Available Courses

Closed-Globe Ocular Trauma

Type: Grand Rounds
Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Justin H. Townsend, MD
Closed-Globe Ocular Trauma An 18-year-old female presents to BPEI ER after sustaining injuries to the eye from a motor vehicle accident. The patient was diagnosed with a closed-globe injury and had subsequent traumatic angle-recession glaucoma, vitreous prolapse, and traumatic cataract. She also ha…

Extranodal Rosai-Dorfman Disease

Type: Grand Rounds
Presenter(s): John W. Hinkle, MD
Faculty Discussant(s): Wendy W. Lee, MD, MS
Extranodal Rosai-Dorfman Disease A 28-year-old male without past medical history presented with a 1 year history of painless bilateral upper lid swelling. After multimodal imaging studies, the patient underwent diagnostic orbital biopsy. The pathologic analysis of the biopsy showed a plasmacytic in…

Idiopathic Orbital Inflammation

Type: Grand Rounds
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Sara Tullis Wester, MD, FACS
Idiopathic Orbital Inflammation A 47-year-old woman with a past medical history of Grave’s disease complicated by thyroid associated ophthalmopathy presents with left eye pain, swelling, and diplopia worsening for 3 months. Exam reveals left-sided periorbital edema, proptosis, and extraocular mot…

Intraorbital Wooden Foreign Body

Type: Grand Rounds
Presenter(s): Apostolos Anagnostopoulos, MD
Faculty Discussant(s): Chris R. Alabiad, MD
Intraorbital Wooden Foreign Body A 63-year-old male with a history of decreased extraocular motility, binocular diplopia and proptosis presenting to the ED after trauma with a palm tree branch a few days before presentation. The patient presents 6 days after trauma with a tree branch. He had a 360-…

Iridodialysis Pre and Post Repair

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

Slit lamp photo post trauma with bungee cord. There was 5 clock hours of iridodialysis superior nasally with inferior crystalline lens subluxation seen on retroillumination. Post-surgical iris repair and lensectomy the anatomy is restored.


Type: Grand Rounds
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Thomas E. Johnson, MD
Mucormycosis A 61-year-old male with interstitial lung disease status post left lung transplant on immunosuppression develops worsening left facial and periorbital swelling after dental cleaning. Symptoms are unresponsive to oral antibiotics and after three days the patient is examined by ophthalmo…


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

In this module, we will look at:


Tear Drainage System


Orbital Venous Lymphatic Malformation

Type: Grand Rounds
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Kara M. Cavuoto, MD; David T. Tse, MD
Orbital Venous Lymphatic Malformation A 2-year-old previously healthy female presented with 2 days of sudden onset left lid swelling immediately following an episode of vomiting. She was found on exam to have ptosis, mild proptosis, and left upper lid edema, induration, and fullness. MRI of the orb…

Thyroid Eye Disease

Type: Grand Rounds
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Chris R. Alabiad, MD
Thyroid Eye Disease A 57-year-old woman with PMH of hyperthyroidism presents with eye pain, swelling, and blurry vision worsening for 3 weeks. Exam revealed severe proptosis, exposure keratopathy, orbital congestion, and markedly reduced visual acuity. CT and laboratory were workup consistent with …