Course name | Date

Peripheral Ulcerative Keratitis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Jesse D. Sengillo, MD; Patrick Staropoli, MD
Presenter/Faculty: Patel, Sengillo, Staropoli

Inferior peripheral corneal thinning due to systemic inflammatory disease. Surgery was with conjunctival recession and amniotic membrane placement.

Peripheral Ulcerative Keratitis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Nimesh A. Patel, MD; Humberto Salazar, III, MD
Presenter/Faculty: Amescua, Patel, Salazar
Peripheral crescentic ulceration and thinning along limbus from 0600 to 1200 with superior neovascularization associated with pain. Treatment was initially with lubrication, antibiotic, systemic steroids, vitamin C, and doxycycline. Ultimately, the patient needed conjunctival recession with AMT pla…

Peripheral Ulcerative Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Salazar
Peripheral Ulcerative Keratitis A patient with well-controlled HIV on antiretroviral therapy presented to the emergency department with five months of left eye pain, redness, discharge, and blurry vision. Visual acuity in the left eye was found to be 20/60 and slit lamp examination was remarkable f…

Peters Anomaly Type I

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Huda Sheheitli, MD
Faculty Discussant(s): Alana Grajewski, MD
Presenter/Faculty: Grajewski, Sheheitli
Peters Anomaly Type 1 A 2-week-old girl presented with bilateral Type I Peters anomaly consisting of bilateral dense central corneal opacities and iridocorneal adhesions. Upon presentation patient had elevated IOP in both eyes (OU) (38 mmHg in the right eye (OD) and 40 mmHg in the left eye (OS)), w…

Post-Refractive Corneal Haze

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Xuemin "Rosie" Zhang, MD
Faculty Discussant(s): Sonia H. Yoo, MD
Presenter/Faculty: Yoo, Zhang
Post-Refractive Corneal Haze A patient presented to the Bascom Palmer Eye Institute with bilateral anterior stromal corneal haze after photorefractive keratectomy for high myopia in both eyes 5 years ago. His vision was 20/200 in both eyes, in the setting of significant irregular astigmatism induce…

Post-transplant Interface Infectious Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Elaine Zhou, MD
Faculty Discussant(s): Kendall E. Donaldson, MD, MS
Presenter/Faculty: Donaldson, Zhou
Post-transplant Interface Infectious Keratitis A patient with past ocular history of pseudoexfoliation syndrome, left eye Descemet’s Stripping Endothelial Keratoplasty (DSEK) and left eye scleral fixated intraocular lens after complicated left eye cataract surgery presented to the emergency room …

Progressive Presumed Infectious Keratitis: Role of Photodynamic Therapy for the Treatment of Infectious Keratitis

Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua

Pythium Insidiosum Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Guillermo Amescua, MD; Darlene Miller, DHSc, MPH, CIC
Presenter/Faculty: Amescua, Kunkler, Miller
Pythium Insidiosum Keratitis An 83-year-old otherwise healthy female was referred to the BPEI ER for a progressive corneal ulcer. Exam in the left eye was notable for hand motions vision, normal IOP, and severe corneal ulcer associated with hypopyon and scleral extension. B-scan ultrasonography of …

Queratitis por Hongos

Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): Eduardo Alfonso, MD
Presenter/Faculty: Alfonso

Recurrent Pterygium

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jaime D. Martinez Martinez, MD
Faculty Discussant(s): Alfonso L. Sabater, MD, PhD
Presenter/Faculty: Martinez, Sabater
Recurrent Pterygium We present a 71-year-old male patient with multiple pterygium resection surgeries on the left eye and one on the right eye. Referred to BPEI with progressive horizontal diplopia on lateral gaze for seven months. On ocular examination revealed 20/60 vision in the left eye, restri…

Sarcoidosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Crystal Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Ellen Koo, MD
Presenter/Faculty: Dubovy, Koo, Zhang
Sarcoidosis A patient with past medical history, recently diagnosed Sjogren’s syndrome, connective tissue disease, psoriasis, eczema, and past ocular history of dry eyes, epiretinal membrane, ocular hypertension, cataracts presented with bilateral itchiness and foreign body sensation. She had con…

Scleral-Invasive Ocular Surface Squamous Neoplasia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): J. William Harbour, MD; Carol L. Karp, MD
Presenter/Faculty: Harbour, Hudson, Karp
Scleral-Invasive Ocular Surface Squamous Neoplasia An 83-year-old male with history of skin cancer and tobacco use was referred to BPEI for evaluation of a subconjunctival mass which was previously biopsied. On presentation, a large firm subconjunctival mass with prominent feeder vessels was seen. …

Sebaceous Carcinoma Presenting with Corneal Ulcer and Descemetocele

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Carol L. Karp, MD
Presenter/Faculty: Karp, Staropoli
Sebaceous Carcinoma Presenting with Corneal Ulcer and Descemetocele An 87-year-old male was referred for second opinion due to nonhealing corneal ulcer of his right eye. He had a past medical history significant for basal cell carcinoma, arthritis, hypertension, hypothyroid, CABG, and carotid stent…

Severe Ocular Chemical Injury

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Aditya Kanesa-thasan, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Kanesa-thasan, Singh Tonk
Severe Ocular Chemical Injury A 41-year-old male international patient presented to BPEI 2 months after the initial injury with persistent redness and decreased vision. Clinical exam revealed scleral melt and ischemia and the patient was started on medical treatment and scheduled for urgent tenopla…

Silent Brain Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Pirakitikulr, Tse
Silent Brain Syndrome A 34-year-old male presents for corneal evaluation with progressive decline in vision in both eyes associated with pain, redness and discharge. The patient’s past medical history is notable for a cerebellar cyst that was removed at age 21 and placement of a ventricular-atria…

Smooth Muscle Hamartoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yoseph Sayegh, MD
Faculty Discussant(s): Nathan W. Blessing, MD; Sander R. Dubovy, MD
Presenter/Faculty: Blessing, Dubovy, Sayegh
Smooth Muscle Hamartoma Our patient presented due to a one-year history of a slowly growing conjunctival lesion. A large, red, non-tender lesion of the right bulbar conjunctiva was identified on examination. It did not improve after several weeks of medical management with steroids. He had no previ…

Stickler Syndrome

Type: 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…

Sub-Conjunctival Lens Migration

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ashley M. Crane, MD; Nimesh A. Patel, MD
Presenter/Faculty: Crane, Patel

Patient with history of multiple retinal detachments with a phthisis eye. The crystalline lens is noted to have migrated external to the sclera and subconjunctivally.

Terrien Marginal Degeneration

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Viet Chau, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Chau
Terrien Marginal Degeneration Our patient presented with progressive decreased vision in the left eye and was found to have significant thinning of the inferior cornea associated with corneal neovascularization and lipid deposition, which was worse in the left than the right eye. Inflammatory lab w…

Terrien Marginal Degeneration (TMD)

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Viet Chau, MD
Presenter/Faculty: Amescua, Chau
A patient presented with blurred vision in the left eye. Examination showed corneal neovascularization and lipid deposition inferiorly. Anterior segment OCT revealed significant corneal stromal thinning with descemetocele. Treatment was with a with an optical penetrating keratoplasty with corrected…