Course name | Date

Diffuse Iris Melanoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Soraiya Thura, MD
Faculty Discussant(s): Zelia M. Correa, MD, PhD
Presenter/Faculty: Correa, Thura
Diffuse Iris Melanoma A patient presented for evaluation of multiple melanocytic lesions of the right iris that were noticed a few months prior. She was found to have a visual acuity of 20/25 in the right eye and 20/20 in the left eye, with intraocular pressures of 19mmHg in both eyes. Slit lamp ex…

Elevated Intraocular Pressure After Phakic Posterior Chamber Intraocular Lens Placement

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Luis E. Vazquez, MD, PhD; Sonia H. Yoo, MD
Presenter/Faculty: Salazar, Vazquez, Yoo
Elevated Intraocular Pressure After Phakic Posterior Chamber Intraocular Lens Placement A patient with a history of high myopia and contact lens intolerance underwent uncomplicated placement of phakic posterior chamber intraocular lenses in both eyes. She was started on a postoperative tapering cou…

Traumatic Iris Tear

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Beca, Bitrian
Traumatic Iris Tear A patient presented to the ER with traumatic cataract, blown pupil, and hyphema. During follow up, noted to have a cyclodialysis cleft with subsequent closure and elevation in intra-ocular pressure. The patient failed medical management of the elevated pressure. The patient requ…

Thyroid Associated Ophthalmopathy with Compressive Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Byron L. Lam, MD
Presenter/Faculty: Gutkind, Johnson, Lam
Thyroid Associated Ophthalmopathy with Compressive Optic Neuropathy A patient presented for a second opinion after experiencing pain, proptosis, vision loss, and injection of his left eye for 2 years, with intermittent improvement on systemic steroids. Prior to presentation at our institution, the …

Branch Retinal Artery Occlusion

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Brandon Pham, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Pham, Sridhar
Branch Retinal Artery Occlusion A patient with a past medical history of fusiform aneurysm of the right anterosuperior M2 trunk measuring 7 x 15 mm underwent a pipeline assisted coil embolization of the right middle cerebral artery M2 fusiform aneurysm, which led to almost complete obliteration of …

Persistent Fetal Vasculature

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Fernandez
Persistent Fetal Vasculature This patient with past ocular history of leukocoria was referred forretinal evaluation. Ophthalmological evaluation under anesthesia was notable for a cataractous lens with spherical appearance,anterior segment dysplasia andpersistence of the iridohyaloid vessels and tu…

Alternaria Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Paula A. Sepulveda-Beltran, MD
Faculty Discussant(s): Guillermo Amescua, MD; Jean-Marie Parel, Ing.ETS-G, PhD, FARVO
Presenter/Faculty: Amescua, Parel, Sepulveda-Beltran
Alternaria Keratitis A patient with a history of a failed DMEK who required a DSAEK, was referred to the BPEI's cornea department after a 1-month history of culture-confirmed Alternaria keratitis that developed after the DSAEK. The ulcer progressed despite topical and systemic antifungal treatment.…

Bilateral Limbal Stem Cell Deficiency

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Piero Carletti, BS
Faculty Discussant(s): Guillermo Amescua, MD
Discussant(s): Victor L. Perez, MD
Presenter/Faculty: Amescua, Carletti, Perez
Bilateral Limbal Stem Cell Deficiency Ocular burns are ophthalmic emergencies that can lead to severe long-lasting visual morbidity and disability. The prognosis for visual recovery is largely determined by the degree of ocular tissue damage on initial presentation, especially the extent of limbal …

Sarcoidosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Crystal Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Ellen Koo, MD
Presenter/Faculty: Dubovy, Koo, Zhang
Sarcoidosis A patient with past medical history, recently diagnosed Sjogren’s syndrome, connective tissue disease, psoriasis, eczema, and past ocular history of dry eyes, epiretinal membrane, ocular hypertension, cataracts presented with bilateral itchiness and foreign body sensation. She had con…

