Michelle C. Liang, MD

In this Healio Video Perspective from the Vit-Buckle Society annual meeting, Michelle Liang, MD, shares pearls on how retina specialists can help fellows feel comfortable in the OR.

A 39-year-old woman was referred to the uveitis clinic at the New England Eye Center for a few weeks’ history of bilateral pain, blurry vision, floaters and photophobia.

A 30-year-old man presented to the New England Eye Center for decreased vision with a central black spot in his vision for 1 week. He denied flashes, floaters, pain and headache.

A 27-year-old woman of Hispanic descent presented to an outside ophthalmologist with sudden-onset bilateral decreased vision, photophobia and severe, boring retrobulbar pain worse with eye movement. She had no medical or ocular history but did note 3 months of menorrhagia. She took no medications, had no known allergies, and denied any use of illicit drugs or other substances. Her family history was positive for cardiovascular disease and diabetes.

A 62-year-old white man was referred to the retina clinic for evaluation of rapid decreased vision of his left eye occurring 5 days before presentation.

An 8-year-old girl presented to Tufts Medical Center with complaints of a persistent headache and new-onset binocular diplopia. She was initially seen by her primary care provider 1 week earlier for her headache and ultimately diagnosed with sinusitis and started on oral amoxicillin. However, 2 days after starting oral antibiotics, she developed fevers, intermittent nausea and binocular diplopia. She otherwise felt well and had no history of headaches. She had no significant medical or ocular history.

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 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 12-year-old girl was referred to our office for decreased vision, which was presumed to be due to progressing cataracts.

A 64-year-old woman presented with bilateral vision loss that began about 2 weeks before presentation. She first noted peripheral vision loss in the left eye, which progressed to involve her central vision. Within a few days, she noted a decrease in vision in her right eye. She also described a right periorbital throbbing sensation that started earlier in the month.