Course name | Date

Coats' Disease Stage 4

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

RetCam photo with a bullous exudative retinal detachment. Angiography shows area of engorged vessels, telangiectasias and neovascularization. Ultrasound with moderate dense vitreous opacities and no calcifications. Surgery with external drainage was required for treatment.

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”.

CMV Retinitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Akaanksh Shetty, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Shetty, Sridhar
CMV Retinitis A patient with a past ocular history of POAG s/p phaco/trab OD and BGI OS, and ERM OS with macular edema OS receiving intravitreal Dexamethasone injections since 2017 presented with left eye redness, decreased VA, and pain for 4 days. He reported no history of trauma, no recent hospit…

Closing the Health Gap: The Role of Diversity in Ophthalmology

Specialty: Other
Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): Basil K. Williams, Jr., MD
Presenter/Faculty: Williams

Ciliochoroidal Melanoma with Extraocular Extension Complicated by Sympathetic Ophthalmia

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ayman Elnahry, MD, PhD
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Maura Di Nicola, MD
Presenter/Faculty: Correa, Di Nicola, Elnahry
Ciliochoroidal Melanoma with Extraocular Extension Complicated by Sympathetic Ophthalmia A patient presented with a pigmented conjunctival lesion in the right eye of insidious onset and progressive course. She was found to have a ciliochoroidal melanoma with extraocular extension and underwent exci…

Ciliochoroidal Melanoma with Extraocular Extension Associated with Sympathetic Ophthalmia

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Zelia M. Correa, MD, PhD; Maura Di Nicola, MD; Ayman Elnahry, MD, PhD
Presenter/Faculty: Correa, Di Nicola, Elnahry

Multimodal imaging of a patient with ciliochoroidal melanoma with extraocular extension associated with sympathetic ophthalmia before and after treatment.

Ciliary Body Metastatic Lung Tumor

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

Slit lamp photo with white tumor growing into the sulcus inferior temporally. The Ultrasound Biomicroscopy shows a medium density mass in the ciliary body. The patient had known stage 4 lung cancer.

Cicatrizing Conjunctivitis Secondary to Mycobacterium Tuberculosis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Lieux
Cicatrizing Conjunctivitis Secondary to Mycobacterium Tuberculosis A patient presented to the Bascom Palmer ER with chronic irritation in his right eye for 3 months. He was referred by an outside provider for possible ocular malignancy. The patient was found to have temporal symblepharon and inferi…

Cicatricial Conjunctivitis, Steven Johnson Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Victor H. Banda, MD
Presenter/Faculty: Amescua, Banda

A patient with bilateral cicatricial conjunctivitis changes secondary to Steven Johnson Syndrome. Slit lamp photo of both eyes with madarosis, distichiasis, trichiasis, lid margin keratinization. Right eye with partial ankyloblepharon with corneal exposure. Left eye with complete ankyloblepharon.

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…

Chronic Retinal Detachment with Laser Demarcation

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

Temporal horseshoe tear with localized retinal detachment. It was demarcated with laser retinopexy and has remained stable.

Chronic Macula on Retinal Detachment with Two Demarcation Lines

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

Patient with a history of pathological myopia and retinal detachment in the fellow eye. Has been stable with a large chronic retinal detachment. There are two demarcation lines noted in the macula. The vision is preserved.

Chronic Macula Changes with Juvenile X-linked Retinoschisis

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

This patient is known to have XLRS and is 80 years old. Over time the macula schisis has led to central atrophy and pigmentary changes. The OCT shows schisis cavities and thinning of the retina.

Chronic CRVO with Diffuse Exudates

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Basil K. Williams, MD
Presenter/Faculty: Lin, Williams
Chronic CRVO with Diffuse Exudates A patient presents with vision loss in both eyes that progressively worsens over the course of 11 months to bilateral diffuse exudates with a unilateral exudative retinal detachment. Medical history was most significant for recurrent chronic pancreatitis, hypercho…

Chronic Central Serous Chorioretinopathy in Both Eyes Evolving Into Polypoidal Choroidal Vasculopathy in the Right Eye

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Maura Abraham, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Abraham, Rosenfeld
Chronic Central Serous Chorioretinopathy in Both Eyes Evolving Into Polypoidal Choroidal Vasculopathy in the Right Eye We present a case of previously diagnosed chronic Central Serous Chorioretinopathy (CSCR) treated with PDT and verteporfin, with complete resolution of the Subretinal fluid (SRF). …

Chronic Angle-Closure Glaucoma

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin Shen, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Bitrian, Shen
Chronic Angle-Closure Glaucoma A monocular patient with advanced chronic angle closure glaucoma in her left eye was referred for possible glaucoma surgery. She reported progressive worsening vision, especially of her peripheral vision. Exam was notable for visual acuity of 20/40 with an intraocular…

Christmas Tree Cataract in Myotonic Dystrophy

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

The multicolored appearance is due to needle shaped polychromatic peptide crystals in the cortex or nucleus of the lens. These are not generally visually significant.

Choroideremia with Secondary Choroidal Neovascularization

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Landon J. Rohowetz, MD, MA
Faculty Discussant(s): Audina M. Berrocal, MD; Byron L. Lam, MD
Presenter/Faculty: Berrocal, Lam, Rohowetz
Choroideremia with Secondary Choroidal Neovascularization A patient with no past medical history presented to the emergency department complaining of floaters in the right eye. Exam was notable for visual acuity of 20/70 in the right eye and 20/30 in the left eye. Intraocular pressures were 14 and …

Choroideremia Associated with Choroidal Neovascularization

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Anne L. Kunkler, MD; Byron L. Lam, MD; Thomas A. Lazzarini, MD; Landon J. Rohowetz, MD; Jesse D. Sengillo, MD
Presenter/Faculty: Berrocal, Kunkler, Lam, Lazzarini, Sengillo, Rohowetz
A patient presented with a central scotoma in the right eye. Fundus examination revealed midperipheral chorioretinal atrophy in both eyes (Fig A). Fundus autofluorescence demonstrated areas of confluent midperipheral hypoautofluorescence (Fig B). Optical coherence tomography demonstrated choroidal …

Choroidal Osteoma

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

Fundus photo with hypopigmented patch with choroidal thickening temporally. B-scan demonstrates the fundus thickening with mild hyperdensity.