Black Cataract

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ronaldo Nuesi, MD
Faculty Discussant(s): Zubair Ansari, MD
Presenter/Faculty: Ansari, Nuesi
Black Cataract A patient with no past ocular history presented with painless vision loss to HM in the left eye over last 6 weeks. The patient had poor, chronically declining visual acuity in that eye for years but did not have access to care. Slit lamp exam was notable for a dense, black cataract i…

Retinal Arteriole Occlusions Secondary to Silicone Microembolization

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Landon J. Rohowetz, MD, MA
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Rohowetz, Sridhar
Retinal Arteriole Occlusions Secondary to Silicone Microembolization A patient with a history of mid-brain syndrome and silicone gluteal injection 12 years prior presented to the emergency department complaining of floaters in the right eye for the past week. Exam was notable for visual acuity of 2…

Congenital Hereditary Endothelial Dystrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Margaret Wang French, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Angela Y. Zhu, MD
Presenter/Faculty: Chang, Wang, Zhu
Congenital Hereditary Endothelial Dystrophy A young patient presented with progressive “eye color changes” noted for at least 2 years. Her parents also noted increasing photophobia and her eyes turning inwards for extended periods of time. Her exam was notable for best corrected visual acuity o…

Vitamin A Induced Intracranial Hypertension

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin Meyer, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Mayer
Vitamin A Induced Intracranial Hypertension A patient was found to have acute promyelocytic leukemia and was started on all-trans-retinoic acid (ATRA). He was also noted to incidentally have bilateral papilledema and MR imaging demonstrated multiple stigmata suggestive of chronically elevated intra…

Vitreous Hemorrhage

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Flynn, Kunkler
Vitreous Hemorrhage A patient with a past medical history of hypertension presented with vision loss in the right eye for two days. His exam was notable for visual acuity of hand motions in the right eye and 20/20 in the left eye. Intraocular pressures and slit lamp exam were normal in both eyes. P…

Acute Syphilitic Posterior Placoid Uveitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ramsey Yusuf, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Yusuf
Acute Syphilitic Posterior Placoid Uveitis An adult patient presented to the Bascom Palmer emergency room for evaluation of five days of bilateral painless vision loss and floaters. On slit lamp examination he did not have any conjunctival injection or anterior chamber cell or flare. Dilated fundus…

Cytomegalovirus Anterior Uveitis

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasman Moshiri, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Moshiri
Cytomegalovirus Anterior Uveitis A patient presented with acute blurry vision, foreign-body sensation, and elevated intraocular pressure in the left eye. On examination, he had evidence of chronic intraocular inflammation including keratic precipitates, He had experienced similar episodes periodica…

Smooth Muscle Hamartoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yoseph Sayegh, MD
Faculty Discussant(s): Nathan W. Blessing, MD; Sander R. Dubovy, MD
Presenter/Faculty: Blessing, Dubovy, Sayegh
Smooth Muscle Hamartoma Our patient presented due to a one-year history of a slowly growing conjunctival lesion. A large, red, non-tender lesion of the right bulbar conjunctiva was identified on examination. It did not improve after several weeks of medical management with steroids. He had no previ…

Hereditary Transthyretin Amyloidosis (hATTR)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Hudson
Hereditary Transthyretin Amyloidosis (hATTR) This report describes a case of hereditary transthyretin amyloidosis (hATTR) in an elderly patient who presented with bilateral retinal arteriolar vascular sheathing and vitreous hemorrhage in one eye. The patient underwent a full history, physical exam,…

Retinal Tear in a Fellow Eye

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Sengillo, Sridhar
Retinal Tear in a Fellow Eye A patient presented to Bascom Palmer Eye Institute for routine post operative follow-up after rhegmatogenous retinal detachment repair of the right eye one month prior. Best corrected visual acuity was 20/60 in the right eye and 20/20 in the left eye. Intraocular pressu…

CMV Retinitis

Type: 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…