Jay S. Duker, MD

A 65-year-old woman complained of gradually decreasing vision over the last several years. She had been diagnosed with neovascular age-related macular degeneration and had received intravitreal ranibizumab every 5 to 6 weeks for the last 3 years bilaterally.

A 78-year-old Caucasian man presented to New England Eye Center after he experienced acute painless loss of peripheral vision in his right eye upon waking. He described the vision changes as a “grayish to brownish irregular” spot. He denied flashes, floaters and headaches.

A 30-year-old man presented with the complaint of gradually increasing bilateral distorted vision, worse in the right eye. He had a history of intermittent blurry vision; the first episode occurred 5 years ago when he was in the Army, with spontaneous resolution. He never saw an eye doctor during the episodes. He denied other systemic complaints.

A 25-year-old physician was referred to the New England Eye Center for evaluation of a retinal lesion in his right eye. He noticed for approximately 1 year a gradual decrease in vision in the right eye and distinctly noticed distortion when driving. He denied having headaches, flashes, floaters or visual changes in the other eye. He reported no recent illnesses or history of trauma. His family history was significant for diabetes and glaucoma. Of note, he was currently in his first year of a medical residency in Puerto Rico.

A 40-year-old woman was referred to our office for decreased vision and a retinal lesion in her left eye. She reported decreased central vision and pain in her left eye for the past 24 hours but otherwise denied any significant ocular history and had not been seen for regular eye exams in the past.

A 66-year-old man was referred to the New England Eye Center for loss of vision in his right eye.

A 77-year-old man was referred to our office for an abnormal retinal exam. Due to trauma to his right eye as a child, he was functionally monocular and followed yearly for regular eye exams. He did not have any recent ocular complaints.

A 94-year-old woman presented to the New England Eye Center complaining of irritation in her left eye. She noted that this irritation was accompanied by a foreign body sensation when blinking, which she described as feeling like “double eyelids.” She also noted the appearance of a left upper lid lump within the past month. She denied any pain or decrease in vision in the left eye.

A 60-year-old man was referred to the retina service for evaluation of retinal elevation noted on routine dilated fundus examination. The patient reported mild decreased vision in the right eye but denied any new distortion, ocular pain, flashes or floaters. Medical history was unremarkable, and review of systems was negative. Outpatient medications included daily aspirin.

A 58-year-old woman was referred by her primary care doctor for a 4-day history of decreased vision, periocular pain and light sensitivity in her left eye to the New England Eye Center for evaluation.