Course name | Date

Wernicke Encephalopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lulwa El Zein, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: El Zein, Mendoza Santiesteban
Wernicke Encephalopathy A patient with past history of bariatric surgery presenting with blurred vision, oscillopsia and decreased hearing of few days. Her exam was remarkable for up-beating nystagmus in all gazes. Vision was 20/20 in each eye, pupils equal and reaction. She had full ocular motilit…

Leber Hereditary Optic Neuropathy (LHON)

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anas Yasin, MD
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza-Santiesteban, MD
Presenter/Faculty: Lam, Mendoza-Santiesteban, Yasin
Leber Hereditary Optic Neuropathy (LHON) A previously healthy patient presented to the emergency department (ED) with a 2-week history of bilateral blurry vision associated with painful eye movement. The patient denied eye redness, eye discharge, photophobia, double vision, or headache. The ophthal…

Nyctalopia Due to Vitamin A Deficiency

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mohamed M. Khodeiry, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Khodeiry, Mendoza Santiesteban
Nyctalopia Due to Vitamin A Deficiency A patient with a past medical history of liver cirrhosis, presented to the neuro-ophthalmology clinic with blurry vision in both eyes and nyctalopia that started around a year ago. Ophthalmological exam was notable for a visual acuity of 20/40 in both eyes, re…

Leukemic Optic Nerve Infiltrate

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Byron L. Lam, MD; Caroline L. Lieux, MD
Presenter/Faculty: Lam, Lieux

A pediatric patient with leukemic infiltrate of the optic nerve in both eyes.

Leukemic Optic Neuropathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lieux
Leukemic Optic Neuropathy Leukemic optic neuropathy is a rare entity that is characterized as optic nerve dysfunction resulting from direct infiltration of neoplastic leukocytes. It is an indicator of central nervous system involvement, and it is a neuro-ophthalmic and oncologic emergency that warr…

Extra-Parenchymal Neurocysticercosis (NCC)

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Hong Jiang, MD, PhD
Discussant(s): Folusakin Ayoade, MD
Presenter/Faculty: Ayoade, Dubovy, Jiang, Zhang
Extra-Parenchymal Neurocysticercosis (NCC) A patient presented with blurry vision and headaches for 6 months. He was found to have grade 5 papilledema with hemorrhages. MRI brain/orbits showed bilateral flattening of the posterior sclera with intraocular protrusion of the optic nerve head and promi…

Bartonella Henselae Neuroretinitis and Branch Retinal Artery Occlusion

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Landon J. Rohowetz, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Rohowetz
Bartonella Henselae Neuroretinitis and Branch Retinal Artery Occlusion A patient with past ocular history of viral conjunctivitis presented with 2 weeks of decreased vision in the right eye. His exam was notable for visual acuity of 20/80+1 in the right eye and 20/20 in the left eye. Intraocular pr…

Non-Arteritic Anterior Ischemic Optic Neuropathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Hong Jiang, MD, PhD
Presenter/Faculty: Jiang, Redick
Non-Arteritic Anterior Ischemic Optic Neuropathy A patient presented to the Bascom Palmer Emergency Department with acute onset painless decreased vision in the right eye after awaking from sleep. The patient was found to have unilateral optic disc edema in the right eye. Visual acuity was 20/20 in…

Ocular Bartonella Henselae Infection

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Albini, MD; Jason C. Fan, MD, PhD; Benjamin R. Lin, MD; Landon J. Rohowetz, MD
Presenter/Faculty: Albini, Fan, Lin, Rohowetz

A patient with ocular Bartonella henselae infection manifesting as neuroretinitis and branch retinal artery occlusion.

