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.
Toxocara with Tractional Retinal Detachment
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel
The temporal toxocara lesion led to sub retinal exudation, macular fold and tractional retinal detachment. Surgery was performed with pars plana vitrectomy.
Usher Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Brandon Sparling
Presenter/Faculty: Patel, Sparling
Fundus photo with central and peripheral retinal atrophy as well and bone spicule RPE changes. This patient also had characteristic hearing loss.
Wyburn-Mason Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Brenda Fallas; Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Fallas, Fan, Patel
Fundus photo with retinal arteriovenous malformation emanating from the nerve. FA shows filling of the vessels without leakage. MRI is needed to assess for intracranial AVMs.
Pediatric Ophthalmology
Specialty: Pediatric Ophthalmology and Strabismus
Type: Medical Student Education
Include in Catalogue?: Yes
Presenter(s): Chris R. Alabiad, MD
Presenter/Faculty: Alabiad
In this module, we will look at:
Extraocular Muscle
Introduction to Pediatric Ophthalmology
Combined Hamartoma of the Retina and Retinal Pigment Epithelium
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Audina M. Berrocal, MD
Vetted Date: June 10, 2025
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 …
Retinal Cavernous Hemangioma with Vitreous Hemorrhage
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Audina M. Berrocal, MD
Vetted Date: June 10, 2025
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Fowler
Retinal Cavernous Hemangioma with Vitreous Hemorrhage A five-week-old full-term male with a history of seizures and birth trauma underwent ophthalmology screening. Initial eye examination revealed vitreous hemorrhage. Subsequent examination under anesthesia with multi-modal imaging revealed vitreou…
X-linked Retinoschisis
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD; Camila V. Ventura, MD, PhD
Presenter/Faculty: Berrocal, Patel, Ventura
This is congenital retinal dystrophy is caused by a mutation in the retinoschisin (RS1) gene, which encodes for a protein that functions in cellular adhesion. The fundus photo shows a macular stellate pattern caused by schisis or splitting of the retinal layers at the level of the outer plexiform l…
Knobloch Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Audina M. Berrocal, MD
Vetted Date: June 10, 2025
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Audina M. Berrocal, MD; Craig A. McKeown, MD
Presenter/Faculty: Berrocal, Fowler, McKeown
Knobloch Syndrome An infant presented to the eye clinic with nystagmus. The patient underwent examination. Initial eye examination revealed horizontal nystagmus, a midline occipital scalp lesion, hypoplastic macula in both eyes, and high myopia (greater than -15.0 D in both eyes). Given a family hi…
Optic Nerve Cyst and Coloboma
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel
Optic nerve cyst (first image) that over time revealed an optic nerve coloboma (second image).
Familial Exudative Vitreoretinopathy
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Audina M. Berrocal, MD
Vetted Date: June 10, 2025
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…
Coats' Plus Disease
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Audina M. Berrocal, MD
Vetted Date: June 10, 2025
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.
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…
Persistent Fetal Vasculature
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Vetted By: Audina M. Berrocal, MD
Vetted Date: June 10, 2025
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Fernandez
Persistent Fetal Vasculature This patient with past ocular history of leukocoria was referred forretinal evaluation. Ophthalmological evaluation under anesthesia was notable for a cataractous lens with spherical appearance,anterior segment dysplasia andpersistence of the iridohyaloid vessels and tu…
Simple Corectopia
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alcina Lidder, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD
Presenter/Faculty: Chang, Lidder
Simple Corectopia An otherwise healthy patient without past ocular history presented with left eye irregular pupils since birth and no associated symptoms. The birth history was unremarkable. The examination under anesthesia was notable for visual acuity based on Teller Acuity Cards was approximate…
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.
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…
Marfan Syndrome with Ectopia Lentis
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Akaanksh Shetty, MD
Faculty Discussant(s): Hilda Capo, MD; Jayanth Sridhar, MD
Presenter/Faculty: Capo, Shetty, Sridhar
Marfan Syndrome with Ectopia Lentis A young child presented to the ophthalmology clinic with blurry vision. Slit lamp examination was notable for superotemporally subluxed lenses in both eyes, along with a tall slender body frame. Due to these findings, the patient was referred to a geneticist and …
Slipped Medial Rectus Muscle
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Omar Abu Su’ud, MD; Craig A. McKeown, MD
Presenter/Faculty: Abu Su'ud, McKeown
A patient with slipped right medial rectus 5 days after recession of medial rectus muscle in both eyes, intraoperative images showing slipped muscle.