Clinical Cases in Medical Retina A Diagnostic Approach

Medical retina is a complex subspecialty with a steep learning curve, requiring vast and diverse knowledge in basic science, diagnostic imaging, medical treatment, and surgical techniques. Clinical Cases in Medical Retina: A Diagnostic Approach provides highly visual, case-based guidance on the challenging process of gathering patient information, ordering appropriate testing, and arriving at an accurate diagnosis and effective treatment plan. In one convenient volume, it exposes retina fellows and specialists, ophthalmology residents, and other eye care clinicians to a wide variety of patient presentations and scenarios, including rare conditions and special populations.

• Presents more than 70 clinical cases depicting actual scenarios of patients presenting with a variety of retinal disorders.
• Walks you through history taking, questions to ask, differential diagnosis, testing, management, and follow-up care, all in a concise, templated, and easy-to-read format.
• Covers the latest imaging modalities, including OCT and OCTA, autofluorescence, fluorescein angiography, and ultrasound.
• Includes diagnostic algorithms that help you differentiate between disorders with common presentations.
• Provides expert guidance on treatment options, including prescribing medications, injections, and where appropriate, when to refer for surgery.
• Features quick-reference boxes throughout with clinical pearls, pitfalls, and key points.
• An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date.

SECTION 1 Hereditary Macular Conditions
1. Yellow Macular Spots in a Child
2. Long-standing Photophobia, Reduced Visual Acuity, Myopia, and Dyschromatopsia in a Young Adult Male Patient
3. Bilateral Progressive Severe Loss of Vision and Obesity
4. Bilateral Peripheral Retinal and Macular Schisis in a Young Boy
5. Congenital Blindness and Retinopathy in a Young Girl
6. Progressive Nyctalopia and Tunnel Vision in a Young Man
7. Rapid Progression of Vision Loss in a Child With Pigmentary Retinopathy
8. Unilateral Tractional Retinal Detachment in a 6-Month-Old Female Infant With Erythematous Skin Lesions
9. Bilateral Peripheral Pigmentary Changes in a Woman
10. I Was Never Good at Ghosts in the Graveyard
11. Bilateral Perifoveal Degeneration in a Woman
12. Autosomal Dominant Radial Drusen

SECTION 2 Degenerative/Deficiency
13. Bilateral Asymptomatic Pigmentary Retinopathy
14. Unilateral Macular Schisis With Blurred Vision in a Woman
15. Acute Vision Loss in an Elderly Patient Associated With Unilateral Intraretinal Blot Hemorrhage in the Macula
16. Bilateral Macular and Peripheral Drusen in a Young Man
17. Long-Standing Macular Scars
18. Bilateral Presentation of Bull’s Eye Maculopathy
19. Late-Onset Nyctalopia and Widespread Geographical Atrophy
20. Bilateral Gradual Visual Decline With Subtle Parafoveal Graying and Refractile Foci
21. Transient Peripheral White Retinal Lesions
22. Bilateral Atypical Drusen and Slow Dark Adaptation in a Woman
23. Bilateral Diffuse Macular and Peripheral Yellow spots

SECTION 3 Inflammatory/Autoimmune Macular Diseases
24. Night Blindness in a Man With a Normal Fundus Examination
25. Hypopyon Uveitis
26. Treatment-Resistant Bilateral Neurosensory Macular Detachment
27. Malignant Photopsias
28. Unilateral Paracentral Scotoma and Photopsia in a Young Woman With Myopia
29. Persistent Bilateral Flashes With Vitreous Cell and Haze
30. Sudden-Onset Bilateral Scotomas With Punched-Out, Pigmented Lesions
31. Bilateral Munir-Focal Serous Retinal Detachments
32. Bilateral Multifocal Placoid Lesions in a Young Woman
33. Bilateral Progressive Vision Loss in an Otherwise Healthy Man
34. Flashes and Floaters With a Well-Demarcated Peripapillary Lesion of the Right Eye
35. Acute Vision Loss in a Pregnant Woman Associated With Bilateral Serous Retinal Detachment

