Course name | Date

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…

Cyclodialysis Cleft

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Elena Bitrian, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Bitrian, Reyes-Capo, Swaminathan
Cyclodialysis Cleft A patient with no significant PMHx presented to BPEI one day after being hit with a giant rubber band in his left eye. Visual acuity of the left eye was hand motion and IOP was 21 mmHg. Examination revealed a hyphema, vitreous hemorrhage, and shallow choroidal detachments. The p…

Cytomegalovirus Retinitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Marilyn A. Marquez, MD
Faculty Discussant(s): Janet L. Davis, MD; Luis J. Haddock, MD
Presenter/Faculty: Davis, Haddock, Marquez
Cytomegalovirus Retinitis A patient presented to the BPEI Clinic complaining of floaters in the right eye for ten weeks. Examination revealed a BCVA of 20/25 right eye and 20/20 left eye, mild keratic precipitates, +1 vitritis and a peripheral chorioretinal lesion on fundus exam in his right eye. A…

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…

Extranodal Marginal Zone Lymphoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Bradford W. Lee, MD, MSC; Izidore S. Lossos, MD
Presenter/Faculty: Hudson, Lee, Lossos
Extranodal Marginal Zone Lymphoma 52-year-old male with Stage IV extranodal MALT lymphoma who initially presented with paranasal and perioribtal disease. He failed treatment with multiple chemotherapeutic agents and represented with decreased VA 20/40 and 20/80 thought to be due to diffuse choroida…

Extranodal Rosai-Dorfman Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): John W. Hinkle, MD
Faculty Discussant(s): Wendy W. Lee, MD, MS
Presenter/Faculty: Hinkle, Lee
Extranodal Rosai-Dorfman Disease A 28-year-old male without past medical history presented with a 1 year history of painless bilateral upper lid swelling. After multimodal imaging studies, the patient underwent diagnostic orbital biopsy. The pathologic analysis of the biopsy showed a plasmacytic in…

Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Amina L. Chaudhry, MBBS
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Chaudhry, Rosenfeld
Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane A 68-year-old female with nonexudative AMD in both eyes, presents with new visual distortion in her left eye. Clinical exam shows markedly declined visual acuity, fundus examination shows small punctate extrafoveal hemo…

Exudative Retinal Detachment Following Treatment of Posterior Uveal Melanoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): J. Daniel Diaz, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Diaz, Harbour
Exudative Retinal Detachment Following Treatment of Posterior Uveal Melanoma A 55-year-old male presented to Bascom Palmer with complaints of flashing lights in his right eye and found to have a large choroidal mass. Work-up revealed a likely choroidal melanoma with an associated small inferior exu…

FLACS - AK Associated Infectious Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Leonid Zlotcavitch, MD
Faculty Discussant(s): Guillermo Amescua, MD; Terrence P. O'Brien, MD
Presenter/Faculty: Amescua, O'Brien, Zlotcavitch
FLACS - AK Associated Infectious Keratitis A 62-year-old female 6 weeks after FLACS - AK presented to BPEI- ED for ocular irritation, decreased vision, and photophobia. Her examination disclosed vision = 20/30, focal conjunctival hyperemia and a corneal stromal infiltrate located beneath a mid-peri…

Full Thickness Macular Hole

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Don H. Noel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Dubovy, Flynn, Noel,
Full Thickness Macular Hole A 68-year-old female presented with blurry vision OD. Reported seeing black spots that became yellow with a halo and cloudy central vision. VA: 20/50 OD and 20/20 OS. DFE was significant for a small round defect in the fovea OD. Imaging work up: significant for OCT showi…

Fungal Endogenous Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jacob S. Duker, MD
Faculty Discussant(s): Thomas A. Albini, MD; Luis J. Haddock, MD
Presenter/Faculty: Albini, Duker, Haddock
Fungal Endogenous Endophthalmitis A 32-year-old male presented with eye pain and decreased vision and was found to have vitritis in a “string-of-pearls” configuration. Clinical findings, epidemiology, diagnostic techniques and management of fungal endogenous endophthalmitis are described. Prese…

Fungal Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Quan, Singh Tonk
Fungal Keratitis A 59-year-old female presented to the Bascom Palmer Eye Institute emergency room with a 7-day history of a red and painful eye, and loss of vision. The right eye exam demonstrated HM vision with a diffuse limbal-to-limbal cornea ulcer within a previous penetrating keratoplasty graf…

Glaucoma Associated with Sturge Weber

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Rachel H. Lee, MD, MPH
Faculty Discussant(s): Ta Chen Peter Chang, MD
Presenter/Faculty: Chang, Lee
Glaucoma Associated with Sturge Weber A 4-week-old male was brought in by his mother for evaluation of elevated pressures in the left eye. Exam was revealing for a port wine birth mark in the V1 and V2 distribution on the left. Patient demonstrated an IOP of 32 in the left eye, with marked corneal …

Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Rong, Zhang
Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis A 21-year-old female presented to the hospital with 5 days of right eye redness, swelling, discharge and pain. Exam revealed VA OD 20/70, painful EOM and severe conjunctival chemosis and discharge, and eyelid swelling. CT scan revealed righ…

Granulomatosis with Polyangiitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Fan
Granulomatosis with Polyangiitis This presentation describes a case of granulomatosis with polyangiitis in which ocular disease (scleritis) led to the diagnosis. The patient subsequently developed scleral melt with uveal show, requiring a multidisciplinary approach with Rheumatology to escalate imm…

HLA-B27-Associated Uveitis

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Anat Galor, MD, MSPH; Raquel Goldhardt, MD, FACS
Presenter/Faculty: Galor, Goldhardt, Kunkler
HLA-B27-Associated Uveitis A 58-year-old male with a history of CAD, HTN, atrial fibrillation, and schizophrenia presented with 2 days of decreased vision, redness, and pain in the right eye. There was no trauma. Visual acuity was CF OD and IOP OD was elevated. Exam revealed a hemorrhagic hypopyon …