Bilateral Exotropic Duane Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Craig A. McKeown, MD
Presenter/Faculty: McKeown, Vila-Delgado
Bilateral Exotropic Duane Syndrome A healthy 5-year-old male presented with an outward deviation of both eyes since approximately 4 months of age. Motility testing was notable for significant limitation to adduction in both eyes, significant downshoot in the right eye and downshoot and upshoot in t…
Bilateral inferior rectus muscle aplasia, severe hypertropia, deprivation amblyopia
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Christine Hakimeh, MD
Faculty Discussant(s): Hilda Capo, MD; David T. Tse, MD
Presenter/Faculty: Capo, Hakimeh, Tse
Bilateral inferior rectus muscle aplasia, severe hypertropia, deprivation amblyopia An infant was referred to BPEI for strabismus/oculoplastic evaluation. They were born prematurely at 32 weeks of gestation with a previous surgical history notable for superior rectus tenotomy. The patient presented…
Blunt Right Eye Trauma with a Transected Inferior Rectus Muscle Resulting in Severe Right Hypertropia
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Potyra Rosa, MD
Faculty Discussant(s): Hilda Capo, MD; David T. Tse, MD
Presenter/Faculty: Capo, Rosa, Tse
Blunt Right Eye Trauma with a Transected Inferior Rectus Muscle Resulting in Severe Right Hypertropia An adult patient was transferred to BPEI ER after suffering right eye trauma while using a pressure washer machine. Patient reported his right eye had been bleeding and swollen since the accident. …
Branchio-Oculo-Facial Syndrome and Coloboma
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariana Abi Karam, MD
Faculty Discussant(s): Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Abi Karam, McKeown, Mendoza Santiesteban
Branchio-Oculo-Facial Syndrome and Coloboma A young child presented with light perception visual acuity in the right eye and white cataract. Some dysmorphic features were also documented such as wide nasal tip, prominent philtral pillars, hypertelorism, telecanthus, right ptosis, and malformed pinn…
Brown Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Omar Abu Su'ud, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Abu Su'ud, Capo
Brown Syndrome A patient was diagnosed with thyroid eye disease (TED) 2 years before presenting to our clinic. He complained of horizontal and vertical diplopia. The diplopia was constant and affected distance vision only. The patient was previously treated with teprotumumab. His exam was notable f…
Brown Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Omar Abu Su'ud, MD; Hilda Capo, MD
Presenter/Faculty: Abu Su'ud, Capo
Patient with Brown Syndrome with images and videos showing for esotropia which was worse in left gaze, hypotropia of left eye worse in right gaze and upgaze accompanied by limited elevation OS in adduction and incyclotorsion left eye, and restriction of extraocular movement of both eyes.
Chronic External Progressive Ophthalmoplegia
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Heidy C. Martinez, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Capo, Martinez
Chronic External Progressive Ophthalmoplegia A 36-years-old female patient presents to pediatric ophthalmology clinic at BPEI for a second opinion regarding progressive bilateral ptosis and exotropia. The patient has a history of progressive bilateral ptosis OS>OD and limitation of ocular moveme…
Coats Disease
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Harbour, Lin
Coats Disease An infant presented with suspected retinoblastoma after undergoing an exam under anesthesia (EUA) with an outside provider. On repeat exam under anesthesia, there were no mass lesions identified on indirect exam or ultrasound. Indirect exam revealed powdery yellow exudative changes an…
Coats' Disease Stage 4
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Victor Villegas, MD
Presenter/Faculty: Patel, Villegas
RetCam photo with a bullous exudative retinal detachment. Angiography shows area of engorged vessels, telangiectasias and neovascularization. Ultrasound with moderate dense vitreous opacities and no calcifications. Surgery with external drainage was required for treatment.
