Course name | Date

Cataracts and Radial Keratotomy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Masako Chen, MD
Faculty Discussant(s): Kendall E. Donaldson, MD, MS
Presenter/Faculty: Chen, Donaldson
Cataracts and Radial Keratotomy A 69-year-old male presented to Bascom Palmer Eye Institute for glare and blurry vision in both eyes. Exam revealed 20/70 vision in right eye and 20/60 in left eye. Patient had 8 RK incision in both eyes and 2+ NS in both eyes. Patient's preoperative evaluation inclu…

PUK- a Review and Interesting Cases

Specialty: Uveitis
Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): Douglas R. Lazzaro, MD, MBA, FACS
Presenter/Faculty: Lazzaro

Scleral-Invasive Ocular Surface Squamous Neoplasia

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): J. William Harbour, MD; Carol L. Karp, MD
Presenter/Faculty: Harbour, Hudson, Karp
Scleral-Invasive Ocular Surface Squamous Neoplasia An 83-year-old male with history of skin cancer and tobacco use was referred to BPEI for evaluation of a subconjunctival mass which was previously biopsied. On presentation, a large firm subconjunctival mass with prominent feeder vessels was seen. …

Gene Therapy for Inherited Retinal Dystrophy 2020 - UHealth International Medical Series

Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): Janet L. Davis, MD
Presenter/Faculty: Davis

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 …

Progressive Presumed Infectious Keratitis: Role of Photodynamic Therapy for the Treatment of Infectious Keratitis

Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua

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.

Glaucoma Associated with Sturge Weber

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Rachel H. Lee, MD, MPH
Faculty Discussant(s): Ta Chen Peter Chang, MD
Presenter/Faculty: Chang, Lee
Glaucoma Associated with Sturge Weber A 4-week-old male was brought in by his mother for evaluation of elevated pressures in the left eye. Exam was revealing for a port wine birth mark in the V1 and V2 distribution on the left. Patient demonstrated an IOP of 32 in the left eye, with marked corneal …

Proliferative Sickle Retinopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Ta Chen Peter Chang, MD
Presenter/Faculty: Berrocal, Chang, Hudson
Proliferative Sickle Retinopathy A 3-year-old female was referred to BPEI for treatment of congenital cataracts. After bilateral lensectomy and vitrectomy, the patient was noted to have elevated intraocular pressure. She underwent placement of BGI and was incidentally found to have vitreous hemorrh…

Steroid-Induced Glaucoma

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alison J. Lauter, MD
Faculty Discussant(s): Steven J. Gedde, MD
Presenter/Faculty: Gedde, Lauter
Steroid-Induced Glaucoma A 32-year-old female presented to Bascom Palmer Eye Institute complaining of an inferior field defect in her left eye. Examination revealed 20/20 vision with correction, an APD, normal IOP, PCIOL, and optic nerve pallor and cupping of the left eye. Right eye exam was WNL. H…

Adult Onset Xanthogranuloma

Type: Online 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…

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.

Pythium Insidiosum Keratitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Guillermo Amescua, MD; Darlene Miller, DHSc, MPH, CIC
Presenter/Faculty: Amescua, Kunkler, Miller
Pythium Insidiosum Keratitis An 83-year-old otherwise healthy female was referred to the BPEI ER for a progressive corneal ulcer. Exam in the left eye was notable for hand motions vision, normal IOP, and severe corneal ulcer associated with hypopyon and scleral extension. B-scan ultrasonography of …

Chronic Retinal Detachment With Pseudocyst

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Hasenin Al-khersan, MD; Nimesh A. Patel, MD
Presenter/Faculty: Al-khersan, Patel
The pseudocyst (yellow arrow) can be a signal that the retinal detachment is chronic. The ultrasound helps to clearly define the fluid filled cavity. It is thought that these are formed by schisis cavities in the outer plexiform layer. If closure of the primary break is not possible, or if the pseu…

Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Rong, Zhang
Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis A 21-year-old female presented to the hospital with 5 days of right eye redness, swelling, discharge and pain. Exam revealed VA OD 20/70, painful EOM and severe conjunctival chemosis and discharge, and eyelid swelling. CT scan revealed righ…

Suprachoroidal Hemorrhage

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Laura, Flynn
Suprachoroidal Hemorrhage A 76-year-old male that presented to the retina service at Bascom Palmer Eye Institute with left eye pain and elevated intraocular pressure eleven days status post complicated cataract surgery during which he was left aphakic. Of note, the patient was on Aspirin 81mg daily…

CMV Retinitis with Frosted Branch Angiitis

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

In this condition, vasculitis of both arteries and veins, with translucent exudation, gives a similar appearance to the frosted branches of a tree. (Yellow arrow). Superior nasally, there is also the classic retinal whitening with retinal hemorrhages, also known as a “pizza pie fundus”.

Iris, Lens and Zonule Coloboma

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Brenda Fallas; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Fallas, Patel
These are caused by failure of the embryonic fissure to close during the second month of development in utero. The iris defect is also known as a "keyhole" pupil. Here, there is not only an iris defect, but also missing tissue in the lens (yellow arrow) and zonules. This can cause difficulties duri…

Retinal Capillary Hemangioblastoma in Von-Hippel Lindau Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Eric D. Hansen, MD
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Presenter/Faculty: Dubovy, Hansen, Harbour
Retinal Capillary Hemangioblastoma in Von-Hippel Lindau Syndrome A 40-year-old male with family history of renal cell carcinoma and history of neurosurgical excision of cerebellar hemangioblastoma presents for routine ophthalmic examination. Vision is 20/20 in both eyes. Fundus examination reveals …

Retinoblastoma

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lediana Goduni, MD
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Presenter/Faculty: Dubovy, Goduni, Harbour
Retinoblastoma A 2-year-old female with an unremarkable past medical history presented with pain and swelling of the left eye. One examination she was able to fix and follow with both eyes but had a dull red reflex of the left eye as well as a retinal mass. An exam under anesthesia was performed wh…