Course name | Date

Carcinoma Ex Pleomorphic Adenoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ying Chen, MD
Faculty Discussant(s): Thomas E. Johnson, MD
Presenter/Faculty: Chen, Johnson
Carcinoma Ex Pleomorphic Adenoma A 76-year-old female referred by primary care physician for right eye proptosis. The patient complained of diplopia for the last six months without associated pain or irritation. External exam was significant for proptosis of the right eye and hypoglobus. Visual acu…

Cataract Associated with Ciliary Body Melanoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Megan A. Rowlands, MD, MPH
Faculty Discussant(s): J. William Harbour, MD; Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Harbour, Maharaj, Rowlands
Cataract Associated with Ciliary Body Melanoma A patient with recently diagnosed ciliary body melanoma was referred to the BPEI glaucoma service for cataract evaluation. Examination revealed CF vision, a dense white cataract, and ciliary body melanoma that had extended into the iris. The patient ha…

Cataracts and Radial Keratotomy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Masako Chen, MD
Faculty Discussant(s): Kendall E. Donaldson, MD, MS
Presenter/Faculty: Chen, Donaldson
Cataracts and Radial Keratotomy A 69-year-old male presented to Bascom Palmer Eye Institute for glare and blurry vision in both eyes. Exam revealed 20/70 vision in right eye and 20/60 in left eye. Patient had 8 RK incision in both eyes and 2+ NS in both eyes. Patient's preoperative evaluation inclu…

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 Retinal Vein Occlusion in Patient with MTHFR Mutation

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Hudson
Central Retinal Vein Occlusion in Patient with MTHFR Mutation A patient in good health presented with painless acute blurred vision in the right eye. She was found to have macular edema and retinal hemorrhages consistent with a CRVO. Her initial visual acuity was 20/40 in the right eye and 20/20 in…

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 Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Don H. Noel, MD
Faculty Discussant(s): Sander R. Dubovy, MD
Presenter/Faculty: Dubovy, Noel
Central Serous Chorioretinopathy A patient presented with blurry vision associated with distortion OS. Self-referred to Bascom Palmer. VA: OD: 20/20 and OS: 20/200. Imaging work up was significant for OCT, showing subretinal fluid, choroidal thickness and elevation map. Fluorescein angiography reve…

Central Serous Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ahmad Najafi, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Najafi, Rosenfeld
Central Serous Chorioretinopathy We present the case of a patient with decreased vision in the right eye. The patient immigrated to the United States in 2015, and discovered his decreased vision during an eye exam for a driver’s license. He was diagnosed with Wet AMD and had received 5-6 doses of…

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…

Chorioretinitis Sclopetaria

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
Chorioretinitis Sclopetaria This case involves an elderly gentleman presenting after trauma to his right eye by an errant golf ball. He was diagnosed with rupture at an outside hospital, but globe exploration failed to identify the site of rupture. He presented to BPED and was diagnosed with chorio…

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 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…

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…

Circumscribed Choroidal Hemangioma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Matthew B. Donovan, MD
Faculty Discussant(s): Sander R. Dubovy, MD
Presenter/Faculty: Donovan, Dubovy
Circumscribed Choroidal Hemangioma A patient presented with blurry vision OD. VA 20/40 OD and 20/20 OS. DFE significant for elevation along the superior arcade. Imaging workup significant for OCT showing foveal involving serous retinal detachment OD. FA and ICG showed hyperfluoroescent lesion super…

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…

CMV Retinitis & Toxoplasmosis Chorioretinitis in HIV/AIDS Patient

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Janet L. Davis, MD; Jayanth Sridhar, MD
Presenter/Faculty: Beca, Davis, Sridhar
CMV Retinitis & Toxoplasmosis Chorioretinitis in HIV/AIDS Patient An adult patient presented to Jackson Memorial Hospital with complaint of blurred vision, fever, abdominal pain, weight loss, and rash. Examination revealed a chorioretinal lesion concerning for toxoplasma chorioretinitis. The pa…

CMV Retinitis, Right Eye

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anna Sporysheva, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jorge Fortun, MD
Presenter/Faculty: Albini, Fortun, Sporysheva
CMV Retinitis, Right Eye A patient with no past ocular history presented with right eye pain, redness, photophobia, decreased vision for a week. His exam was notable for visual acuity 20/50 in the right eye and 20/20 in the left eye. Intra-ocular pressure was 20 and 17 mmHg. The slit-lamp exam was …

Coats Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Harbour, Lin
Coats Disease An infant presented with suspected retinoblastoma after undergoing an exam under anesthesia (EUA) with an outside provider. On repeat exam under anesthesia, there were no mass lesions identified on indirect exam or ultrasound. Indirect exam revealed powdery yellow exudative changes an…

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…