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Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Angela J. Verkade, MD

Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD

Presenter/Faculty: Dubovy, Karp, Verkade

Acanthamoeba Keratitis Acanthamoeba keratitis, while an uncommon form of keratitis, is important to recognize and treat aggressively. Unfortunately, due to its encysted form, acanthamoeba is not only difficult to diagnose with standards methods of culture, but it is also very resistant to treatment…

Adenoid Cystic Carcinoma of the Lacrimal Gland

Specialty: Ocular Oncology

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Michelle Latting, MD

Faculty Discussant(s): David T. Tse, MD

Presenter/Faculty: Latting, Tse

Adenoid Cystic Carcinoma of the Lacrimal Gland A 43-year-old female presented to her primary care physician with swelling of the lateral aspect of the right upper eyelid without visual complaints. The primary care physician noted proptosis of the right globe and ordered a CT scan which revealed a m…

Adenoviral Conjunctivitis

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Diana M. Laura, MD

Faculty Discussant(s): Anat Galor, MD, MSPH

Presenter/Faculty: Galor, Laura

Adenoviral Conjunctivitis A 31-year-old male presents with eye redness, foreign body sensation, and blurry vision in both eyes, worse in the right eye. On exam he is found to have follicular conjunctivitis in both eyes with sub epithelial infiltrates on the right cornea. His conjunctiva were cultur…

3-Piece Intraocular Lens in the Anterior Chamber

Type: Ophthalmic Images

Include in Catalogue?: Yes

Original Contributor(s): Allister G. Gibbons, MD

Presenter/Faculty: Gibbons

An otherwise asymptomatic 82-year-old patient with uncorrected visual acuity of 20/25 at distance presents for a routine eye exam in clinic.

Acanthamoeba Keratitis with Radial Perineuritis

Type: Ophthalmic Images

Include in Catalogue?: Yes

Original Contributor(s): Ann V. Quan, MD; Nimesh A. Patel, MD

Presenter/Faculty: Quan, Patel

White linear radial stromal haze caused by infiltration and inflammation of the corneal nerves by the amoeba.

Achromobacter Xylosoxidans Endophthalmitis

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Thomas A. Lazzarini, MD

Faculty Discussant(s): Guillermo Amescua, MD; Harry W. Flynn, Jr., MD

Presenter/Faculty: Amescua, Flynn, Lazzarini

Achromobacter Xylosoxidans Endophthalmitis A 79-year-old male with history of Fuchs endothelial dystrophy of both eyes s/p penetrating keratoplasty of both eyes (1980s), repeat penetrating keratoplasty of left eye (2018) and regmatogenous retinal detachment of left eye s/p repair with silicon oil w…

Acute Retinal Necrosis Pre and Post Treatment

Type: Ophthalmic Images

Include in Catalogue?: Yes

Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD

Presenter/Faculty: Davis, Patel

Presentation with peripheral retinal whitening and perivascular hemorrhages. PCR was positive for HSV. Treatment was with the intravitreal antiviral Foscarnet as well as oral Valacyclovir. On 3 months follow up there was improvement in the retinitis with peripheral atrophy that was laser demarcated…

Acute Syphilitic Posterior Placoid Chorioretinitis

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Benjamin R. Lin, MD

Faculty Discussant(s): Thomas A. Albini, MD; Jayanth Sridhar, MD

Presenter/Faculty: Albini, Lin, Sridhar

Acute Syphilitic Posterior Placoid Chorioretinitis A 56-year-old Hispanic male with past medical history of gout presented to the emergency room with a “purple spot” in his right eye for the last four days. Examination was significant for best corrected visual acuity (BCVA) 20/70, no anterior c…

Adult Onset Xanthogranuloma

Specialty: Ophthalmic Pathology

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Kevin D. Clauss, MD

Faculty Discussant(s): Bradford W. Lee, MD, MSC

Presenter/Faculty: Clauss, Lee

Adult Onset Xanthogranuloma A 48-year-old male presented with intermittent bilateral eyelid swelling for 5 years and progressively enlarging well-demarcated yellow eyelid lesions. On exam, patient had chemosis, and reduced up gaze in the right eye, prompting orbital imaging with MRI which demonstra…

