A 41-year-old woman presented with a sudden visual field defect in both eyes. She was a high hyperope with an axial length of 15 mm of both eyes and visual acuity of 20/200. Fundus examination revealed congested choroid with widespread chorioretinal folds observed on (A and B) plates and (E and F) as radiating folds. OCT-scan showed choroidal folds and a few macular cysts and an absent foveal depression (C and D). (Magnified version of Figure A-F is available online at www.aaojournal.org).

A 59-year-old woman with stage IV cutaneous melanoma, metastatic to multiple sites, presented with floaters in her left eye (A) with visual acuity of 20/50 and preretinal deposits on OCT (B). Her condition was controlled systemically with nivolumab therapy. Diagnostic pars plana vitrectomy confirmed vitreous metastasis from cutaneous melanoma cytologically. Treatment with intravitreal injection of melphalan (10-20 μg/0.1 ml) monthly for a total of 3 planned sessions resulted in tumor regression (C), observed on OCT (D), and with visual acuity of 20/60.

A 9-year-old boy presented twice in our practice with recurrent metallic foreign bodies (FB) in his left eye ([A] FB at the limbal 4 o’clock position; [B] FB at the 4 and 9 o’clock position 5 weeks later). His mother reported previous FB, which she had removed herself. Medical history and specific questioning revealed the metallic suspension of his indoor hanging swing as the source of metal wear (C, abraded karabiner and mounting). After removal of the swing, no further complaints occured. This case highlights the need for a careful review of the history in such situations.