Available Courses

POEMS Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anas Yasin, MD
Faculty Discussant(s): Joshua Pasol, MD
Presenter/Faculty: Pasol, Yasin
POEMS Syndrome A patient presented for evaluation of grade 4 optic disc swelling in both eyes. The patient has a history of polyneuropathy both sensory and motor involving the upper limbs more than lower limbs consistent with a diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP) a…

Traumatic Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lin
Traumatic Optic Neuropathy A patient presented with no light perception four days following being hit in the eye with a curling iron. Besides decreased vision, an afferent pupillary defect, and periorbital edema/ecchymosis, clinical exam including of the optic nerve was otherwise unremarkable. Init…

Potential Pitfalls in Pediatric Neuro-Ophthalmology

Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): R. Michael Siatkowski, MD, MBA
Presenter/Faculty: Siatkowski

Radiation Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Venincasa
Radiation Optic Neuropathy A patient with a history of skull base meningioma status-post gamma knife radiation presented with three weeks of decreased vision in both eyes. She had no light perception in the right eye and a visual acuity of 20/50 in the left. Magnetic resonance imaging of the brain …

Spontaneous Intracranial Hypotension

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Vila-Delgado
Spontaneous Intracranial Hypotension A patient presented with sudden onset of postural headaches that improved with recumbency associated with nausea, vomit, photophobia and phonophobia of 5 days of evolution followed by binocular horizontal diplopia at distance and in left gaze. Patient denied rec…

Miller Fisher Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Hong Jiang, MD, PhD; Byron L. Lam, MD; Carlos E. Mendoza Santiesteban, MD; Joshua Pasol, MD
Presenter/Faculty: Chowdhary, Jiang, Lam, Mendoza Santiesteban, Pasol
Miller Fisher Syndrome A patient presented with binocular diplopia of 2 weeks duration after COVID-19 infection. Additionally, she had neurological symptoms, weakness, tingling, numbness of extremities. She had been fully vaccinated against COVID-19. On exam her BCVA was 20/20 OU, she was noted to …

Wernicke Encephalopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lulwa El Zein, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: El Zein, Mendoza Santiesteban
Wernicke Encephalopathy A patient with past history of bariatric surgery presenting with blurred vision, oscillopsia and decreased hearing of few days. Her exam was remarkable for up-beating nystagmus in all gazes. Vision was 20/20 in each eye, pupils equal and reaction. She had full ocular motilit…

Leber Hereditary Optic Neuropathy (LHON)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anas Yasin, MD
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza-Santiesteban, MD
Presenter/Faculty: Lam, Mendoza-Santiesteban, Yasin
Leber Hereditary Optic Neuropathy (LHON) A previously healthy patient presented to the emergency department (ED) with a 2-week history of bilateral blurry vision associated with painful eye movement. The patient denied eye redness, eye discharge, photophobia, double vision, or headache. The ophthal…

Leukemic Optic Nerve Infiltrate

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Byron L. Lam, MD; Caroline L. Lieux, MD
Presenter/Faculty: Lam, Lieux

A pediatric patient with leukemic infiltrate of the optic nerve in both eyes.

Nyctalopia Due to Vitamin A Deficiency

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mohamed M. Khodeiry, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Khodeiry, Mendoza Santiesteban
Nyctalopia Due to Vitamin A Deficiency A patient with a past medical history of liver cirrhosis, presented to the neuro-ophthalmology clinic with blurry vision in both eyes and nyctalopia that started around a year ago. Ophthalmological exam was notable for a visual acuity of 20/40 in both eyes, re…

Leukemic Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lieux
Leukemic Optic Neuropathy Leukemic optic neuropathy is a rare entity that is characterized as optic nerve dysfunction resulting from direct infiltration of neoplastic leukocytes. It is an indicator of central nervous system involvement, and it is a neuro-ophthalmic and oncologic emergency that warr…

Alstrom Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Byron L. Lam, MD; Craig A. McKeown, MD
Presenter/Faculty: Hudson, Lam, McKeown
Alstrom Syndrome A 5-year-old male referred to the BPEI pediatric ophthalmology clinic for second opinion regarding bilateral progressive vision loss since infancy. VA was 20/200 OU and the patient had nystagmus. He was 99% percentile for weight but had no hearing loss or polydactyl. He underwent s…

Amalric Triangular Choroidal Infarction in Giant Cell Arteritis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
The patient presented with ocular ischemic syndrome and corneal edema in the fellow eye. In the right eye on angiography there is temporal non-perfusion as well as choroidal hyperfluorescent infarcts in the late phases. ESR and CRP were elevated. Diagnosis of GCA was made. The patient retained 20/3…

Bartonella Henselae Neuroretinitis and Branch Retinal Artery Occlusion

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Landon J. Rohowetz, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Rohowetz
Bartonella Henselae Neuroretinitis and Branch Retinal Artery Occlusion A patient with past ocular history of viral conjunctivitis presented with 2 weeks of decreased vision in the right eye. His exam was notable for visual acuity of 20/80+1 in the right eye and 20/20 in the left eye. Intraocular pr…

Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Staropoli
Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect A 51-year-old female was transferred from an outside facility 5 days after buttock augmentation surgery in the prone position. On examination, there was no light perception in the right eye and hand motion vision i…

Bilateral Optic Neuritis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Fawzi D. Abukhalil, MD, MB
Faculty Discussant(s): Byron L. Lam, MD; Hong Jiang, MD, PhD
Presenter/Faculty: Abukhalil, Lam, Jiang
Bilateral Optic Neuritis A 36-year-old male presented to ER with sudden loss of vision in both eyes, associated with sever periorbital pain, photophobia and pain with eye movement. Vision was NLP right eye and 20/70 left eye with a right afferent pupillary defect in the right eye. Eye movements wer…

Bilateral Papillitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Mendoza Santiesteban, Sengillo
Bilateral Papillitis A 66-year-old man presented to Bascom Palmer with complaints of blurry vision in both eyes for three days which he described as painless. Vision was 20/350 in the right and 20/200 in the left eye with evident papillitis in both eyes on exam. An MRI revealed no retrobulbar optic…

Bosch-Boonstra-Schaaf Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Apostolos Anagnostopoulos, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD; Carla J. Osigian Probst, MD
Presenter/Faculty: Anagnostopoulos, Mendoza Santiesteban, Osigian
Bosch-Boonstra-Schaaf Syndrome The following case review presents a 3-year-old, born full term, with developmental delay which was referred by an outside physician for further evaluation. Further testing was required for a final diagnosis which included an MRI of the brain and genetic testing. Resu…

Carotid Cavernous Fistula with Ocular Ischemic Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Slit lamp photo with dilated epi-scleral veins. Fundus photo with retinal hemorrhages. FA with severe non perfusion, leakage from the disc, and laser scars. MRI/MRA demonstrates left distal precavernous/proximal cavernous ICA fistula into the cavernous sinus with arterialized flow. There is resulta…

Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fowler, Lam
Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma A 34-year-old woman presented with 2 weeks of diplopia. The patient had binocular horizontal diplopia with a right cranial nerve 6 palsy and moderate-to-severe headache of 1-week duration. Magnetic resonance imaging (MRI) of the brain and orb…