Jeffrey L. Marx, MD

A 75-year-old man was referred to the retina service by his comprehensive ophthalmologist for high-risk medication monitoring. The patient denied acute ocular symptoms such as vision loss, flashes, floaters or eye pain.

A 43-year-old man presented with a chief complaint of a sudden onset “gray spot” associated with a decrease in central vision in the left eye 2 days earlier.

A 74-year-old white man presented as a referral to Lahey Hospital department of ophthalmology for a choroidal lesion of his left eye. He reported a progressive decline in his left eye vision for a year accompanied by intermittent floaters.

A 74-year-old man was referred to the retina service at Lahey Hospital and Medical Center by an outside ophthalmologist with progressive decreased vision in the left eye for 2 months. Cataract surgery was performed 2 days before presentation.

A 63-year-old woman was referred to the retina department at Lahey Clinic after presenting to several ophthalmologists with a history of bilateral decreased vision for 1 month, which she had been told was secondary to early age-related macular degeneration. The patient described difficulty reading, dimness of her vision, loss of depth perception and a “veil over her eyes.” She denied any ocular pain, new flashes, floaters or diplopia. The patient also reported new onset of dull headaches for 6 months but denied any other systemic symptoms.

A 71-year-old woman was referred to our clinic for a 5-day history of redness and blurry vision in her right eye. She also complained of photophobia, but she denied any significant ocular pain.

A 60-year-old man presented to the retina clinic complaining of an inferior scotoma in his right eye for 5 days. His medical history was notable for cirrhosis and hepatocellular carcinoma, for which he underwent liver transplantation. He subsequently developed graft-versus-host-disease, which persisted despite immunosuppression and had been complicated by opportunistic infections due to leukopenia. He was most recently admitted to the hospital for treatment of herpes simplex virus esophagitis.

A 23-year-old woman presented to the hospital with a chief complaint of two transient 5-minute episodes of left-sided arm and leg numbness over the previous 6 days. She described seeing black spots in her bilateral temporal visual fields during these episodes of numbness. On the day of presentation, she had experienced 4 minutes of expressive aphasia accompanied by shaking of her entire left upper extremity. She denied any flashes, blurriness or change in vision.

A 71-year-old man was referred to our practice for evaluation of a chronically red left eye for the past 3 months. There was no associated discharge or pain. He also initially noted blurry vision in the left eye while watching a football game 3 months ago. Since that point, he feels the blurry vision has progressively worsened. Two months prior to presentation, he developed binocular diplopia on upgaze, which has persisted. There was no history of trauma.

A 55-year-old woman initially presented to her primary ophthalmologist with decreased visual acuity in her left eye. The day before presentation she noted floaters that coalesced into “cobwebs,” with abrupt visual loss. The patient was diagnosed with anterior uveitis in the left eye and was started on topical prednisolone and cyclopentolate. She did not improve on topical therapy and was subsequently started on oral prednisone. She was referred to the uveitis specialist at the Lahey Clinic for further evaluation 1 week later.