Laurel N. Vuong, MD

A 64-year-old white man was seen in the neuro-ophthalmology clinic for 2 years of binocular vertical diplopia more noticeable at distance.

A 48-year-old man presented to the Lahey Eye Clinic as a new patient for care after recent head trauma while he was in another state.

A 73-year-old man presented to the emergency department at Tufts Medical Center as a referral from an outside ophthalmologist.

A 41-year-old woman was referred to the neuro-ophthalmology service at the New England Eye Center for left-sided proptosis, left upper lid edema and progressively worsening vision in the left eye for about 5 months.

A 27-year-old woman was urgently transferred to Tufts Medical Center, from an outside hospital, for painful worsening facial cellulitis and pansinusitis. Her medical history was notable only for frontal bone fracture in 2001.

A 78-year-old woman was referred to the neuro-ophthalmology service at New England Eye Center for several months of progressive diplopia, bilateral eye redness and proptosis.

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 45-year-old white woman was referred by the Tufts Medical Center neurology service to the Tufts-New England Eye Center neuro-ophthalmology service for 3 weeks of blurred vision in the left eye and retro-orbital headache.

A 42-year-old man was referred to the New England Eye Center for evaluation of binocular diplopia. Four months earlier, the patient developed acute-onset horizontal binocular diplopia that was present constantly but worsened later in the day. More recently, he began to notice left upper eyelid drooping. He otherwise felt well with no headache, weakness, difficulty swallowing, fever, fatigue or weight loss. He had been evaluated by an outside optometrist who prescribed prism glasses that were ineffective, so he was referred to the New England Eye Center for neuro-ophthalmologic evaluation.

An 83-year-old man presented to the New England Eye Center with a 2-week history of decreased vision in both eyes. He felt like letters were “clumping together,” making it difficult to read. He also complained that the inferior half of his vision in the right eye was foggy. He denied any new headaches, jaw claudication, transient visual obscurations, scalp tenderness, recent weight loss or fatigue. He was experiencing new gait instability and poor coordination.