Spontaneous Intracranial Hypotension

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Vila-Delgado
Spontaneous Intracranial Hypotension A patient presented with sudden onset of postural headaches that improved with recumbency associated with nausea, vomit, photophobia and phonophobia of 5 days of evolution followed by binocular horizontal diplopia at distance and in left gaze. Patient denied rec…

Vitreopapillary Traction Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shahnaz Miri, MD, MBA
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza-Santiesteban, MD
Presenter/Faculty: Miri, Lam, Mendoza-Santiesteban
Vitreopapillary Traction Syndrome The patient presented to the emergency room (ER) with recent-onset photopsia and blurred vision in the left eye, ocular discomfort, and headache. Examination revealed 20/25 vision in the left eye, blurred disc margin, and inferior disc hemorrhage. MRI orbit was unr…

Intracanalicular Optic Nerve Sheath Meningioma

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fan, Lam
Intracanalicular Optic Nerve Sheath Meningioma A middle-aged patient with a PMH of breast cancer, migraines, and hyperlipidemia presents to the Bascom Palmer ER with a chief complaint of headache and left eye blurry vision for the past month. Recent work-up outside is remarkable for normal laborato…

Leber Hereditary Optic Neuropathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza-Santiesteban, MD
Presenter/Faculty: Chowdhary, Lam, Mendoza-Santiesteban
Leber Hereditary Optic Neuropathy An 18-year-old male presented to the ER with bilateral decreased vision and eye pain for 10 days. His visual acuity was HM OD, 20/300 OS. He was noted to have disc pallor OD and temporal pallor with slight nasal elevation OS on fundus exam. His MRI showed T2 hyper …

Neuromyelitis Optica Spectrum Disorder (NMOSD)

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shahnaz Miri, MD, MBA
Faculty Discussant(s): Carlos E. Mendoza-Santiesteban, MD
Presenter/Faculty: Mendoza Santiesteban, Miri
Neuromyelitis Optica Spectrum Disorder (NMOSD) A patient presented to the emergency room with acute vision loss in the left eye for two weeks. Examination revealed 20/400 vision, crowded nerve with blurred margin, and afferent pupillary defect in the left eye. MRI orbit with and without contrast re…

Idiopathic Intracranial Hypertension

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Maeng, Tse
Idiopathic Intracranial Hypertension A 39-year-old male presented to the BPEI ER with blurry vision in his right eye for 2 weeks. Examination revealed CF OD, 20/60 OS vision, right APD, and bilateral disc edema. OCT showed diffusely elevated RNFL thickness and HVF 30-2 was not able to be performed …

Retinitis Pigmentosa

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

Fundus photo with peripheral hyperpigmentation and bone spicules. Angiogram demonstrating peripheral atrophy and mild vessel leakage. OCT with cystoid macula edema.

Juvenile Psammomatous Ossifying Fibroma

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Nickalus Khan, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Chowdhary, Dubovy, Khan, Mendoza Santiesteban
Juvenile Psammomatous Ossifying Fibroma An 18-year-old female presented with blurry vision, headaches for 4 months. She was diagnosed to have papilledema on an outside eye exam and referred to BPEI. Her visual acuity was 20/20 OD, 20/100 OS. Additionally, she was noted to have junctional scotoma on…

Bosch-Boonstra-Schaaf Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Apostolos Anagnostopoulos, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD; Carla J. Osigian Probst, MD
Presenter/Faculty: Anagnostopoulos, Mendoza Santiesteban, Osigian
Bosch-Boonstra-Schaaf Syndrome The following case review presents a 3-year-old, born full term, with developmental delay which was referred by an outside physician for further evaluation. Further testing was required for a final diagnosis which included an MRI of the brain and genetic testing. Resu…

Vitamin A Deficiency

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nicole J. Topilow, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Topilow
Vitamin A Deficiency A 73-year-old woman with a past medical history significant for Crohn’s disease and recently diagnosed colon cancer with recent sigmoid colon resection, presented with ten days of blurry vision in both eyes and nyctalopia. Onset of her symptoms was during a hospitalization fo…

Neuro-Ophthalmology

Type: Medical Student Education
Include in Catalogue?: Yes
Presenter(s): Chris R. Alabiad, MD
Presenter/Faculty: Alabiad

In this module, we will look at:




Anatomy / Pathways / Light Reflex


Optic Neuritis


Papilledema


NAION


Giant Cell Arteritis


Inherited Optic Neuropathies


Other Optic Neuropathies