (RAM), a focal dilation within an artery wall, with blood observed in the vitreous, preretinal, intraretinal or subretinal space. Marlon Demeritt, OD, MBA, FAAO Beata Lewandowska, OD, MS The lesion extended anteriorly into the orbital apex and exerted mass effect against the internal carotid and ophthalmic arteries causing mild stenosis. Clinical exam identified an intermittent incomitant left exotropia and hypertropia that worsened in superior right gaze as well as a significant anisocoria.
A 24-year-old female presented with daily episodes of diagonal binocular diplopia and a left blown pupil upon awakening that would self-resolve within one hour and had been occurring sporadically over the last year. This case report highlights the unique clinical features that can arise from cavernous sinus (CS) tumors to avoid future delayed or incorrect diagnosis. Isolated inferior rectus paresis is rare, particularly from space-occupying lesions. Large cavernous sinus hemangioma causing isolated inferior rectus paresis in a young female: a rare clinical presentation Patient was successfully treated with immunosuppressive therapy. HLA-B51 is however an inflammatory marker which is the root cause of posterior uveitis. HLA-B51 has a high association for Bechet’s disease, however in this case the patient does not have systemic findings such as ulceration of the mouth or genital area. Upon further testing with fluorescein angiography and blood work the diagnosis is unilateral posterior uveitis, without systemic involvement, secondary to positive HLA-B51. Clinically, the posterior segment has an appearance of Coat’s disease with exudative chorioretinopathy, serous retinal detachment and macular edema OS. He denies vision loss, flashes, floaters, irritation, redness, or eye pain.
When it’s not Coat’s- HLA-B51 associated Posterior UveitisĤ1-year-old white male presents to clinic with blurry vision and mild light sensitivity in the left eye for 5 months.
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