Course name | Date

Miller Fisher Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Hong Jiang, MD, PhD; Byron L. Lam, MD; Carlos E. Mendoza Santiesteban, MD; Joshua Pasol, MD
Presenter/Faculty: Chowdhary, Jiang, Lam, Mendoza Santiesteban, Pasol
Miller Fisher Syndrome A patient presented with binocular diplopia of 2 weeks duration after COVID-19 infection. Additionally, she had neurological symptoms, weakness, tingling, numbness of extremities. She had been fully vaccinated against COVID-19. On exam her BCVA was 20/20 OU, she was noted to …

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


Neuromyelitis Optica Spectrum Disorder (NMOSD)

Type: 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…

Non-Arteritic Anterior Ischemic Optic Neuropathy

Type: 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…

Non-Arteritic Ischemic Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ying Chen, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Chen, Lam
Non-Arteritic Ischemic Optic Neuropathy We report a case of a 32-year-old male who presents with a four days blurry vision in the left eye. Patient denied any associated pain or systemic symptoms. His review of system includes mild gastrointestinal discomfort 2 years prior that led to eventual remo…

Nyctalopia Due to Vitamin A Deficiency

Type: 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…

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.

Ocular Ischemic Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Norman Schatz, MD; Jayanth Sridhar, MD
Presenter/Faculty: Quan, Schatz, Sridhar
Ocular Ischemic Syndrome Ocular ischemic syndrome (OIS) is a rare condition associated with severe carotid artery occlusive disease leading to ocular hypoperfusion. It typically presents at mean age of 65, there is no racial predilection, and is two times more common in men than women. It is typica…

Optic Nerve Pit

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lieux
Optic Nerve Pit Optic nerve anomalies are rare entities with a variety of clinical presentations. They can be classified according to anomalies of disc size, disc conformation, or by the presence of abnormal tissue on the optic nerve head, or pseudoswelling. Here, we present a child with an inciden…

Pediatric Leber's Hereditary Optic Neuropathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Maja Kostic, MD, PhD; Byron L. Lam, MD; Nimesh A. Patel, MD
Presenter/Faculty: Kostic, Lam, Patel

A 7-year-old patient with fundus photos showing temporal optic nerve pallor OU. Vision was 20/400 and 20/800. Ganglion cell layer of the patients male first cousin reveals diffuse thinning.

POEMS Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anas Yasin, MD
Faculty Discussant(s): Joshua Pasol, MD
Presenter/Faculty: Pasol, Yasin
POEMS Syndrome A patient presented for evaluation of grade 4 optic disc swelling in both eyes. The patient has a history of polyneuropathy both sensory and motor involving the upper limbs more than lower limbs consistent with a diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP) a…

Potential Pitfalls in Pediatric Neuro-Ophthalmology

Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): R. Michael Siatkowski, MD, MBA
Presenter/Faculty: Siatkowski

Radiation Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Venincasa
Radiation Optic Neuropathy A patient with a history of skull base meningioma status-post gamma knife radiation presented with three weeks of decreased vision in both eyes. She had no light perception in the right eye and a visual acuity of 20/50 in the left. Magnetic resonance imaging of the brain …

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.

Spontaneous Intracranial Hypotension

Type: 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…

Traumatic Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lin
Traumatic Optic Neuropathy A patient presented with no light perception four days following being hit in the eye with a curling iron. Besides decreased vision, an afferent pupillary defect, and periorbital edema/ecchymosis, clinical exam including of the optic nerve was otherwise unremarkable. Init…

Vitamin A Deficiency

Type: 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…

Vitreopapillary Traction Syndrome

Type: 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…

Wernicke Encephalopathy

Type: 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…