Available Courses

Acute Retinal Necrosis Pre and Post Treatment

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD
Presenter/Faculty: Davis, Patel
Presentation with peripheral retinal whitening and perivascular hemorrhages. PCR was positive for HSV. Treatment was with the intravitreal antiviral Foscarnet as well as oral Valacyclovir. On 3 months follow up there was improvement in the retinitis with peripheral atrophy that was laser demarcated…

Acute Retinal Necrosis Secondary to HSV-2

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Lieux
Acute Retinal Necrosis Secondary to HSV-2 Acute retinal necrosis is a rare entity clinically defined by one or more foci of retinal necrosis in the peripheral retina with circumferential spread and rapid progression in the absence of therapy. It typically includes an occlusive vasculopathy and prom…

Acute Syphilitic Posterior Placoid Chorioretinitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jayanth Sridhar, MD
Presenter/Faculty: Albini, Lin, Sridhar
Acute Syphilitic Posterior Placoid Chorioretinitis A 56-year-old Hispanic male with past medical history of gout presented to the emergency room with a “purple spot” in his right eye for the last four days. Examination was significant for best corrected visual acuity (BCVA) 20/70, no anterior c…

Acute Zonal Occult Outer Retinopathy (AZOOR)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Thomas A. Albini, MD; Byron L. Lam, MD
Presenter/Faculty: Albini, Lam, Sengillo
Acute Zonal Occult Outer Retinopathy (AZOOR) A 31-year-old male presents with eye redness, foreign body sensation, and blurry vision in both eyes, worse in the right eye. On exam he is found to have follicular conjunctivitis in both eyes with sub epithelial infiltrates on the right cornea. His conj…

Age Related Macular Degeneration

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Iyer, Rosenfeld
Age Related Macular Degeneration RPE tears occur in AMD as part of the normal disease progression. They are usually associated with vascularized pigment epithelial detachments at a rate of 10%. RPE tears are also associated with Central Serous Retinopathy, Retinal Angiomatous Proliferation, Polypoi…

Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jose J. Echegaray, MD
Faculty Discussant(s): Janet L. Davis, MD; Ninel Z. Gregori, MD; Byron L. Lam, MD
Presenter/Faculty: Davis, Echegaray, Gregori, Lam
Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis A 17-year-old male with a biallelic RPE65 mutation resulting in autosomal recessive Leber Congenital Amaurosis is referred for evaluation for subretinal gene therapy with voretigene neparvovec-rzyl. Baseline evaluation was remarkable fo…

Bartonella Neuroretinitis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Norman Schatz, MD
Presenter/Faculty: Patel, Schatz

Fundus photo with exudates in a stellate pattern surrounding macula. OCT showing the hyperdense exudates in the outerplexiform layer.

Bilateral Retinal Artery Occlusions

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD; Brandon Sparling
Presenter/Faculty: Davis, Patel, Sparling

Right eye with central retinal artery occlusion and left eye with superior branch retinal artery occlusion.

Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Janet L. Davis, MD; Jonathan F. Russell, MD, PhD
Presenter/Faculty: Davis, Lin, Russell
Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment A patient with past medical history of chronic sciatica and recurrent skin abscesses presented to an outside hospital with positive blood, urine, and skin abscess cultures positive for methicillin sensitive st…

Birdshot Chorioretinopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD
Presenter/Faculty: Davis, Patel
Fundus photos with creamy yellow sub-retinal lesions emanating radially from the nerve. FA OS with late staining and ICG with delineated hypocyanescent spots in the mid and late phases. The patient was HLA-A29 positive. ERG was used to monitor, assessing the B wave for a delayed 30hz flicker time.

Central Areolar Choroidal Dystrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Gregori, Redick
Central Areolar Choroidal Dystrophy A 56-year-old male that presents as a follow up for Dry Age-Related Macular Degeneration and complaining of nyctalopia. VA 20/20 both eyes on initial presentation. DFE revealed hypopigmented areas in the macula of both eyes. Fluoresencin angiogrpahy revealed spec…

Central Retinal Vein Occlusion Associated with Cocaine Abuse

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Jonathan F. Russell, MD, PhD; Jesse D. Sengillo, MD
Presenter/Faculty: Patel, Russell, Sengillo

A 40-year-old patient with systemic hypertension and history of polysubstance abuse. CBC was within normal limits. Photo shows dilated and engorged vessels, cotton wool spots, and flame hemorrhages.

Central Serous Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Don H. Noel, MD
Faculty Discussant(s): Sander R. Dubovy, MD
Presenter/Faculty: Dubovy, Noel
Central Serous Chorioretinopathy A patient presented with blurry vision associated with distortion OS. Self-referred to Bascom Palmer. VA: OD: 20/20 and OS: 20/200. Imaging work up was significant for OCT, showing subretinal fluid, choroidal thickness and elevation map. Fluorescein angiography reve…

Central Serous Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jacob S. Duker, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Duker, Gregori
Central Serous Chorioretinopathy A 38-year-old male presented with blurry vision and was found to have a neurosensory retinal detachment concerning for central serous retinopathy. Laser photocoagulation was utilized to treat the focal leak. Clinical findings, epidemiology, diagnostic techniques and…

Central Serous Retinal with Choroidal Neovascularization

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel

Fundus photos showing sub-retinal angiogenesis with hemorrhage. OCT with pigment epithelial detachment and outer-retinal atrophy. Autofluorescence with a guttering pattern of the atrophy typical with CSR.

Central Serous Retinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Levitt, Sridhar
Central Serous Retinopathy A 48-year-old female presents with a history of chronically decreased vision in her right eye. Multimodal imaging reveals serous macular detachment, thickened choroid, and focal areas of late leakage on fluorescein angiography. The left eye has pigmentary changes in the p…

Chorioretinitis Sclopetaria

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Fan, Flynn
Chorioretinitis Sclopetaria This case involves an elderly gentleman presenting after trauma to his right eye by an errant golf ball. He was diagnosed with rupture at an outside hospital, but globe exploration failed to identify the site of rupture. He presented to BPED and was diagnosed with chorio…

Choroidal Change Post Internal Carotid Stenting

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Omer Trivizki, MD, MBA
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Rosenfeld, Trivizki
Choroidal Change Post Internal Carotid Stenting The purpose is to report the changes in choroidal thickness (CT) and the choroidal vascularity index (CVI) measurements using widefield SS-OCT imaging in a patient undergoing treatments that should alter choroidal blood flow. Patient underwent 12x12mm…

Choroidal Osteoma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Flynn, Patel, Swaminathan

Fundus photo with hypopigmented patch with choroidal thickening temporally. B-scan demonstrates the fundus thickening with mild hyperdensity.

Chronic Macula Changes with Juvenile X-linked Retinoschisis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel

This patient is known to have XLRS and is 80 years old. Over time the macula schisis has led to central atrophy and pigmentary changes. The OCT shows schisis cavities and thinning of the retina.