Course name | Date

Sterile Endophthalmitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Stanley S.K. Park, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Flynn, Park
Sterile Endophthalmitis Post-injection sterile endophthalmitis is an acute intraocular inflammation of the vitreous cavity that resolves without the need of intravitreal antibiotics and/or vitreoretinal surgery. Differentiating between infectious and sterile endopthalmitis is often difficult and no…

Central Serous Retinopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Levitt, Sridhar
Central Serous Retinopathy A 48-year-old female presents with a history of chronically decreased vision in her right eye. Multimodal imaging reveals serous macular detachment, thickened choroid, and focal areas of late leakage on fluorescein angiography. The left eye has pigmentary changes in the p…

Severe Non-Proliferative Diabetic Retinopathy with Cystoid Macular Edema

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Eric R. H. Duerr, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Duerr, Sridhar
Severe Non-Proliferative Diabetic Retinopathy with Cystoid Macular Edema A 65-year-old male with diabetic retinopathy and CME presented to the BPEI retina clinic for continued management of his chronic ocular condition. His care was complicated by an inability to submit to ocular examinations in th…

Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jose J. Echegaray, MD
Faculty Discussant(s): Janet L. Davis, MD; Ninel Z. Gregori, MD; Byron L. Lam, MD
Presenter/Faculty: Davis, Echegaray, Gregori, Lam
Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis A 17-year-old male with a biallelic RPE65 mutation resulting in autosomal recessive Leber Congenital Amaurosis is referred for evaluation for subretinal gene therapy with voretigene neparvovec-rzyl. Baseline evaluation was remarkable fo…

Primary Vitreoretinal Lymphoma

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Rehan M. Hussain, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Hussain
Primary Vitreoretinal Lymphoma A 77-year-old female with a history of vitritis of unknown origin and two non-diagnostic vitrectomies presented with a white plaque on the posterior capsule of her left eye after being lost to follow up for several years. Repeat vitrectomy confirmed the suspected diag…

Myopic Traction Maculopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Clauss, Flynn
Myopic Traction Maculopathy A 62-year-old Asian male with history of myopia presents with decreased vision x 6 months. Found the have myopic traction maculopathy. Patient managed successfully with observation. He has had gradual worsening of vision but has not affected his quality of life. Myopic t…

Retinal Arterial Macroaneurysm

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Reyes-Capo, Sridhar
Retinal Arterial Macroaneurysm 82-year-old female presented to BPEI from the Cayman Islands with 3 weeks of floaters and decreased vision in the right eye. Visual acuity was hand motion and posterior exam revealed vitreous hemorrhage, submacular hemorrhage, and a retinal arterial macroaneurysm (RAM…

Toxic Anterior Segment Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ying Chen, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Chen, Flynn
Toxic Anterior Segment Syndrome A 73-year-old male with history of myopia presents with 1 day of blurry vision in the right eye after uncomplicated cataract extraction and intraocular lens implant. Patient reports mild irritation without associated pain. Vision at presentation was count fingers wit…

Macular Hole

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Noy Ashkenazy, MD, MS
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Ashkenazy, Gregori
Macular Hole A 64-year-old male veteran presents to the clinic on Feb. 15, 2019, with report of having blurry vision in the left eye for 30 years, following left-sided head trauma. He has been told by multiple providers that there was nothing that could be done for his vision. He complains of a “…

Post-Ruptured Globe Associated Retinal Detachment

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Sengillo, Sridhar
Post-Ruptured Globe Associated Retinal Detachment A 75-year-old-man presented to Bascom Palmer Eye Institute for a second opinion following a mechanical fall with trauma sustained to the right eye, resulting in a ruptured globe one month prior. Examination revealed 20/LP vision, no APD, normal IOP,…

Fungal Endogenous Endophthalmitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jacob S. Duker, MD
Faculty Discussant(s): Thomas A. Albini, MD; Luis J. Haddock, MD
Presenter/Faculty: Albini, Duker, Haddock
Fungal Endogenous Endophthalmitis A 32-year-old male presented with eye pain and decreased vision and was found to have vitritis in a “string-of-pearls” configuration. Clinical findings, epidemiology, diagnostic techniques and management of fungal endogenous endophthalmitis are described. Prese…