Coats' Disease with Secondary Pseudoangiomatous Acquired Retinal Gliosis
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Harbour, Salazar
Coats' Disease with Secondary Pseudoangiomatous Acquired Retinal Gliosis A healthy 6-year-old female was referred after she failed her school vision screening in the right eye. Exam revealed a visual acuity of count fingers (CF) at 1 foot in the right eye. Slit lamp examination was unremarkable. Fu…
Coats' Plus Disease
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Fernandez
Coats' Plus Disease An infant born prematurely via emergency cesarean section at 27-weeks due to IUGR and fetal distress weighting 650 g was referred for the evaluation of incomplete vascularization of the retina. After birth, the patient spent 117 days in the neonatal intensive care unit (NICU), w…
Coloboma Associated with Branchio-Oculo-Facial Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Mariana Abi Karam, MD; Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Abi Karam, McKeown, Mendoza Santiesteban
Coloboma associated with a systemic syndrome.
Combined Hamartoma of the Retina and Retinal Pigment Epithelium
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Thomas A. Lazzarini, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Lazzarini
Combined Hamartoma of the Retina and Retinal Pigment Epithelium A 19-month-old girl with an unremarkable prenatal and infantile history presented with esotropia of the left eye and was found to have a vascularized mass concerning for retinoblastoma. Examination under anesthesia revealed a charcoal …
Community-Acquired Methicillin-Resistant Staphylococcus Aureus (MRSA) Caused Episcleral Mass Resembling Granuloma
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Bashaer Aldhahwani, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Harry W. Flynn, Jr., MD; Craig A. McKeown, MD; Darlene Miller, DHSc, MPH, CIC
Presenter/Faculty: Aldhahwani, Dubovy, Flynn, McKeown, Miller
Community-Acquired Methicillin-Resistant Staphylococcus Aureus (MRSA) Caused Episcleral Mass Resembling Granuloma A patient underwent bilateral medial rectus recession for a history of infantile esotropia. Ten days prior to the surgery, she developed a skin lesion on her forearm and was placed on c…
Esotropic Duane Retraction Syndrome, Right Eye
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Potyra Rosa, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Capo, Rosa
Esotropic Duane Retraction Syndrome, Right Eye An adult patient was referred to our service for strabismus evaluation due to crossing of the eyes. Patient complained of having difficulty looking towards the right side, which had occurred since childhood. The patient also reported moderate to severe…
Familial Exudative Vitreoretinopathy
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Venincasa
Familial Exudative Vitreoretinopathy A child with a history of full-term birth complicated by arrest of descent and resolved neonatal seizure with normal MRI and EEG was referred for evaluation of nystagmus. An examination under anesthesia was required, during which an electroretinogram demonstrate…
Familial Exudative Vitreoretinopathy and Retinopathy of Prematurity
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lauren C. Kiryakoza, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Kiryakoza
Familial Exudative Vitreoretinopathy and Retinopathy of Prematurity An infant underwent ophthalmic examination. Born at 32 weeks, the infant weighed 680 grams and received high-flow nasal cannula for respiratory distress of the newborn. Dilated fundus examination of the right eye revealed periphera…
Heavy Eye Syndrome/Adult Onset Esotropia Secondary to High Axial Myopia
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle Attzs, MBBS, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Attzs, Capo
Heavy Eye Syndrome/Adult Onset Esotropia Secondary to High Axial Myopia A patient with history of amblyopia right eye, and no previous ocular surgery or childhood strabismus presents with large angle esotropia and hypotropia. Exam was notable for hand movements vision in the right eye and 20/20 in …
Hermansky-Pudlak Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Hilda Capo, MD; Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Capo, McKeown, Mendoza Santiesteban, Vila-Delgado
Hermansky-Pudlak Syndrome An infant was brought to the emergency department by his mother referred from his pediatrician after a routine well-child visit. Parents had noticed severe light sensitivity, but patient was otherwise developing well. Patient grimaced to light in both eyes but had poor fix…
Iatrogenic Medial Rectus Transection
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Craig A. McKeown, MD
Presenter/Faculty: Clauss, McKeown
Iatrogenic Medial Rectus Transection Patient presented with acute onset binocular horizontal diplopia and an incomitant left exotropia with severe, but not complete adduction deficit. On orbital imaging, the medial rectus appeared to be completely transected, however the patient maintained some add…