Course name | Date

Intraoperative Aqueous Misdirection

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Adam Rothman, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Justin H. Townsend, MD
Presenter/Faculty: Chang, Townsend, Rothman
Intraoperative Aqueous Misdirection A 3-year-old boy with primary congenital glaucoma OU s/p BVT (x1 OD, x2 OS) presents to clinic with elevated IOP OD despite maximum medical therapy. He undergoes exam under anesthesia with median intraocular pressure (IOP) 37 mm Hg OD. The patient then underwent …

Intraorbital Wooden Foreign Body

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Apostolos Anagnostopoulos, MD
Faculty Discussant(s): Chris R. Alabiad, MD
Presenter/Faculty: Alabiad, Anagnostopoulos
Intraorbital Wooden Foreign Body A 63-year-old male with a history of decreased extraocular motility, binocular diplopia and proptosis presenting to the ED after trauma with a palm tree branch a few days before presentation. The patient presents 6 days after trauma with a tree branch. He had a 360-…

Iridocorneal Endothelial (ICE) Syndrome - Iris Atrophy Sub-Type

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): J. William Harbour, MD; Nimesh A. Patel, MD
Presenter/Faculty: Harbour, Patel

This patient was referred for possible iris malignancy. Ultrasound confirmed no mass. There is atrophy of the iris nasally with some variable pigmentation.

Iridocorneal Endothelial Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Medert
Iridocorneal Endothelial Syndrome (ICE) A 27-year-old woman presented for corneal evaluation with a history of secondary glaucoma. She was found to have iridocorneal endothelial syndrome (ICE). She underwent DSAEK, which failed after 13 months. Subsequent Type 1 Boston Keratoprosthesis was successf…

Iridodialysis Pre and Post Repair

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

Slit lamp photo post trauma with bungee cord. There was 5 clock hours of iridodialysis superior nasally with inferior crystalline lens subluxation seen on retroillumination. Post-surgical iris repair and lensectomy the anatomy is restored.

Iridodialysis Repair in a Phakic Patient

Type: Surgical Videos
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Justin H. Townsend, MD
Presenter/Faculty: Patel, Townsend

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…

Juvenile Psammomatous Ossifying Fibroma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Nickalus Khan, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Chowdhary, Dubovy, Khan, Mendoza Santiesteban
Juvenile Psammomatous Ossifying Fibroma An 18-year-old female presented with blurry vision, headaches for 4 months. She was diagnosed to have papilledema on an outside eye exam and referred to BPEI. Her visual acuity was 20/20 OD, 20/100 OS. Additionally, she was noted to have junctional scotoma on…

Keratoprosthesis Endophthalmitis

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

Keratoprosthesis infiltrate and epithelial defect. There was progression with pain and and vitritis that led to removal of the prosthesis.

Klebsiella Pneumoniae Endogenous Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Janet L. Davis, MD
Discussant(s): Nimesh A. Patel, MD
Presenter/Faculty: Davis, Fan, Patel
Klebsiella Pneumoniae Endogenous Endophthalmitis A 46-year-old healthy male presented with a red and painful eye with a preceding febrile gastrointestinal illness. Examination and work-up revealed concomitant intraocular and liver abscesses that required pars plana vitrectomy, drainage of subretina…

Lattice Corneal Dystrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Anat Galor, MD, MSPH; Jayne S. Weiss, MD
Presenter/Faculty: Galor, Lieux, Weiss
Lattice Corneal Dystrophy Lattice corneal dystrophy is a rare disease with a variety of etiologies. Historically, corneal dystrophies have been defined as bilateral, progressive processes that start in a patient’s first to second decade of life and have no correlation with systemic illnesses. Whi…

Leber Hereditary Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Maja Kostic, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD; Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Kostic, Lam, McKeown, Mendoza Santiesteban
Leber Hereditary Optic Neuropathy – LHON An 18-year-old healthy man was evaluated in the eye emergency room for acute progressive painless vision loss in both eyes. First was affected a right eye and a six days later, left eye was affected too. Best-corrected visual acuity was 20/800 right eye an…

Lens

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 of the Lens


Cataracts


Lupus Vasculitis

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

Fundus photos showing sheathing of the major and minor vasculature. Fluorescein angiography with small vessel vasculitis with diffuse temporal non-perfusion.

Macular Hole

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Noy Ashkenazy, MD, MS
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Ashkenazy, Gregori
Macular Hole A 64-year-old male veteran presents to the clinic on Feb. 15, 2019, with report of having blurry vision in the left eye for 30 years, following left-sided head trauma. He has been told by multiple providers that there was nothing that could be done for his vision. He complains of a “…

Metal Tip Post Phacoemulsification Surgery

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

This patient underwent uneventful cataract surgery. On post-operative day 1 there was found to be a fragment of metal on the iris likely from the phacoemulsification probe.

MEWDS

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Raquel Goldhardt, MD, FACS
Presenter/Faculty: Goldhardt, Salazar
MEWDS A healthy, myopic 18-year-old female presented with 2 days of blurry vision in her left eye after having a viral upper respiratory infection for 1 week. Dilated fundus exam revealed posterior pole gray-white spots sparing the fovea and a granulated foveal appearance, as well as mild posterior…

Moacyre E. Alvaro Pan-American Lecture 2019

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

Mucormycosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Thomas E. Johnson, MD
Presenter/Faculty: Johnson, Pirakitikulr
Mucormycosis A 61-year-old male with interstitial lung disease status post left lung transplant on immunosuppression develops worsening left facial and periorbital swelling after dental cleaning. Symptoms are unresponsive to oral antibiotics and after three days the patient is examined by ophthalmo…

Myopic Degeneration

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel

Myopic degeneration patches of severe retinal and choroidal atrophy, lacquer cracks, a tilted disc and lattice degeneration.