Proliferative Sickle Cell Retinopathy with Combined Tractional-Rhegmatogenous Retinal Detachment

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jose J. Echegaray, MD
Faculty Discussant(s): Justin H. Townsend, MD
Presenter/Faculty: Echegaray, Townsend
Proliferative Sickle Cell Retinopathy with Combined Tractional-Rhegmatogenous Retinal Detachment A 50-year-old female with previous history of sickle cell disease of unknown type presented with a vitreous hemorrhage in the left eye. Subsequent follow up revealed Stage 3 proliferative sickle cell re…

Inherited Retinal Degeneration Presented with Intermediate Uveitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jila Noorikolouri, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Noorikolouri
Inherited Retinal Degeneration Presented with Intermediate Uveitis A 12-year-old Hispanic female presented to the uveitis clinic seeking second opinion for treatment of intermediate uveitis 4 years ago. Patient had already been treated with several immunosuppressive agents and biologics without any…

Varicella Zoster Virus Retinitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Sengillo
Varicella Zoster Virus Retinitis A 59-year-old male with a past medical history of polymyositis on multiple immunosuppressants and a recent episode of shingles treated one month ago, presents to Bascom Palmer with decreased vision and pain in the right eye. Visual acuity was 20/150 in the affected …

Diffuse Unilateral Subretinal Neuroretinitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas A. Albini, MD
Discussant(s): Nimesh A. Patel, MD
Presenter/Faculty: Albini, Kunkler, Patel
Diffuse Unilateral Subretinal Neuroretinitis A 54-year-old woman from Honduras with a history of T2DM, HTN, OSA presented with 4 months of progressive visual loss in the right eye. She had been seen by many eye care providers and carried the diagnoses of macular degeneration and multifocal choroidi…

Age Related Macular Degeneration

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Iyer, Rosenfeld
Age Related Macular Degeneration RPE tears occur in AMD as part of the normal disease progression. They are usually associated with vascularized pigment epithelial detachments at a rate of 10%. RPE tears are also associated with Central Serous Retinopathy, Retinal Angiomatous Proliferation, Polypoi…

Thioridazine Macular Toxicity

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David J. Grasic, MD
Faculty Discussant(s): Jorge Fortun, MD; Luis J. Haddock, MD
Presenter/Faculty: Fortun, Grasic, Haddock
Thioridazine Macular Toxicity A 69-year-old male with decreased vision OU referred to BPEI for a 2nd opinion. Originally diagnosed with dry age-related macular degeneration. Fundal examination revealed extensive chorioretinal atrophy in the macula and the medioretina. After thorough work up, it was…

Choroidal Change Post Internal Carotid Stenting

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Omer Trivizki, MD, MBA
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Rosenfeld, Trivizki
Choroidal Change Post Internal Carotid Stenting The purpose is to report the changes in choroidal thickness (CT) and the choroidal vascularity index (CVI) measurements using widefield SS-OCT imaging in a patient undergoing treatments that should alter choroidal blood flow. Patient underwent 12x12mm…

Retinal Detachment Caused by Proliferative Sickle Cell Retinopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Thomas A. Lazzarini, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Lazzarini, Sridhar
Retinal Detachment Caused by Proliferative Sickle Cell Retinopathy A 44-year-old man and 19-year-old man, neither with initially disclosed medical history, present with severe vision loss one eye. Both patients have findings consistent with retinal detachment associated with proliferative retinopat…

Central Serous Chorioretinopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jacob S. Duker, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Duker, Gregori
Central Serous Chorioretinopathy A 38-year-old male presented with blurry vision and was found to have a neurosensory retinal detachment concerning for central serous retinopathy. Laser photocoagulation was utilized to treat the focal leak. Clinical findings, epidemiology, diagnostic techniques and…