Available Courses

Acanthamoeba Keratitis

Type: Grand Rounds
Presenter(s): Angela J. Verkade, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Acanthamoeba Keratitis Acanthamoeba keratitis, while an uncommon form of keratitis, is important to recognize and treat aggressively. Unfortunately, due to its encysted form, acanthamoeba is not only difficult to diagnose with standards methods of culture, but it is also very resistant to treatment…

Acanthamoeba Keratitis With Radial Perineuritis

Type: Ophthalmic Images
Original Contributor(s): Ann V. Quan, MD; Nimesh A. Patel, MD

White linear radial stromal haze caused by infiltration and inflammation of the corneal nerves by the amoeba.

Adenoviral Conjunctivitis

Type: Grand Rounds
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Adenoviral Conjunctivitis 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 conjunctiva were cultur…

Alkaline Chemical Corneal Burn

Type: Grand Rounds
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Alkaline Chemical Corneal Burn A 63-year-old male presented with decreased vision and pain after alkali chemical splash to both eyes at a utility plant. He presented with perilimbal ischemia in the right eye greater than the left, complete opacification of the right cornea and a large epithelial de…

Bee Stinger in the Cornea

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Sonia H. Yoo, MD

The bee stinger seen in the cornea has remained stable for many years and not affected the vision or required removal.

Bilateral Limbal Stem Cell Deficiency

Type: Grand Rounds
Presenter(s): Jaime D. Martinez, MD
Faculty Discussant(s): Guillermo Amescua, MD
Bilateral Limbal Stem Cell Deficiency A 32-year-old female patient with bilateral chemical ocular burn. On ocular examination revealed 20/300 and 20.400 vision, with bilateral limbal ischemia and corneal epithelial defect, treated with saline solution irrigation and multiple amniotic membranes. Pat…

Conjunctiva

Type: Medical Student Education
Presenter(s): Chris R. Alabiad, MD

In this module, we will look at:




Conjunctiva


Sclera


Conjunctival Squamous Cell Carcinoma With Intraorbital and Intraocular Invasion

Type: Grand Rounds
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Carol L. Karp, MD
Conjunctival Squamous Cell Carcinoma With Intraorbital and Intraocular Invasion A 64-year-old male with a history of T2DM and HTN was referred for 2 weeks of severe pain and redness in the right eye. Two months earlier, he had undergone reported pterygium removal surgery in another country. At pres…

Cornea

Type: Medical Student Education
Presenter(s): Chris R. Alabiad, MD

In this module, we will look at:




Corneal Anatomy


Refractive Errors


Dry Eye Syndrome


Corneal Infections


Immune Mediated Corneal Disease



Corneal Ectasias and Degenerations


COVID-19 Related Conjunctivitis

Type: Grand Rounds
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Guillermo Amescua, MD; Zubair Ansari, MD; Harry W. Flynn, Jr., MD
COVID-19 Related Conjunctivitis A 33-year-old female presented with 6 days of eye redness and tearing without vision changes. She had no significant past medical history and was not taking any medications. Of note, the patient was a Registered Nurse at University of Miami Hospital. She had multiple…

Conjunctival Keratoacanthoma

Type: Grand Rounds
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Carol L. Karp, MD; Sander R. Dubovy, MD
Conjunctival Keratoacanthoma Keratoacanthoma (KA) is an epithelial tumor characterized by rapid, abundant growth and a potential for spontaneous resolution. It typically occurs on the skin in sun-exposed areas such as the face, neck, and hands. Rarely it can occur on the conjunctiva and vulvar regi…

Conjunctival Melanoma

Type: Grand Rounds
Presenter(s): Cullen D. Ryburn, MD
Faculty Discussant(s): Carol L. Karp, MD
Conjunctival Melanoma A 55-year-old male who presented to Bascom Palmer for a multi-year history of a progressively enlarging painless pigmented conjunctival lesion of the right eye. He was found to have a large non-mobile pigmented lesion of the right perilimbal conjunctiva. While initially he was…

Epithelial Ingrowth Post LASIK

Type: Ophthalmic Images
Original Contributor(s): Hasenin Al-khersan, MD; Nimesh A. Patel, MD; Daniela P. Reyes-Capo, MD

Slit lamp photo post LASIK surgery 2 months prior showing patches of cellular material in the the cornea, worse inferiorly. The anterior segment OCT demonstrates the level of the ingrowth is in the interface of the flap.

Euphorbia Keratitis From Milkweed Exposure

Type: Ophthalmic Images
Original Contributor(s): Audina M. Berrocal, MD; William W. Culbertson, IV, MD; Nimesh A. Patel, MD

The patient presented with corneal edema and descemet's folds. The patient noted that she was gardening, and the offending contact was likely euphorbia cyparissias plant sap.

FLACS - AK Associated Infectious Keratitis

Type: Grand Rounds
Presenter(s): Leonid Zlotcavitch, MD
Faculty Discussant(s): Guillermo Amescua, MD; Terrence P. O'Brien, MD
FLACS - AK Associated Infectious Keratitis A 62-year-old female 6 weeks after FLACS - AK presented to BPEI- ED for ocular irritation, decreased vision, and photophobia. Her examination disclosed vision = 20/30, focal conjunctival hyperemia and a corneal stromal infiltrate located beneath a mid-peri…

Fungal Keratitis

Type: Grand Rounds
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Fungal Keratitis A 59-year-old female presented to the Bascom Palmer Eye Institute emergency room with a 7-day history of a red and painful eye, and loss of vision. The right eye exam demonstrated HM vision with a diffuse limbal-to-limbal cornea ulcer within a previous penetrating keratoplasty graf…

Fungal Keratitis Post Penetrating Keratoplasty

Type: Ophthalmic Images
Original Contributor(s): Daniel S. Choi, MD; Nimesh A. Patel, MD; Sarah P. Read, MD, PhD

Post penetrating keratoplasty for candida keratitis, this patient developed another foci of infection within the graft tissue. Stromal vascularization and edema can be seen indication failure of the graft.

Infectious Sclerokeratitis

Type: Grand Rounds
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Guillermo Amescua, MD
Infectious Sclerokeratitis A 79-year-old male presented to BPEI with 4 days of decreased vision and pain in the right eye. Visual acuity was hand motion and exam revealed a large multifocal corneal infiltrate with associated corneal and scleral thinning. B scan demonstrated large choroidal and reti…

Iridocorneal Endothelial Syndrome

Type: Grand Rounds
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Guillermo Amescua, MD
Iridocorneal Endothelial Syndrome (ICE) A 27-year-old woman presented for corneal evaluation with a history of secondary glaucoma. She was found to have iridocorneal endothelial syndrome (ICE). She underwent DSAEK, which failed after 13 months. Subsequent Type 1 Boston Keratoprosthesis was successf…

Keratoprosthesis Endophthalmitis

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Guillermo Amescua, MD; Janet L. Davis, MD

Keratoprosthesis infiltrate and epithelial defect. There was progression with pain and and vitritis that led to removal of the prosthesis.