Course name | Date

Central Areolar Choroidal Dystrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Gregori, Redick
Central Areolar Choroidal Dystrophy A 56-year-old male that presents as a follow up for Dry Age-Related Macular Degeneration and complaining of nyctalopia. VA 20/20 both eyes on initial presentation. DFE revealed hypopigmented areas in the macula of both eyes. Fluoresencin angiogrpahy revealed spec…

Central Serous Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jacob S. Duker, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Duker, Gregori
Central Serous Chorioretinopathy A 38-year-old male presented with blurry vision and was found to have a neurosensory retinal detachment concerning for central serous retinopathy. Laser photocoagulation was utilized to treat the focal leak. Clinical findings, epidemiology, diagnostic techniques and…

Central Serous Retinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Levitt, Sridhar
Central Serous Retinopathy A 48-year-old female presents with a history of chronically decreased vision in her right eye. Multimodal imaging reveals serous macular detachment, thickened choroid, and focal areas of late leakage on fluorescein angiography. The left eye has pigmentary changes in the p…

Choroidal Change Post Internal Carotid Stenting

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Omer Trivizki, MD, MBA
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Rosenfeld, Trivizki
Choroidal Change Post Internal Carotid Stenting The purpose is to report the changes in choroidal thickness (CT) and the choroidal vascularity index (CVI) measurements using widefield SS-OCT imaging in a patient undergoing treatments that should alter choroidal blood flow. Patient underwent 12x12mm…

Choroidal Metastasis Consistent with Renal Cell Primary

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nish Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Presenter/Faculty: Dubovy, Harbour, Patel
Choroidal Metastasis Consistent with Renal Cell Primary A 57-year-old male presented to clinic with a one-week history of red line in his vision OS. The patient was noted to have a history of left nephrectomy for renal cell carcinoma that was diagnosed after a metastatic lesion was detected in the …

Chronic External Progressive Ophthalmoplegia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Heidy C. Martinez, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Capo, Martinez
Chronic External Progressive Ophthalmoplegia A 36-years-old female patient presents to pediatric ophthalmology clinic at BPEI for a second opinion regarding progressive bilateral ptosis and exotropia. The patient has a history of progressive bilateral ptosis OS>OD and limitation of ocular moveme…

Closed-Globe Ocular Trauma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Justin H. Townsend, MD
Presenter/Faculty: Fan, Townsend
Closed-Globe Ocular Trauma An 18-year-old female presents to BPEI ER after sustaining injuries to the eye from a motor vehicle accident. The patient was diagnosed with a closed-globe injury and had subsequent traumatic angle-recession glaucoma, vitreous prolapse, and traumatic cataract. She also ha…

Coats' Disease with Secondary Pseudoangiomatous Acquired Retinal Gliosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Harbour, Salazar
Coats' Disease with Secondary Pseudoangiomatous Acquired Retinal Gliosis A healthy 6-year-old female was referred after she failed her school vision screening in the right eye. Exam revealed a visual acuity of count fingers (CF) at 1 foot in the right eye. Slit lamp examination was unremarkable. Fu…

Congenital Zika Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nish Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD
Presenter/Faculty: Dubovy, Patel
Congenital Zika Syndrome A 20 m/o female presented to an eye clinic in Colombia for a follow-up eye exam. Ocular examination revealed a normal anterior segment exam, but fundus photos displayed focal pigment mottling in the macula bilaterally. These ocular findings were attributed to ocular involve…

Conjunctival Keratoacanthoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Quan
Conjunctival Keratoacanthoma Keratoacanthoma (KA) is an epithelial tumor characterized by rapid, abundant growth and a potential for spontaneous resolution. It typically occurs on the skin in sun-exposed areas such as the face, neck, and hands. Rarely it can occur on the conjunctiva and vulvar regi…

Conjunctival Melanoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jane C. Cook, MD
Faculty Discussant(s): Carol L. Karp, MD
Presenter/Faculty: Cook, Karp
Conjunctival Melanoma A 38-year-old healthy man presents with a pigmented lesion two years after onset and undergoes excisional biopsy which confirms conjunctival melanoma. Systemic work-up reveals metastasis, and the patient undergoes multiple cycles of radiation and chemotherapy. He later died of…

