Posterior uveitis secondary to an African grey parrot biteIn North America, approximately 25% of mycobacterial infections present with extrapulmonary manifestations, and only a fraction of those patients present with ocular tuberculosis (TB).1 Hematogenous spread of TB to the eye is more likely to occur than a primary exogenous infection and most commonly affects the uvea due to its high vascular content.2 The diagnosis of ocular TB is often presumptive and based on the presence of characteristic clinical features in conjunction with imaging and laboratory investigations.
A christmas tree cataractAn 82-year-old female patient was referred for surgical repair of a full-thickness retinal macular hole associated with profound vision loss in the right eye. She was otherwise healthy and had no history or family history of muscle weakness. Slit-lamp examination revealed needle-like polychromatic crystals within the deep cortex of the crystalline lens (Fig. 1A). With retroillumination, in which the angle of light is perpendicular to the cataract, only an outline of the crystals is seen (Fig. 1B).
Quizzical optical coherence tomographyWe often question our diagnoses, but how often does your diagnosis question you? A patient was referred for surgical management of an epiretinal membrane. During the encounter, she asked many intelligent questions. Amazingly, the optical coherence tomography of her macula seemed to reflect her quizzical nature and was found to have a question (mark) of its own! (Fig. 1)
Eye love youValentine’s Day is a time to say “I love you”; however, the term “eye love you” is rarely, if ever, used. In this article, we present rare cases of ocular pathology that have adopted a heart-shaped appearance. Cupid’s cornea (Fig. 1A) demonstrates a heart-shaped endothelial fungal plaque associated with metallic foreign body. Aphrodite’s atrophy (Fig. 1B) represents a fundus autofluorescence image of geographic atrophy that demonstrated a heart-shaped hypoautofluorescence. Finally, lover’s laser (Fig.
Spontaneous resolution of optic disc pit maculopathy after posterior vitreous detachmentWe report the case of a 57-year-old male with optic pit maculopathy that spontaneously resolved after posterior vitreous detachment (PVD). Progressive improvements in visual acuity, clinical examination, and spectral-domain optical coherence tomography (SD-OCT) occurred over 3 months. The pathophysiology of optic pit maculopathy has yet to be completely elucidated. This case report lends additional support to the theory that the vitreous and its attachments at the optic nerve head play a critical role in the development of optic disc pit (OPD) maculopathy (ODP-M), and that the PVD may play a critical role in its treatment.
A Ghostly OCTOctober is the month when ghosts and goblins come alive. A 52-year-old male with known diabetic retinopathy was assessed after 4 months of decreased vision OS. Ocular coherence tomography (OCT) revealed a terrifying sight. The cystic changes and retinal thickening related to diabetic macular edema give the impression of a ghost rising from the patient’s fovea, a befitting image given that Halloween is rapidly approaching (Fig. 1). With anti-Vascular Endothelial Growth Factor (VEGF) therapy, this ghoul was banished, resulting in substantial visual recovery.