Shilpa J. Desai, MD

A 36-year-old woman was referred to the New England Eye Center, Tufts Medical Center, due to a persistent myopic shift in the left eye following trauma 3 months earlier.

A 24-year-old previously healthy Greek man with recent COVID-19 infection presented to the Tufts emergency department with a 1-week history of high fevers, generalized weakness, sore throat and blurry vision.

A 30-year-old woman initially presented to Tufts/New England Eye Center as a referral from an outside retina specialist.

A 56-year-old white man was referred to the uveitis clinic at the New England Eye Center by an outside ophthalmologist for sudden-onset painless vision loss that started 2 months before presentation.

A 59-year-old woman who presented to an outside eye care provider 1 year prior for right eye redness and a shadow in her vision was referred to the New England Eye Center when the redness did not respond to eye drops.

A 73-year-old white woman was referred to the retina service at the New England Eye Center for consideration of pars plana vitrectomy and lensectomy in the right eye for a hypermature cataract and angle-closure glaucoma.

A 64-year-old man was referred to the New England Eye Center for evaluation of decreased vision in his left eye.

A 57-year-old Cambodian man with a medical history of diabetes, hypertension, hyperlipidemia and an unknown cardiac procedure presented with 2 weeks of acute blurry vision in the left eye. He reported having the flu 2 weeks prior with severe coughing. He had no eye pain or redness. He had no history of eye trauma or eye surgery. His medications included aspirin, atorvastatin, multiple antihypertensives and warfarin. He had no known family history of eye disease. He was a former cigarette smoker but did not drink alcohol or use illicit drugs.

A 72-year-old woman was referred to the New England Eye Center for evaluation of 1 to 2 months of progressive blurry vision in the right eye. The patient was referred by the internal medicine team at Tufts Medical Center where she was admitted for progressive dysphagia, shortness of breath, weight loss, dizziness and lightheadedness. Her ocular history was notable for hyperopia, presbyopia and astigmatism. Her medical history included coronary artery disease, HIV, gastroesophageal reflux and hearing impairment. Her surgical history included coronary artery stent placement, bilateral tubal ligation and left humeral fracture repair. Before her admission, she was not on any medications. She had no known drug allergies. She had never smoked or used any illicit drugs and did not drink alcohol. Family history did not include any history of eye disease. Her review of systems was unremarkable aside from the above.

A 65-year-old retired grocery store clerk was referred to the New England Eye Center with more than a year of progressive vision loss in the right eye. Two and a half years before presentation, she underwent uncomplicated cataract surgery on the right eye. Her vision was excellent immediately after the surgery. However, 1 year after the surgery, a “smudge” began obscuring the central vision in the right eye. Over the subsequent year, exams by outside providers revealed only scattered drusen. Yet, the vision continued to decline to the point that she felt that she was “looking through a dense film.” In addition to the declining acuity, the patient also noticed new floaters. She denied any flashes or photophobia.