Conjunctival Melanoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Cullen D. Ryburn, MD
Faculty Discussant(s): Carol L. Karp, MD
Presenter/Faculty: Karp, Ryburn
Conjunctival Melanoma A 55-year-old male who presented to Bascom Palmer for a multi-year history of a progressively enlarging painless pigmented conjunctival lesion of the right eye. He was found to have a large non-mobile pigmented lesion of the right perilimbal conjunctiva. While initially he was…

Conjunctival Squamous Cell Carcinoma with Intraorbital and Intraocular Invasion

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Carol L. Karp, MD
Presenter/Faculty: Johnson, Karp, Kunkler
Conjunctival Squamous Cell Carcinoma with Intraorbital and Intraocular Invasion A 64-year-old male with a history of T2DM and HTN was referred for 2 weeks of severe pain and redness in the right eye. Two months earlier, he had undergone reported pterygium removal surgery in another country. At pres…

COVID-19 Related Conjunctivitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Guillermo Amescua, MD; Zubair Ansari, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Amescua, Ansari, Flynn, Laura
COVID-19 Related Conjunctivitis A 33-year-old female presented with 6 days of eye redness and tearing without vision changes. She had no significant past medical history and was not taking any medications. Of note, the patient was a Registered Nurse at University of Miami Hospital. She had multiple…

Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fowler, Lam
Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma A 34-year-old woman presented with 2 weeks of diplopia. The patient had binocular horizontal diplopia with a right cranial nerve 6 palsy and moderate-to-severe headache of 1-week duration. Magnetic resonance imaging (MRI) of the brain and orb…

Diffuse Unilateral Subretinal Neuroretinitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas A. Albini, MD
Discussant(s): Nimesh A. Patel, MD
Presenter/Faculty: Albini, Kunkler, Patel
Diffuse Unilateral Subretinal Neuroretinitis A 54-year-old woman from Honduras with a history of T2DM, HTN, OSA presented with 4 months of progressive visual loss in the right eye. She had been seen by many eye care providers and carried the diagnoses of macular degeneration and multifocal choroidi…

Dislocated Intraocular Lens

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Falcone, MD
Faculty Discussant(s): Justin H. Townsend, MD
Presenter/Faculty: Falcone, Townsend
Dislocated Intraocular Lens A 74-year-old male presented to the BPEI ER with blurred vision in the right eye for 3 days. He underwent cataract surgery in both eyes 9 years prior in Costa Rica. He denied any other prior ocular history or trauma. Exam revealed VA 20/200+1 in the right eye. IOP was wi…

Drug Associated Occlusive Retinal Vasculitis and Intraocular Inflammation

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Thomas A. Albini, MD; Philip J. Rosenfeld, MD, PhD; Caroline R. Baumal, MD
Presenter/Faculty: Albini, Baumal, Iyer, Rosenfeld
Drug Associated Occlusive Retinal Vasculitis and Intraocular Inflammation A 78-year-old male with a known history of exudative age-related macular degeneration in both eyes had been treated with intravitreal aflibercept injections for many years unable to extend past 5 weeks. He was recently treate…

Elevated Episcleral Venous Pressure

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Isha Gupta, MD
Faculty Discussant(s): David S. Greenfield, MD; Luis J. Haddock, MD
Presenter/Faculty: Haddock, Greenfield, Gupta
Elevated Episcleral Venous Pressure A 59-year-old male presented with blurred vision in both eyes. He was referred to the glaucoma service for evaluation of elevated intraocular pressure. On examination, the patient was observed to have blood in Schlemm’s canal and bilateral intraretinal and subr…

Erdheim Chester Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Masako Chen, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Chen, Dubovy, Karp
Erdheim Chester Disease A 37-year-old male presented to clinic with bilateral conjunctival lesions for 7 months. Patient has a history of lytic bone lesions, 50-pound weight loss, and fevers. Examination revealed 20/20 vision in both eyes, mobile, discrete conjunctival lesions in bilateral bulbar c…