Course name | Date

Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Flynn, Staropoli
Endophthalmitis This is a case of a patient with post-operative light sensitivity 3 days after cataract extraction in the context of not beginning prednisolone drops. The initial vision was 20/25 with a mild fibrinous reaction on the lens and anterior chamber cell. The differential included post-op…

Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Landon J. Rohowetz, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Mendoza Santiesteban, Rohowetz, Yannuzzi
Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane A patient with no past ocular history presented to the emergency department complaining of floaters in the left eye for 4 days. Exam was notable for visual acuity of 20/20 in the right eye and 20/25 in the left eye. …

Intraorbital Foreign Body

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Rong, Stevens
Intraorbital Foreign Body A patient presented with right eye redness, swelling, and diplopia for 6 weeks after a dirt bike accident, where his right eye hit a tree branch. He underwent imaging and evaluation at an outside institution which revealed orbital fractures, but no evidence of an orbital f…

Iridocorneal Endothelial Syndrome, Cogan-Reese/Iris Nevus Syndrome Subtype with Secondary Angle Closure Glaucoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jonathan D. Tijerina, MD, MA
Faculty Discussant(s): Guillermo Amescua, MD; Elena Bitrian, MD
Presenter/Faculty: Amescua, Bitrian, Tijerina
Iridocorneal Endothelial (ICE) Syndrome, Cogan-Reese/Iris Nevus Syndrome Subtype with Secondary Angle Closure Glaucoma A patient presented with a 3-day history of unilateral worsening eye pain, blurry vision and irregular pupil in the right eye. Found to have elevated IOP at an outside facility and…

Lisch Corneal Dystrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Zhang
Lisch Corneal Dystrophy A patient presented with blurry vision in the left eye and was found to have a pigmented superficial corneal lesion which showed hyperreflectivity without thickening on the AS-OCT. The lesion was biopsied and confirmed to be Lisch corneal dystrophy on pathology. The lesion r…

Orbital Sarcoidosis

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lauren C. Kiryakoza, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Thomas E. Johnson, MD
Presenter/Faculty: Dubovy, Johnson, Kiryakoza
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…

Optic Nerve Pit

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lieux
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…

Primary Congenital Glaucoma

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Sara J. Coulon, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Bitrian, Coulon
Primary Congenital Glaucoma A young patient with no past medical or ocular history presented to the emergency room with redness, tearing, and light sensitivity of the left eye. She had no family history of eye conditions and had a normal birth and development thus far. On initial examination in the…

Microcephaly with or without Chorioretinopathy, Lymphedema or Intellectual Disability (MCLID)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Carlos E. Mendoza-Santiesteban, MD; Mustafa Tekin, MD
Presenter/Faculty: Berrocal, Fernandez, Mendoza-Santiesteban, Tekin
Microcephaly with or without Chorioretinopathy, Lymphedema or Intellectual Disability (MCLID) This patient with past medical history of microcephaly, lymphedema and mild cognitive delay, was referred for retinal evaluation. Ophthalmological evaluation was notable for hyperopia and extramacular pigm…

Ocular Cicatricial Pemphigoid

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Stevens
Ocular Cicatricial Pemphigoid A patient with a past medical history significant for biopsy-proven ocular cicatricial pemphigoid (OCP) was referred for cataract evaluation in the right eye. At presentation, her vision in the right eye was hand motion, and she had been off systemic immunosuppression …

Kaposi's Sarcoma of the Conjunctiva

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Beca, Dubovy, Karp
Kaposi's Sarcoma of the Conjunctiva A patient presented to the BPEI Emergency Room with a painless red eye for the past 3 months. Past medical history was limited to a recent hospitalization for a complicated pneumonia and a new diagnosis of HIV. Examination of the eye revealed an elevated, vascula…

Ocular Surface Squamous Neoplasia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Victor H. Banda, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Banda, Dubovy, Karp
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 …

Penetrating Ocular Fishhook Injury

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD; Nicolas A. Yannuzzi, MD
Discussant(s): Diana M. Laura, MD
Presenter/Faculty: Flynn, Laura, Salazar, Yannuzzi
Penetrating Ocular Fishhook Injury A patient with a history of stroke, hypertension, and pseudophakia of both eyes, presented with eye trauma while fishing without protective eyewear. While reeling in, his fishhook flew out of the water and hit him in the right eye. On presentation, his right eye v…

Melanocytoma with Vitreous Seeding

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan L. Scott, MD, MPP
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Sander R. Dubovy, MD
Presenter/Faculty: Correa, Dubovy, Scott
Melanocytoma with Vitreous Seeding A patient with 7 years of blurry vision in the right eye presents to clinic for evaluation. He reports no recent acute changes in vision and no precipitating events in the past. He noticed the blurry vision incidentally while driving when he covered his left eye. …

Corneal Decompensation

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH
Presenter/Faculty: Dubovy, Galor, Lieux
Corneal Decompensation Corneal decompensation in the setting of glaucoma surgery is a complex entity that is poorly understood. Endothelial cell loss occurs from both the glaucoma itself and from the placement of intraocular glaucoma devices. This decline in endothelial cells occurs via direct and …

Paraneoplastic Autoimmune Retinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Chris Wu, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Wu
Paraneoplastic Autoimmune Retinopathy A patient with a history of advanced ovarian cancer presented with flashes, glare and peripheral visual field loss of 10 months duration. Best-corrected visual acuity was 20/30 in the right eye and 20/40 in the left eye with normal intraocular pressures in both…

Stickler Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lediana Goduni, MD
Faculty Discussant(s): Guillermo Amescua, MD; Audina M. Berrocal, MD
Presenter/Faculty: Amescua, Berrocal, Goduni
Stickler Syndrome This presentation describes a teenage patient who presented with bilateral retinal detachments. He has a strong family history of Stickler Syndrome. Additionally, there is a family history of multiple types of cancers, specifically GI cancers. The patient underwent an exam under a…

Chronic Angle-Closure Glaucoma

Specialty: Glaucoma
Type: 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…

Motility Disturbances after Glaucoma Drainage Device

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anh Pham, MD, PhD
Faculty Discussant(s): Hilda Capo, MD; Luis E. Vazquez, MD, PhD
Presenter/Faculty: Capo, Pham, Vazquez
Motility Disturbances after Glaucoma Drainage Device A patient with a history of traumatic angle recession glaucoma in the left eye presented with acute onset of double vision and persistent ocular soreness in the left eye. He denied generalized weakness or difficulty with respiration. His surgical…

Endogenous Fungal Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Fan, Flynn
Endogenous Fungal Endophthalmitis A patient presents with bilateral sequential blurry vision and eye pain for the past month. He has a complicated medical history with multiple infections requiring surgical debridement. His exam is remarkable for bilateral vitritis and chorioretinal lesions. He is …