Age Related Macular Degeneration

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Prashanth G. Iyer, MD

Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD

Presenter/Faculty: Iyer, Rosenfeld

Age Related Macular Degeneration RPE tears occur in AMD as part of the normal disease progression. They are usually associated with vascularized pigment epithelial detachments at a rate of 10%. RPE tears are also associated with Central Serous Retinopathy, Retinal Angiomatous Proliferation, Polypoi…

Alkaline Chemical Corneal Burn

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Patrick Staropoli, MD

Faculty Discussant(s): Anat Galor, MD, MSPH

Presenter/Faculty: Galor, Staropoli

Alkaline Chemical Corneal Burn A 63-year-old male presented with decreased vision and pain after alkali chemical splash to both eyes at a utility plant. He presented with perilimbal ischemia in the right eye greater than the left, complete opacification of the right cornea and a large epithelial de…

Alstrom Syndrome

Specialty: Neuro-Ophthalmology

Type: 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…

Anterior Chamber Intra-Ocular Lens

Type: Ophthalmic Images

Include in Catalogue?: Yes

Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD

Presenter/Faculty: Flynn, Patel

A well-positioned ACIOL with superior nasal iridotomy.

Anterior Dislocation of Crystalline Lens with Corneal Edema

Type: Ophthalmic Images

Include in Catalogue?: Yes

Original Contributor(s): Ashley M. Crane, MD; Nimesh A. Patel, MD; Nathan L. Scott, MD, MPP

Presenter/Faculty: Crane, Patel, Scott

Traumatic anterior dislocation of crystalline lens with Descemet’s folds in the cornea. The patient was treated with lensectomy and vitrectomy. Due to the high myopia, there was no need for secondary intraocular lens or contact lens. The final vision uncorrected visual acuity was 20/30 aphakic.

Aqueous Misdirection After Glaucoma Drainage Implant

Specialty: Glaucoma

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Kenneth C. Fan, MD

Faculty Discussant(s): Anna K. Junk, MD

Presenter/Faculty: Fan, Junk

Aqueous Misdirection After Glaucoma Drainage Implant A 54-year-old male presented to the clinic flat anterior chamber 6 weeks after a glaucoma implant device. His vision was 20/200 in the affected eye with an IOP of 10. He had lenticular-corneal touch. His other eye was NLP from presumed POAG. He w…

Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Jose J. Echegaray, MD

Faculty Discussant(s): Janet L. Davis, MD; Ninel Z. Gregori, MD; Byron L. Lam, MD

Presenter/Faculty: Davis, Echegaray, Gregori, Lam

Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis A 17-year-old male with a biallelic RPE65 mutation resulting in autosomal recessive Leber Congenital Amaurosis is referred for evaluation for subretinal gene therapy with voretigene neparvovec-rzyl. Baseline evaluation was remarkable fo…

Bartonella Neuroretinitis

Type: Ophthalmic Images

Include in Catalogue?: Yes

Original Contributor(s): Nimesh A. Patel, MD; Norman Schatz, MD

Presenter/Faculty: Patel, Schatz

Fundus photo with exudates in a stellate pattern surrounding macula. OCT showing the hyperdense exudates in the outerplexiform layer.

Basal Cell Carcinoma

Specialty: Ophthalmic Pathology

Type: Grand Rounds

Include in Catalogue?: Yes

Presenter(s): Nathan Pirakitikulr, MD, PhD

Faculty Discussant(s): Sara Tullis Wester, MD, FACS

Presenter/Faculty: Pirakitikulr, Wester

Basal Cell Carcinoma A 73-year-old female presented to clinic with a large ulcerated lesion involving the forehead, glabella, upper eyelids and extending towards the medial canthi bilaterally. The lesion had been present and growing for over 19 years, but the patient was reluctant to seek medical c…

Bee Stinger in the Cornea