Most recent by Thomas R. Hedges III, MD
Woman presents with acute monocular vision loss
Boy presents with decreased vision after accidental eye trauma
High school boy presents with worsening ptosis
Man experiences acute unilateral loss of vision
Man presents with daily headaches and blurry vision
Woman presents with vision changes, orbital mass
Five-year-old girl referred due to poor vision
Young preeclamptic woman presents with vision loss
Young woman presents with unilateral eye discomfort
A 24-year-old African American woman with a medical history of right-sided Bell’s palsy, hidradenitis suppurativa and borderline hypertension was referred to the neuro-ophthalmology clinic at Tufts Medical Center with 3 weeks of right eye discomfort. She initially had a pressure-like discomfort in the right eye that then developed into a dull pain with eye movement. The pain improved somewhat with acetaminophen. She also noticed a blurred spot in the vision of her right eye. Her medications included chlorhexidine skin cleanser, oral contraceptives and artificial tears. She had no known family history of eye or autoimmune disease. She did not smoke cigarettes or drink alcohol. She had no neurologic symptoms and no cough, joint pain or rash.
Man evaluated for asymmetric eyelids
A 56-year-old male property manager with no ocular history was referred to the New England Eye Center by an outside ophthalmologist for evaluation of eyelid asymmetry. For 5 months, the patient had noticed that his left upper eyelid appeared lower than his right upper eyelid. He felt the position of his eyelids changed through the day and seemed more equal after rest. He had no diplopia or difficulty moving his eyes. He did not report any palpitations, heat/cold intolerance or weight fluctuations, although he did endorse lower energy over the last few years. A few years before presentation, he was involved in a motor vehicle accident and sustained head injuries but reportedly had no eye trauma.