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Ocular Surface Squamous Neoplasia A patient presented to BPEI for a cornea evaluation with blurred vision, foreign body sensation and redness for 1 year duration. The exam was notable for visual acuity of 20/150 in the right eye. Intraocular pressure was 8 in the right eye, Slit lamp exam was most …

Ocular Surface Squamous Neoplasia An elderly patient with a diffuse ocular surface squamous neoplasia (OSSN) of the left eye is treated with cycles of Interferon, 5 Fluorouracil and Mitomycin C topical chemotherapy without improvement. Due to high out-of-pocket costs and epiltheliopathy after 7 mon…

Ocular Surface Squamous Neoplasia A patient with an ocular history of OSSN presents with several months of monocular double vision in his right eye. He states that symptoms came on slowly and have progressively gotten worse. His exam was notable for a vision of 20/150 in the right eye that pin-hole…

Ocular Toxoplasmosis A patient with history of amblyopia presented for two days vision loss and eye pain in the right eye. She denies prior trauma. She was born in Russia and denies exposure to cats. Vision was hand motion in the affected eye with normal intraocular pressure. Exam was notable for f…

In this module, we will look at:




Orbital Fractures


Eyelid Lacerations


Conjunctival and Corneal Abrasions / Lacerations / Foreign Bodies


Ruptured Globe

In this module, we will look at:


Eyelids

Tear Drainage System

Orbit

A presumed moth setae was identified in the anterior vitreous cavity of a patient with uveitis following ocular trauma by a flying insect. The multifocal keratitis and vitreous opacities improved following two weeks of high-dose oral prednisone.

Increased cup to disc ratio at > 0.9 with some peripapillary atrophy.

Optic nerve cyst (first image) that over time revealed an optic nerve coloboma (second image).

Optic Nerve Pit Optic nerve anomalies are rare entities with a variety of clinical presentations. They can be classified according to anomalies of disc size, disc conformation, or by the presence of abnormal tissue on the optic nerve head, or pseudoswelling. Here, we present a child with an inciden…

Orbital B-Cell Lymphoma in the Setting of Primary Open Angle Glaucoma A middle-aged patient was referred to BPEI after an Emergency Room visit for uncontrolled glaucoma. His outside ophthalmologist had been successfully managing the patient with topical medication and maintaining vision. Patient th…

An elderly patient with anophthalmic socket pain underwent orbital exploration. Intra-operative photo shows a large cystic lesion superior to her orbital implant. Close up photograph of the cyst shows a 1-mm intact cystic lesion filled with gray opaque fluid.

Orbital Myiasis A patient with PMHx of HTN and POHx of basal cell carcinoma involving the right lateral nasal wall s/p wide resection and orbital exenteration with subsequent reconstruction (complicated by a chronic open wound along the superior lateral nasal wall extending into the right frontal/e…

Orbital Necrotizing Fasciitis A patient found down by EMS with left orbital swelling for 2 days after he was unable to take his medications due to a recent illness. He was admitted to a hospital and treated for diabetic ketoacidosis, Group A Streptococcus sepsis and left orbital infection before pr…

Orbital Rhabdomyosarcoma - Recurrence A young patient with notable past ocular history of orbital rhabdomyosarcoma, s/p chemotherapy with vincristine, dactinomycin, and cyclophosphamide, and proton beam radiation presented to Bascom Palmer ED with 2 days of blurry vision and “seeing everything gr…

Orbital Sarcoidosis A patient presented with three months of left eye swelling and pain. He was found to have periorbital firmness and fullness, proptosis, and conjunctival chemosis. He underwent computed tomography imaging of the orbits with contrast, which demonstrated an ill-defined, irregular a…

Orbital Venous Lymphatic Malformation A patient presented to the ER complaining of 2 days of increasing pain and swelling behind the left eye. Of note the patient reported that as a teenager he was previously treated for an orbital tumor. On exam he was found to have massive proptosis, hyperglobus …