Astrid C. Werner, MD

A 49-year-old white woman was referred by an outside eye provider to the glaucoma service at Tufts Medical Center for evaluation of elevated IOP in the left eye and episodes of transient vision “darkening” upon awakening for the past year.

A 34-year-old man was referred to the New England Eye Center for incidentally found iris atrophy and corectopia in the right eye, along with cataracts in each eye.

A 76-year-old woman was referred from optometry for glaucoma evaluation after bilateral optic nerve hemorrhages were found on a routine eye exam. The patient’s ocular history included mild hyperopia and mild dry macular degeneration.

A 62-year-old man presented to the New England Eye Center comprehensive ophthalmology clinic for an urgent evaluation of a black shadow in the inferotemporal field of his left eye that started suddenly 4 days prior while he was sitting.

A 59-year-old woman presented to an outside ophthalmologist with 1 week of blurry vision, headache, eye pain and tearing in both eyes. She was found to have anterior chamber inflammation with elevated IOP in the low 30s bilaterally. The ophthalmologist also noted peripheral multifocal white spots in both eyes on posterior examination. She was started on prednisolone acetate and timolol eye drops.

A 27-year-old woman of Hispanic descent presented to an outside ophthalmologist with sudden-onset bilateral decreased vision, photophobia and severe, boring retrobulbar pain worse with eye movement. She had no medical or ocular history but did note 3 months of menorrhagia. She took no medications, had no known allergies, and denied any use of illicit drugs or other substances. Her family history was positive for cardiovascular disease and diabetes.

A 55-year-old male construction worker with no ocular history presented to the Tufts New England Eye Center Comprehensive Ophthalmology Clinic for evaluation of persistent left eye redness with elevated IOP of 3 months’ duration. The red eye had occurred abruptly 3 months prior, and the patient had attributed it to getting grass clippings in his eyes while doing yard work. When the redness persisted for several months, he sought care from an outside eye care provider.

A 40-year-old male airline pilot with no significant medical or ocular history presented as an urgent walk-in to the Tufts New England Eye Center Comprehensive Ophthalmology Clinic with 18 hours of sudden onset bilateral blurry vision. One day before presentation, he had been flying a commercial airplane from Hong Kong to Los Angeles when his vision became acutely blurry, and he could no longer read the control panels on the airplane. His vision became so hazy that his co-pilot had to take over for the rest of the flight. He had no other ocular symptoms at that time, and his systemic review of symptoms was negative other than an upper respiratory infection 3 weeks prior for which he had taken 5 days of azithromycin.

A 34-year-old woman with a history of multiple sclerosis and prior optic neuritis in the right eye presented to the neuro-ophthalmology clinic with 3 days of pain with eye movement and mildly decreased vision in the left eye. She reported fatigue and numbness in her hands with exposure to heat, but review of systems was otherwise negative.

A 21-year-old female nursing student was referred to Tufts New England Eye Center Cornea Service for a persistent infectious keratitis that was not responding to topical antibiotic therapy.