DSEK Interface Keratitis due to Candida
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Matias A. Soifer, MD
Faculty Discussant(s): Guillermo Amescua, MD; Sonia H. Yoo, MD; Sander R. Dubovy, MD
Presenter/Faculty: Amescua, Dubovy, Soifer, Yoo
DSEK Interface Keratitis due to Candida We present a case report of a patient with a history of DSEK 14 months ago, who presented to our clinic with late onset interface keratitis. Confocal microscopy revealed spores, suggestive of Candida. Patient failed medical therapy with intrastromal injection…
Dystrophic Epidermolysis Bullosa
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ibrahim Sayed-Ahmed, MD, MS
Faculty Discussant(s): Alfonso L. Sabater, MD, PhD
Presenter/Faculty: Sabater, Sayed-Ahmed
Dystrophic Epidermolysis Bullosa A child presented to BPEI in 2013 with symblepharon and limbal stem cell deficiency in both eyes. His visual acuity (VA) was 20/40 in his right eye and 20/80 in the left. He came back one year later in 2014 with an advanced inferior symblepharon, covering the visual…
Epithelial Downgrowth
Specialty: Corneal and External Diseases
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…
Epithelial Downgrowth
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): William W. Culbertson, IV, MD; Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Culbertson, Dubovy, Karp, Zhang
Epithelial Downgrowth A patient with ocular history of ruptured globe presented with a new pupillary membrane. Argon laser photocoagulation showed blanching of the iris epithelium concerning for epithelial downgrowth. A biopsy of this membrane was positive for epithelial downgrowth. It was observed…
Epithelial Downgrowth
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Lily Zhang, MD
Presenter/Faculty: Zhang
Sheet form of epithelial downgrowth.
Epithelial Ingrowth Post LASIK
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Hasenin Al-khersan, MD; Nimesh A. Patel, MD; Daniela P. Reyes-Capo, MD
Presenter/Faculty: Al-khersan, Patel, Reyes-Capo
Slit lamp photo post LASIK surgery 2 months prior showing patches of cellular material in the the cornea, worse inferiorly. The anterior segment OCT demonstrates the level of the ingrowth is in the interface of the flap.
Erdheim Chester Disease
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Masako Chen, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Chen, Dubovy, Karp
Erdheim Chester Disease A 37-year-old male presented to clinic with bilateral conjunctival lesions for 7 months. Patient has a history of lytic bone lesions, 50-pound weight loss, and fevers. Examination revealed 20/20 vision in both eyes, mobile, discrete conjunctival lesions in bilateral bulbar c…
Essential Iris Atrophy
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nicholas Gurney, MD
Faculty Discussant(s): Sarah Wellik, MD
Presenter/Faculty: Gurney, Wellik
Essential Iris Atrophy A patient presented to clinic as a referral due to uncontrolled elevated intraocular pressure in the right eye. The patient was on brimonidine, timolol/dorzolamide, and latanoprost in the right eye only. The patient denied a history of previous trauma or intraocular surgery. …
Essential Iris Atrophy
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nicholas Gurney, MD; Sarah Wellik, MD
Presenter/Faculty: Gurney, Wellik
Photos of a patient with unilateral elevated intraocular pressure, iris atrophy resulting in polycoria and corectopia, "beaton bronze" corneal appearance, and peripheral anterior synechiae consistent with Essential/Progressive Iris Atrophy, one of the variants of Iridocorneal Endothelial (ICE) Synd…
Euphorbia Keratitis From Milkweed Exposure
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; William W. Culbertson, IV, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Culbertson, Patel
The patient presented with corneal edema and descemet's folds. The patient noted that she was gardening, and the offending contact was likely euphorbia cyparissias plant sap.
Fuchs Endothelial Corneal Dystrophy
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ellen Koo, MD; Jacob Fondriest, MD
Presenter/Faculty: Koo, Fondriest
A patient with Fuchs' Endothelial corneal dystrophy. Slit lamp photos with retroillumination demonstrate corneal guttate.
Fuchs Endothelial Dystrophy
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Stephanie P. Chen, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Chen
Fuchs Endothelial Dystrophy A patient presents for cataract surgery evaluation with bilateral guttata and specular microscopy consistent with Fuchs endothelial dystrophy. Preoperative vision was 20/40 in the right eye with pachymetry of 595. Cataract surgery was uncomplicated, however postoperative…
Fungal Keratitis
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Quan, Singh Tonk
Fungal Keratitis A 59-year-old female presented to the Bascom Palmer Eye Institute emergency room with a 7-day history of a red and painful eye, and loss of vision. The right eye exam demonstrated HM vision with a diffuse limbal-to-limbal cornea ulcer within a previous penetrating keratoplasty graf…
Fungal Keratitis
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Franklin Zheng, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Ellen Koo, MD
Presenter/Faculty: Dubovy, Koo, Zheng
Fungal Keratitis A patient with a history of corneal ulcer presents for a second opinion due to slow clinical improvement on topical medications. Cultures were negative, but biopsy showed numerous fungal elements. The patient was continued on topical antifungal medication and showed clinical improv…
Fungal Keratitis Post Penetrating Keratoplasty
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Daniel S. Choi, MD; Nimesh A. Patel, MD; Sarah P. Read, MD, PhD
Presenter/Faculty: Choi, Patel, Read
Post penetrating keratoplasty for candida keratitis, this patient developed another foci of infection within the graft tissue. Stromal vascularization and edema can be seen indication failure of the graft.
Giant Fornix Syndrome
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline M. Borie, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH; Carol L. Karp, MD
Presenter/Faculty: Borie, Dubovy, Galor, Karp
Giant Fornix Syndrome A patient with a past medical history of hematologic abnormalities undergoing workup for malignancy presented with chronic conjunctival hyperemia and a conjunctival lesion in the left eye. Slit lamp exam was notable for mild injection and irregular, bumpy conjunctiva. He under…
Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Rong, Zhang
Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis A 21-year-old female presented to the hospital with 5 days of right eye redness, swelling, discharge and pain. Exam revealed VA OD 20/70, painful EOM and severe conjunctival chemosis and discharge, and eyelid swelling. CT scan revealed righ…
Granular Corneal Dystrophy
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Benjamin R. Lin, MD; Angela Y. Zhu, MD, MBA
Presenter/Faculty: Lin, Zhu
Case of granular dystrophy treated with penetrating keratoplasty.
Granular Corneal Dystrophy Type II
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Redick, Tonk
Granular Corneal Dystrophy Type II A patient presented to the Bascom Palmer Cornea Clinic with progressively blurry vision in both eyes as well as worsening pain and irritation in both eyes. She had a family history of corneal problems. Her visual acuity was 20/100 in the right eye and 5/200 in the…
Granular Corneal Dystrophy Type II
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Angela Y. Zhu, MD
Presenter/Faculty: Dubovy, Lieux, Zhu
Granular Corneal Dystrophy Type II A patient presented to the Bascom Palmer General Eye Care Clinic with a progressive decline in her vision in both eyes. The patient was found to have bilateral corneal opacities extending throughout the deep stroma. She underwent genetic testing which confirmed th…