SECTION 4 Infectious Macular Diseases
36. Unilateral Vision Loss in a 45-Year-Old Woman
37. Unilateral Painless Vision Loss With Retinal Detachment
38. Unilateral Vitreous Cell and Chorioretinal Lesions in an Asymptomatic Woman
39. Bilateral Chorioretinal Scars and Pigment Mottling in a Newborn
40. Unilateral Floaters and Vitreous Cells

SECTION 5 Retinovascular
41. Bilateral Retinal Hemorrhages in a Young Man
42. Multiple Branch Retinal Artery Occlusions in a Woman
43. Unilateral Disc Edema in an Elderly Woman
44. Peripheral Transient Fluctuating Retinal Lesion
45. Acute Vision Loss With Peripapillary Cotton Wool Spots
46. Unilateral Leukocoria
47. Sudden-Onset Unilateral Vision Loss in a Young Patient With a “Cherry-Red Spot”
48. Takayasu Arteritis: Bilateral Progressive Loss of Vision With Aneurysmal Dilatation
49. Perifoveal Retinal Whitening and Scotomas in a Sickle Cell Patient

SECTION 6 Idiopathic Macular Conditions
50. A Hypopigmented Lesion in a Baby’s Eye
51. Unilateral Painless Vision Loss After a Viral Illness
52. Bilateral Presentation of Macular Schisis in a Woman
53. Bilateral Vitelliform Detachments in a Woman
54. Hypopigmented Subretinal Lesion in an Elderly Man
55. Jello-like Circles in My Vision

SECTION 7 Toxic/Secondary
56. Bilateral Maculopathy in a Middle-Aged Woman With Interstitial Cystitis
57. Bilateral Chronic Photopsias in a Woman
58. Bilateral Serous Retinal Detachments in a Man With Metastatic Melanoma
59. Bilateral Blurred Vision and Eye Redness With Bacillary and Serous Retinal Detachments
60. Bilateral Decreased Vision in a Middle-Aged Man With Optical Coherence Tomography Findings of Foveal Ellipsoid Disruption
61. Bilateral Central Scotoma With Macular Pigmentary Changes in a Young Man

SECTION 8 Neoplastic/Infiltrative
62. Unilateral Exudative Retinal Detachment in an Elderly Woman
63. Perifoveal Calcified Lesion in Young Girl Patient
64. Bilateral Vitreous Floaters
65. Familial Dense Vitreous Floaters in a Man
66. Asymptomatic Bilateral Retinal White Spots
67. Unilateral Decreased Vision Associated With a Peripheral Mass in a Young Male Patient
68. Peripheral Proliferative Retinal Lesion
69. Bilateral Severe Vision Loss in a Middle-Aged Woman With Constitutional Symptoms
70. Diffuse Choroidal Thickness in a Patient With Migraine Headaches
71. Vascularized, Pigmented Macular Lesion
72. Unilateral Macular Lesion in a Young Man
73. A Young Boy Who Failed Routine School Screening With Unilateral Decreased Vision and an Irregular Reddish Macular Lesion
74. Unilateral Loss of Vision With a Vascular Retinal Lesion

Index

Dr. Lim is Professor of Ophthalmology and Director of the Retina Service at University of Illinois, Eye and Ear Infirmary in Chicago. She is the Marion H. Schenk Esq., Chair in Ophthalmology for Research in the Aging Eye. She currently serves as the Secretary of the Retina Society, Secretary of the Chicago Ophthalmology Society, Associate Deputy Editor of JAMA Ophthalmology, Chairperson of the Nominating Committee for the Macula Society and is on the ASRS Board. She is on the Editorial Board of Investigative Ophthalmology and Visual Science (IOVS). She is the AAO Councilor for the Retina Society. She has been the Director of the Retina Subspecialty Day, Retina Subcommittee Chairperson of the American Academy of Ophthalmology (AAO) Annual Meeting Planning Committee, the President of WIO, President of CAOS, Chair of Women in Retina, Chairperson of Retina Society Credentialing Committee, Chairperson of the Macula Society Research and Education Committee.