Course name | Date

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…

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…

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…

Coats' Plus Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Fernandez
Coats' Plus Disease An infant born prematurely via emergency cesarean section at 27-weeks due to IUGR and fetal distress weighting 650 g was referred for the evaluation of incomplete vascularization of the retina. After birth, the patient spent 117 days in the neonatal intensive care unit (NICU), w…

Combined Hamartoma of the Retina and Retinal Pigment Epithelium

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Thomas A. Lazzarini, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Lazzarini
Combined Hamartoma of the Retina and Retinal Pigment Epithelium A 19-month-old girl with an unremarkable prenatal and infantile history presented with esotropia of the left eye and was found to have a vascularized mass concerning for retinoblastoma. Examination under anesthesia revealed a charcoal …

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 Amyloidosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Neel D. Pasricha, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Pasricha
Conjunctival Amyloidosis A 48-year-old male with no PMH or POH presented to clinic with painless ptosis OD>OS noticed by his wife for several months. Visual acuity was 20/25 in each eye with unremarkable ocular vitals. Large, yellow-pink, fleshy lesions were noted on the superior bulbar conjunct…

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 SCC

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Oded Ohana, MD
Faculty Discussant(s): Brian C. Tse
Presenter/Faculty: Ohana, Tse
Conjunctival SCC A patient presented to the emergency department with a right eye conjunctival mass. Examination showed a large mass, emanating from the conjunctiva. CT scan showed inferior orbital involvement. Surgical treatment via exenteration was carried out, using a lid sparing technique, prov…

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…

Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Amar P. Shah, MD, MBA
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Shah
Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine A patient with history of pseudophakic bullous keratopathy (PBK) of the right eye (OD) was self-referred to cornea service for progressively decreasing vision. He subsequently underwent uncomplicated Descemet’s membrane endo…

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…