Lindsay M. Smithen, MD

The patient was followed by the neuro-ophthalmology service at NEEC for progressive visual loss in the right eye after cataract surgery 2 years prior. After the surgery, the patient complained of decreased vision in the operated eye. Eventually, the patient was sent for retinal evaluation, and an epiretinal membrane was found. A pars plana vitrectomy with membrane peel was performed 5 months before presentation at NEEC, but the vision did not improve.

A 6-year-old girl (patient 1) presented to the emergency room with a 10-day history of headache and blurry vision. She complained of a bitemporal headache that woke her from sleep with associated photosensitivity, nausea and vomiting. Examination revealed no focal abnormalities. The patient was discharged without diagnosis but was scheduled for neurologic examination and an MRI. When the patient returned, she reported new symptoms of stiff neck, neck pain and diplopia.

A 16-year-old boy was referred to the cornea service at the New England Eye Center for evaluation of a 1-day history of pain, injection, blurry vision and photosensitivity in the left eye. The patient, a soft contact lens wearer, reported a foreign body sensation in his left eye on the day before presentation. He removed his contact lens and rinsed his eye with tap water, which only increased the symptoms. The patient reported wearing biweekly disposable contact lenses for 12 hours a day. He began wearing the current pair 5 days before presentation and denied sleeping in the lenses. The patient had a history of soaking his lenses overnight in Bausch & Lomb Renu with MoistureLoc solution. He had been wearing contact lenses for 5 years and had never experienced any contact-related problems. His contact lenses were comprised of 62% polymacon, a hydrophilic polymer and 38% water.