Available Courses

Aqueous Misdirection After Glaucoma Drainage Implant

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): Kenneth C. Fan, MD
Faculty Discussant(s): Anna K. Junk, MD
Aqueous Misdirection After Glaucoma Drainage Implant A 54-year-old male presented to the clinic flat anterior chamber 6 weeks after a glaucoma implant device. His vision was 20/200 in the affected eye with an IOP of 10. He had lenticular-corneal touch. His other eye was NLP from presumed POAG. He w…

Elevated Episcleral Venous Pressure

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): Isha Gupta, MD
Faculty Discussant(s): David S. Greenfield, MD; Luis J. Haddock, MD
Elevated Episcleral Venous Pressure A 59-year-old male presented with blurred vision in both eyes. He was referred to the glaucoma service for evaluation of elevated intraocular pressure. On examination, the patient was observed to have blood in Schlemm’s canal and bilateral intraretinal and subr…

Glaucoma

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

In this module, we will look at:




Glaucoma Pathology


Glaucoma Treatment


Hypotony Maculopathy Following Trabeculectomy

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): Adam Rothman, MD
Faculty Discussant(s): Anna K. Junk, MD
Hypotony Maculopathy Following Trabeculectomy A 64-year-old man with juvenile open angle glaucoma in both eyes s/p trabeculectomy in both eyes with revision in the right eye presents with decreased vision. The patient was found to have visual acuity in right eye of 20/80, intraocular pressure of 5,…

Intraoperative Aqueous Misdirection

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): Adam Rothman, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Justin H. Townsend, MD
Intraoperative Aqueous Misdirection A 3-year-old boy with primary congenital glaucoma OU s/p BVT (x1 OD, x2 OS) presents to clinic with elevated IOP OD despite maximum medical therapy. He undergoes exam under anesthesia with median intraocular pressure (IOP) 37 mm Hg OD. The patient then underwent …

Iridocorneal Endothelial (ICE) Syndrome - Iris Atrophy Sub-Type

Specialty: Glaucoma
Type: Ophthalmic Images
Original Contributor(s): J. William Harbour, MD; Nimesh A. Patel, MD

This patient was referred for possible iris malignancy. Ultrasound confirmed no mass. There is atrophy of the iris nasally with some variable pigmentation.

Normal Tension Glaucoma

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Richard K. Parrish, II, MD
Normal Tension Glaucoma A 22-year-old previously healthy female from Guatemala presents as a referral for “severe glaucoma” with symptoms of intermittent headaches and gradual decline in vision most notable in the left eye. On exam the patient is found to have low-normal intraocular tension, op…

Optic Disc Drusen

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): Kay T. Khine, MD
Faculty Discussant(s): Anna K. Junk, MD; Carlos E. Mendoza Santiesteban, MD
Optic Disc Drusen Routine eye exam of a 58-year-old African-American female revealed small discs with visible optic disc drusen, for which she had been monitored with visual fields. Her best-corrected visual acuity was 20/20 and intraocular pressure was 19 in both eyes. Visual fields were concernin…

Optic Nerve Cupping from Primary Open Angle Glaucoma

Specialty: Glaucoma
Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD

Increased cup to disc ratio at > 0.9 with some peripapillary atrophy.

Peters Anomaly Type II

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): Eric R. H. Duerr, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Audina M. Berrocal, MD
Peters Anomaly Type II A 2-day-old male was referred by a neonatologist for evaluation and management of corneal clouding and buphthalmos of the left eye. The patient was found to have unilateral elevated intraocular pressure, corneal clouding, enlarged corneal diameter, and a poor red reflex. B-sc…

Radius-Maumenee Syndrome

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD
Radius-Maumenee Syndrome A 15-year-old male presented with elevated intraocular pressure of the left eye. Gonioscopy revealed blood in Schlemm’s canal. Fundoscopic examination and subsequent ophthalmic imaging confirmed a diagnosis of glaucoma in the left eye. Neuro-imaging was normal without sig…

Total Hyphema

Specialty: Glaucoma
Type: Grand Rounds
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Steven J. Gedde, MD; Paul F. Palmberg, MD, PhD; Richard K. Parrish, II, MD
Total Hyphema A 79-year-old female with no history of trauma presents to the Bascom Palmer Emergency room with one day of sudden decreased vision and pain in the right eye. One day prior, the patient underwent argon laser trabeculoplasty in the right eye for treatment of mild primary open angle gla…