Course name | Date

OSSN Masquerading as a Pinguecula/Severe Dry Eye

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Victor H. Banda, MD; Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Banda, Dubovy, Karp
Patient presents with unilateral blurred vision, foreign body sensation and redness. Picture on the right shows gelatinous pinguecula at limbal location 4 clock hour, corneal surface with significant PEE. Picture on the left is HR-OCT that shows thickened and hyperreflective epithelium with abrupt …

Penetrating Ocular Fishhook Injury

Type: Surgical Videos
Include in Catalogue?: Yes
Original Contributor(s): Diana M. Laura, MD; Humberto Salazar, III, MD
Presenter/Faculty: Laura, Salazar

Corneal Decompensation

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH
Presenter/Faculty: Dubovy, Galor, Lieux
Corneal Decompensation Corneal decompensation in the setting of glaucoma surgery is a complex entity that is poorly understood. Endothelial cell loss occurs from both the glaucoma itself and from the placement of intraocular glaucoma devices. This decline in endothelial cells occurs via direct and …

Stickler Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lediana Goduni, MD
Faculty Discussant(s): Guillermo Amescua, MD; Audina M. Berrocal, MD
Presenter/Faculty: Amescua, Berrocal, Goduni
Stickler Syndrome This presentation describes a teenage patient who presented with bilateral retinal detachments. He has a strong family history of Stickler Syndrome. Additionally, there is a family history of multiple types of cancers, specifically GI cancers. The patient underwent an exam under a…

Epithelial Downgrowth

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Erin Ong, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Ong
Epithelial Downgrowth A patient with a history of bilateral corneal transplants, glaucoma drainage device, and iris cysts presented with gradually decreasing vision after surgical removal of the cyst and cataract surgery in that eye. The patient was diagnosed with epithelial downgrowth and underwen…

High Myopia

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Sonia H. Yoo, MD
Presenter/Faculty: Muniz Castro, Yoo
High Myopia A patient presented to BPEI for laser vision correction. Manifest refraction revealed high myopia with spherical equivalent -9.75 diopters in both eyes. Anterior and posterior segment exam were normal. Tomography imaging showed minimal astigmatism, pachymetry of 557 OD and 566 OS, and n…

Implantable Collamer Lens

Type: Surgical Videos
Include in Catalogue?: Yes
Original Contributor(s): Hannah Muniz Castro, MD; Sonia H. Yoo, MD
Presenter/Faculty: Muniz Castro, Yoo

Traumatic Aniridia

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Elaine Zhou, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Tonk, Zhou
Traumatic Aniridia A patient with past ocular history of penetrating screwdriver trauma to the left globe presents with debilitating glare symptoms and poor vision. The patient has a previous surgical history of primary corneal laceration repair and lensectomy with subsequent reconstruction with sc…

Artificial Iris

Type: Surgical Videos
Include in Catalogue?: Yes
Original Contributor(s): Rahul Singh Tonk, MD; Elaine Zhou, MD
Presenter/Faculty: Tonk, Zhou

Interface Fluid Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Gina Shetty, MD
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Shetty
Interface Fluid Syndrome A patient with a past ocular history of LASIK underwent ACIOL removal and cataract surgery. After surgery the patient was noted to have persistent corneal edema with LASIK flap haze. Anterior segment OCT was performed which showed fluid in the LASIK interface, consistent wi…

Acquired Corneal Subepithelial Hypertrophy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Angelica G. Ortiz, MD
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Ortiz
Acquired Corneal Subepithelial Hypertrophy A patient presented to the Bascom Palmer Eye Institute with decreasing vision in her right eye several months after having a penetrating keratoplasty for ruptured radial keratotomy incisions. Her exam was notable for visual acuity of 20/60 in the right eye…

Acquired Corneal Subepithelial Hypertrophy (ACSH)

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ellen Koo, MD; Angelica G. Ortiz, MD
Presenter/Faculty: Koo, Ortiz

A patient with acquired corneal subepithelial hypertrophy (ACSH) following history of penetrating keratoplasty. Slit lamp photo of the right eye is most notable for a temporal area of white, crescent-shaped, elevated corneal opacity.

Infectious Scleritis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Guillermo Amescua, MD; Carol L. Karp, MD; David T. Tse, MD
Presenter/Faculty: Amescua, Castro, Karp, Tse
Infectious Scleritis An elderly patient presented to BPEI with 7 days of decreased vision and pain in the left eye. Visual acuity was hand motion and exam revealed a localized area of scleral necrosis and suppuration. B scan showed a very small and shallow ciliochoroidal detachment. Cultures of the…

Keratoacanthoma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Humberto Salazar, III, MD
Presenter/Faculty: Salazar

Keratoacanthoma

Bilateral Mycobacterium Tuberculosis-Associated Necrotizing Kerato Sclerouveitis Complicated by Bilateral Corneoscleral Perforation and Uveal Prolapse

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jonathan D. Tijerina, MD, MA
Faculty Discussant(s): Thomas A. Albini, MD; Guillermo Amescua, MD
Presenter/Faculty: Albini, Amescua, Tijerina
Bilateral Mycobacterium Tuberculosis-Associated Necrotizing Kerato Sclerouveitis Complicated by Bilateral Corneoscleral Perforation and Uveal Prolapse A patient presented from the Bahamas with 5-month history of redness, worsening eye pain, and 5 days of decreasing vision with enlarging “red spot…

Lamellar Keratectomy, Corneal Patch Graft, Sutured Amniotic Membrane for Neurotrophic Corneal Ulcer with Descemetocele

Type: Surgical Videos
Include in Catalogue?: Yes
Original Contributor(s): Paula W. Feng, MD; Rahul Singh Tonk, MD
Presenter/Faculty: Feng, Tonk

Neurotrophic Corneal Ulcer

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Paula W. Feng, MD; Rahul Singh Tonk, MD
Presenter/Faculty: Feng, Tonk

The patient presented with a neurotrophic corneal ulcer and descemetocele. A lamellar keratectomy, corneal patch graft, amniotic membrane were applied. Preop and post-op-month 1, with amniotic membrane dissolved.

Cicatricial Conjunctivitis, Steven Johnson Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Victor H. Banda, MD
Presenter/Faculty: Amescua, Banda

A patient with bilateral cicatricial conjunctivitis changes secondary to Steven Johnson Syndrome. Slit lamp photo of both eyes with madarosis, distichiasis, trichiasis, lid margin keratinization. Right eye with partial ankyloblepharon with corneal exposure. Left eye with complete ankyloblepharon.

Ophthalmia Nodosa

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Noy Ashkenazy, MD, MS
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Ashkenazy, Davis
Ophthalmia Nodosa A patient presented to the Bascom Palmer Eye Institute retina/uveitis clinic with 2 months of right eye irritation and floaters. He reported being hit in the right eye by a large flying insect while working on a cruise ship in the Bahamas immediately prior to the onset of symptoms…

Ophthalmia Nodosa, Right Eye, Secondary to Presumed Moth Setae in the Anterior Vitreous

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Noy Ashkenazy, MD, MS; Janet L. Davis, MD
Presenter/Faculty: Ashkenazy, Davis

A presumed moth setae was identified in the anterior vitreous cavity of a patient with uveitis following ocular trauma by a flying insect. The multifocal keratitis and vitreous opacities improved following two weeks of high-dose oral prednisone.