Kevin Sitko, MD

A 38-year-old woman presented to neuro-ophthalmology for evaluation of worsening binocular double vision.

A 48-year-old Hispanic man presented to the University of New Mexico Eye Clinic with progressively worsening vision in both eyes over many years. He denied diplopia, painful eye movements, flashes, floaters, nausea or recent weight loss.

An 11-year-old boy presented to the University of New Mexico Hospital with 6 weeks of vomiting and food intolerance as well as a 13-pound weight loss over that same period.

A 60-year-old Hispanic man presented to the emergency department for evaluation of worsening chronic headaches and vision loss in the right eye more than the left eye. He had headaches for many years and had been managed with oral steroids by an outside neurologist. He began having vision loss 1 year before presentation.

A 64-year-old male patient was referred for evaluation of a possible vitreous hemorrhage in his right eye. He reported that 5 days before presentation he was having severe diarrhea with fevers and chills. His maximum temperature was 102°F. Two days after this illness began, he began to have new floaters in his right eye that progressively worsened to the point of severely decreased vision, accompanied by a mild eye ache. That same day he also began to have pain and swelling in his left wrist, for which he was wearing a wrist brace.

A 78-year-old woman came to the New England Eye Center 2 months after she first began to notice her left upper lid drooping. A few weeks later, she began to have binocular diplopia that was horizontal in nature and seemed to worsen when looking to the left and at distance. These symptoms were variable but did not seem to have progressed. She denied having any recent headaches or head trauma. The clarity of her vision was unchanged.

A 69-year-old woman presented to Tufts Medical Center 2 weeks after developing upper respiratory symptoms. During that time, she also had mild headaches, episodes of nausea and difficulty walking. She later developed acute-onset persistent binocular diplopia.

A 36-year-old woman presented to the New England Eye Center with 2 months of redness, irritation and foreign body sensation in her right eye worse than the left. She had no significant ocular history other than mild myopia. Her medical history included HELLP syndrome with a prior pregnancy and chlamydial cervicitis and urethritis 15 years prior treated with antibiotics.

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.