Course name | Date

Metal Tip Post Phacoemulsification Surgery

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carol L. Karp, MD; Nimesh A. Patel, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Karp, Patel, Swaminathan

This patient underwent uneventful cataract surgery. On post-operative day 1 there was found to be a fragment of metal on the iris likely from the phacoemulsification probe.

Microsporidial Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Akaanksh Shetty, MD
Faculty Discussant(s): Guillermo Amescua, MD; Sander R. Dubovy, MD
Presenter/Faculty: Amescua, Dubovy, Shetty
Microsporidial Keratitis A patient with chronic nonresponse keratitis presented to Bascom Palmer with a 2 year history of progressive eye pain and blurry vision in the left eye. He was initially diagnosed with herpes stromal keratitis of the left eye and was treated for >1 year with steroids and…

Multi-Drug Resistant Pseudomonas Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Guillermo Amescua, MD; Darlene Miller, DHSc, MPH, CIC
Presenter/Faculty: Amescua, Lieux, Miller
Multi-Drug Resistant Pseudomonas Keratitis Pseudomonas aeruginosa is a gram-negative rod that is both an aerobic and facultative anaerobic organism. It is commonly spread through contact with exposed water, medical equipment, or human contact. As an opportunistic infection, it causes mild disease i…

Mycobacterium Abscessus Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Zhang
Mycobacterium Abscessus Keratitis A patient was referred for management of a corneal ulcer in their right eye. Initial exam revealed VA OD CF with diffuse corneal epithelial defect, infiltrate, and endothelial plaque and anterior inflammation with a hypopyon. Corneal cultures were positive for Myco…

Mycoplasma Pneumoniae-Induced Rash and Mucositis (MIRM)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Neel D. Pasricha, MD
Faculty Discussant(s): Guillermo Amescua, MD; Swapna Shanbhag, MD
Presenter/Faculty: Amescua, Pasricha, Shanbhag
Mycoplasma Pneumoniae-Induced Rash and Mucositis (MIRM) A patient presented to BPEI ED with dysuria x4 days and worsening red eye and irritation OU x2 days. Diagnosed with possible STI + conjunctivitis by outside Urgent Care 2 days prior. On our examination, he had decreased BCVA of 20/50 OD and 20…

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.

Neurotrophic Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Elli Park, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Park, Rong
Neurotrophic Keratitis A patient presented to the Bascom Palmer Eye Institute’s emergency room with acute on chronic left eye pain. The history was notable for a left petroclival chondrosarcoma that had been resected with post-operative, left-sided cranial nerve 5, 6, 7 and 8 palsies. The patient…

Nocardia Amikacinitolerans Corneal Ulcer

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Fowler, Galor
Nocardia Amikacinitolerans Corneal Ulcer A 31-year-old male presented to the Bascom Palmer Eye Institute ER with six weeks of decreased vision in the right eye. Examination revealed 20/70 vision, a white and quiet eye, with a stromal corneal infiltrate and elevated IOP. The patient was treated with…

Nontuberculous Mycobacterium Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Angela Y. Zhu, MD, MBA
Faculty Discussant(s): Sonia H. Yoo, MD
Presenter/Faculty: Yoo, Zhu
Nontuberculous Mycobacterium Keratitis A 39-year-old Hispanic male presented to the Emergency Room with worsening blurry vision and pain in the left eye for 1 month after feeling something “fly into his eye” while cutting wood. Visual acuity was 20/40 on presentation with a small 1 x 1 mm multi…

Ocular Cicatricial Pemphigoid

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shruti Aggarwal, MBBS
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Aggarwal, Amescua
Ocular Cicatricial Pemphigoid An 83-year-old monocular male presented to the Cornea division, Bascom Palmer Eye Institute with bilateral decreased vision, pain redness and burning for many years getting progressively worse. Examination revealed hand motion vision, ankyloblepharon and chronic cicatr…

Ocular Cicatricial Pemphigoid / Mucous Membrane Pemphigoid

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Guillermo Amescua, MD; Sander R. Dubovy, MD
Presenter/Faculty: Amescua, Dubovy, Reyes-Capo
Ocular Cicatricial Pemphigoid / Mucous Membrane Pemphigoid A patient with a PMHx of HTN presented to BPEI with redness and discharge of the left eye for 3 months. Review of systems was negative for any systemic symptoms. Visual acuity of the left eye was 20/80, IOP was 13 mmHg, there was no APD, an…

Ocular Graft Versus Host Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Redick
Ocular Graft Versus Host Disease A 39-year-old female with 6 months of eye itchiness and yellow discharge for 6 months. Pt has a history of acute lymphoblastic leukemia treated with allogenic bone marrow transplant. Pt diagnosed with ocular graft versus host disease. Pt had some improvement with lu…

Ocular Surface Squamous Neoplasia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Galor, Karp, Salazar
Ocular Surface Squamous Neoplasia A 65-year-old male with history of suspected glaucoma, diabetes, hypertension, and hyperlipidemia presented for a routine eye exam. Patient reported spending a lot of time in the sun. Visual acuity was 20/20 and intraocular pressure was normal in both eyes. Exam re…

Ocular Surface Squamous Neoplasia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Galor, Karp, Stevens
Ocular Surface Squamous Neoplasia A 71-year-old male with a history of atopic dermatitis was referred to BPEI for evaluation of a corneal lesion. Exam revealed an opalescent and gelatinous lesion at 2-4 o'clock at the limbus in the left eye. Anterior segment OCT showed a thickened, hyperreflective …

Ocular Surface Squamous Neoplasia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Victor H. Banda, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Banda, Dubovy, Karp
Ocular Surface Squamous Neoplasia A patient presented to BPEI for a cornea evaluation with blurred vision, foreign body sensation and redness for 1 year duration. The exam was notable for visual acuity of 20/150 in the right eye. Intraocular pressure was 8 in the right eye, Slit lamp exam was most …

Ophthalmia Nodosa

Type: 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.

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: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD; Nicolas A. Yannuzzi, MD
Discussant(s): Diana M. Laura, MD
Presenter/Faculty: Flynn, Laura, Salazar, Yannuzzi
Penetrating Ocular Fishhook Injury A patient with a history of stroke, hypertension, and pseudophakia of both eyes, presented with eye trauma while fishing without protective eyewear. While reeling in, his fishhook flew out of the water and hit him in the right eye. On presentation, his right eye v…

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