Alstrom Syndrome
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Byron L. Lam, MD; Craig A. McKeown, MD
Presenter/Faculty: Hudson, Lam, McKeown
Alstrom Syndrome A 5-year-old male referred to the BPEI pediatric ophthalmology clinic for second opinion regarding bilateral progressive vision loss since infancy. VA was 20/200 OU and the patient had nystagmus. He was 99% percentile for weight but had no hearing loss or polydactyl. He underwent s…
Amalric Triangular Choroidal Infarction in Giant Cell Arteritis
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
The patient presented with ocular ischemic syndrome and corneal edema in the fellow eye. In the right eye on angiography there is temporal non-perfusion as well as choroidal hyperfluorescent infarcts in the late phases. ESR and CRP were elevated. Diagnosis of GCA was made. The patient retained 20/3…
Bartonella Henselae Neuroretinitis and Branch Retinal Artery Occlusion
Specialty: Neuro-Ophthalmology
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…
Bartonella Neuroretinitis
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasman Moshiri, MD
Faculty Discussant(s): Nicolas A. Yannuzzi, MD
Presenter/Faculty: Moshiri, Yannuzzi
Bartonella Neuroretinitis A patient presented with subacute painless decreased vision in the left eye. On examination, she had evidence of stellate macular exudates in the left eye, as well as optic disc edema in the right eye. Imaging including fluorescein angiography and OCT of the macula and ret…
Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Staropoli
Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect A 51-year-old female was transferred from an outside facility 5 days after buttock augmentation surgery in the prone position. On examination, there was no light perception in the right eye and hand motion vision i…
Bilateral Papillitis
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Mendoza Santiesteban, Sengillo
Bilateral Papillitis A 66-year-old man presented to Bascom Palmer with complaints of blurry vision in both eyes for three days which he described as painless. Vision was 20/350 in the right and 20/200 in the left eye with evident papillitis in both eyes on exam. An MRI revealed no retrobulbar optic…
Bosch-Boonstra-Schaaf Syndrome
Specialty: Neuro-Ophthalmology
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…
Carotid Cavernous Fistula with Ocular Ischemic Syndrome
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Slit lamp photo with dilated epi-scleral veins. Fundus photo with retinal hemorrhages. FA with severe non perfusion, leakage from the disc, and laser scars. MRI/MRA demonstrates left distal precavernous/proximal cavernous ICA fistula into the cavernous sinus with arterialized flow. There is resulta…
Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fowler, Lam
Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma A 34-year-old woman presented with 2 weeks of diplopia. The patient had binocular horizontal diplopia with a right cranial nerve 6 palsy and moderate-to-severe headache of 1-week duration. Magnetic resonance imaging (MRI) of the brain and orb…
Downbeat Nystagmus
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Amir Faramarzi, MD
Faculty Discussant(s): Hong Jiang, MD, PhD
Presenter/Faculty: Faramarzi, Jiang
Downbeat Nystagmus A patient was referred with double vision and oscillopsia. He reported to have nystagmus and oscillopsia for a few years, and recently mild worsening. He denies head trauma, weakness, numbness, changes in his vision, transient visual loss, or headache. Patient has trouble reading…
Ethambutol Induced Optic Neuropathy
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Christopher Morais, MD
Faculty Discussant(s): Joshua Pasol, MD
Presenter/Faculty: Morais, Pasol
Ethambutol Induced Optic Neuropathy A patient with a past medical history of chronic Mycobacterium avium infection, on anti-mycobacterial medication for 5 months, presented with bilateral, painless, progressive visual loss for 1 month. Previous medical history significant for B cell lymphoma and ma…
Extra-Parenchymal Neurocysticercosis (NCC)
Specialty: Neuro-Ophthalmology
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…
Fulminant Superior Ophthalmic Vein Thrombosis with likely Cavernous Sinus Thrombosis
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nina Diklich, MD; Hong Jiang, MD, PhD
Presenter/Faculty: Diklich, Jiang
This patient presented with a one day history of severe pain, reduced vision, diplopia, and proptosis. Imaging revealed a superior ophthalmic vein thrombosis. Extensive workup showed no definite underlying etiology. The patient was started on antibiotics, corticosteroids, and anticoagulation. There…
Grade 5 Papilledema From Idiopathic Intracranial Hypertension
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Increased intracranial pressure leading to bilateral optic nerve edema. Grade 5 is considered when all vessels are partially obscured by edema.
Idiopathic Intracranial Hypertension
Specialty: Neuro-Ophthalmology
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 …
Idiopathic Intracranial Hypertension
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Zachary Snow, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD; Byron L. Lam, MD
Presenter/Faculty: Flynn, Lam, Snow
Idiopathic Intracranial Hypertension A patient with slow and progressive, painless, visual decline OD for two weeks presents to BPEI ED. She also notes moderate intensity full-day headaches and TVOs in the same time period. She saw an outside provider and was referred to BPEI ED for optic nerve hea…
Idiopathic Intracranial Hypertension
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Christopher Burrell, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Burrell, Lam
Idiopathic Intracranial Hypertension A patient presented with two weeks of vision loss alongside a year-long complaint of left-sided neck stiffness and headaches. Past medical history was remarkable for end-stage renal disease on peritoneal hemodialysis. Examination was notable for blood pressure o…
Idiopathic Intracranial Hypertension Complicated by Peripapillary Choroidal Neovascular Membrane Formation
Specialty: Neuro-Ophthalmology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carlos E. Mendoza Santiesteban, MD; Landon J. Rohowetz, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Mendoza, Rohowetz, Yannuzzi
Fundus photo demonstrating grade 1 optic nerve head edema in the right eye and grade 3 optic nerve head edema in the left eye. The left eye also demonstrates retinal folds, subretinal hemorrhage, and leakage on fluorescein angiography consistent with a choroidal neovascular membrane.
Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Landon J. Rohowetz, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Mendoza Santiesteban, Rohowetz, Yannuzzi
Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane A patient with no past ocular history presented to the emergency department complaining of floaters in the left eye for 4 days. Exam was notable for visual acuity of 20/20 in the right eye and 20/25 in the left eye. …
Indirect Carotid Cavernous Fistula
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Joshua Pasol, MD; Robert M. Starke, MD
Presenter/Faculty: Hudson, Pasol, Starke
Indirect Carotid Cavernous Fistula A 72-year-old female referred to Bascom Palmer Emergency room with 4 months of progressive painless diplopia and eye redness after dental procedure. Exam revealed VA 20/25 OU with bilateral abducens palsy, and arterialization of the conjunctival vessels. Review of…