Course name | Date

Bee Stinger in the Cornea

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

The bee stinger seen in the cornea has remained stable for many years and not affected the vision or required removal.

Bilateral Dense White Cataracts

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Guillermo Amescua, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Amescua, Flynn, Lin
Bilateral Dense White Cataracts This is a patient with significant complex medical history who presented with hand motion vision secondary to bilateral dense white cataracts. Due to high anesthesia risk given the severity of medial comorbidities including an implanted left ventricular assist device…

Bilateral Exotropic Duane Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Craig A. McKeown, MD
Presenter/Faculty: McKeown, Vila-Delgado
Bilateral Exotropic Duane Syndrome A healthy 5-year-old male presented with an outward deviation of both eyes since approximately 4 months of age. Motility testing was notable for significant limitation to adduction in both eyes, significant downshoot in the right eye and downshoot and upshoot in t…

Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect

Type: 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 Limbal Stem Cell Deficiency

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jaime D. Martinez Martinez, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Martinez
Bilateral Limbal Stem Cell Deficiency A 32-year-old female patient with bilateral chemical ocular burn. On ocular examination revealed 20/300 and 20.400 vision, with bilateral limbal ischemia and corneal epithelial defect, treated with saline solution irrigation and multiple amniotic membranes. Pat…

Bilateral Mycobacterium Tuberculosis-Associated Necrotizing Kerato Sclerouveitis Complicated by Bilateral Corneoscleral Perforation and Uveal Prolapse

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jonathan D. Tijerina, MD, MA
Faculty Discussant(s): Thomas A. Albini, MD; Guillermo Amescua, MD
Presenter/Faculty: Albini, Amescua, Tijerina
Bilateral Mycobacterium Tuberculosis-Associated Necrotizing Kerato Sclerouveitis Complicated by Bilateral Corneoscleral Perforation and Uveal Prolapse A patient presented from the Bahamas with 5-month history of redness, worsening eye pain, and 5 days of decreasing vision with enlarging “red spot…

Bilateral Optic Neuritis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Fawzi D. Abukhalil, MD, MB
Faculty Discussant(s): Byron L. Lam, MD; Hong Jiang, MD, PhD
Presenter/Faculty: Abukhalil, Lam, Jiang
Bilateral Optic Neuritis A 36-year-old male presented to ER with sudden loss of vision in both eyes, associated with sever periorbital pain, photophobia and pain with eye movement. Vision was NLP right eye and 20/70 left eye with a right afferent pupillary defect in the right eye. Eye movements wer…

Bilateral Papillitis

Type: 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…

Bilateral Retinal Artery Occlusions

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD; Brandon Sparling
Presenter/Faculty: Davis, Patel, Sparling

Right eye with central retinal artery occlusion and left eye with superior branch retinal artery occlusion.

Bilateral Retinoblastoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jose J. Echegaray, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Echegaray, Harbour
Bilateral Retinoblastoma A 7-month-old girl with a white pupil in the right eye is diagnosed with group D retinoblastoma in the right eye and group B retinoblastoma in the left eye. Her right eye is treated with intra-arterial chemotherapy with melphalan, carboplatin, and topotecan. Her left eye wa…

Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Janet L. Davis, MD; Jonathan F. Russell, MD, PhD
Presenter/Faculty: Davis, Lin, Russell
Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment A patient with past medical history of chronic sciatica and recurrent skin abscesses presented to an outside hospital with positive blood, urine, and skin abscess cultures positive for methicillin sensitive st…

Bilateral Tube Exposure

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lisa M. Tom, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Bitrian, Tom
Bilateral Tube Exposure A patient presented to the BPEI emergency room with blurry vision and pain of both eyes for 1 week. The patient had a history of Xen gel stents with injection of 0.1ml 0.04mg/mL mitomycin-C, as well as revision of both blebs with injection of triamcinolone and mitomycin-C, i…

Birdshot Chorioretinopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD
Presenter/Faculty: Davis, Patel
Fundus photos with creamy yellow sub-retinal lesions emanating radially from the nerve. FA OS with late staining and ICG with delineated hypocyanescent spots in the mid and late phases. The patient was HLA-A29 positive. ERG was used to monitor, assessing the B wave for a delayed 30hz flicker time.

Birdshot Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Viet Chau, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jayanth Sridhar, MD
Presenter/Faculty: Albini, Chau, Sridhar
Birdshot Chorioretinopathy The patient presented with blurry vision, flashes of lights and floaters in the right eye that progressively worsened and eventually affecting her fellow eye. She was found to have signs of inflammation on clinical examination, which was further supported by imaging modal…

Bleb Leak

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alison J. Lauter, MD
Faculty Discussant(s): Luis E. Vazquez, MD, PhD
Presenter/Faculty: Lauter, Vazquez
Bleb Leak An elderly patient presented to the glaucoma department for follow up examination of her primary open angle glaucoma. Her IOP was above goal and progression was noted on Humphrey visual fields of both eyes. She underwent uncomplicated cataract extraction with intraocular lens implant comb…

Bosch-Boonstra-Schaaf Syndrome

Type: 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…

Branchio-Oculo-Facial Syndrome and Coloboma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariana Abi Karam, MD
Faculty Discussant(s): Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Abi Karam, McKeown, Mendoza Santiesteban
Branchio-Oculo-Facial Syndrome and Coloboma A young child presented with light perception visual acuity in the right eye and white cataract. Some dysmorphic features were also documented such as wide nasal tip, prominent philtral pillars, hypertelorism, telecanthus, right ptosis, and malformed pinn…

Brimonidine Associated Uveitis

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin Shen, MD
Faculty Discussant(s): Richard K. Parrish, II, MD
Presenter/Faculty: Parrish, Shen
Brimonidine Associated Uveitis A patient with a past ocular history of advanced normal tension glaucoma in both eyes presented with 1 month of blurry vision in both eyes. His exam was notable for decreased visual acuity of 20/30 in the right eye and 20/50 in the left eye. Intraocular pressure was 9…

C2orf71 Retinitis Pigmentosa

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Fam, Lam, Mendoza Santiesteban
C2orf71 Retinitis Pigmentosa A patient presents to the neuro-ophthalmology clinic for evaluation of chronic progressive vision loss over many years. There is high suspicion for a genetic disorder given findings of bilateral symmetric nerve pallor, diffuse chorioretinal atrophy, and attenuated vascu…

Canthaxanthin Crystalline Retinopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Alaa Al-Dabbagh, MD
Presenter/Faculty: Al-Dabbagh
A patient with a history of progressive blurry vision in her left eye for 2 years prior to her presentation. She has no significant past medical except for consuming an over the counter oral tanning pills for a period of 7 years that was stopped 2 years prior to her presentation. Her exam was notab…