Course name | Date

Refractory Full Thickness Macular Hole

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lauren C. Kiryakoza, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Kiryakoza, Sridhar
Refractory Full Thickness Macular Hole A patient presented with a “black central spot” in the right eye. The past ocular history included an idiopathic full thickness macular hole in the right eye that had undergone pars plana vitrectomy with internal limiting membrane peel two times. The left …

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…

Exposed Glaucoma Drainage Device

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasmin Islam, MD
Faculty Discussant(s): Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Islam, Maharaj
Exposed Glaucoma Drainage Device A patient with a history of moderate primary open angle glaucoma, pseudophakia, and diabetic macular edema of the right eye presented for a regularly scheduled glaucoma follow-up examination. He had previously undergone a trabeculectomy and subsequent revision in th…

Optic Disc Drusen with Structural and Functional Changes

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariana Abi Karam, MD
Faculty Discussant(s): Hilda Capo, MD; Byron L. Lam, MD
Presenter/Faculty: Capo, Karam, Lam
Optic Disc Drusen with Structural and Functional Changes A young child presented with crossing of the eyes without headaches or associated neurologic symptoms. Visual acuity was OD 20/30 and OS 20/40. Motility examination demonstrated moderate angle esotropia with full versions. Intraocular pressur…

Birdshot Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Viet Chau, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jayanth Sridhar, MD
Presenter/Faculty: Albini, Chau, Sridhar
Birdshot Chorioretinopathy The patient presented with blurry vision, flashes of lights and floaters in the right eye that progressively worsened and eventually affecting her fellow eye. She was found to have signs of inflammation on clinical examination, which was further supported by imaging modal…

Cutaneous Melanoma Metastatic to the Orbit

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Lynn G. Feun, MD; David T. Tse, MD
Presenter/Faculty: Dubovy, Feun, Gutkind, Tse
Cutaneous Melanoma Metastatic to the Orbit A patient with a past medical history of Stage IIA cutaneous melanoma, treated with wide local excision and radiation therapy, presented after 12 years of remission with proptosis, pain, diplopia, and decreased vision, unresponsive to antibiotic therapy. S…

Granular Cell Tumor

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Vincent D. Tang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Brian C. Tse, MD
Presenter/Faculty: Dubovy, Tang, Tse
Granular Cell Tumor The patient presented to BPEI for evaluation of a two-week history of worsening diplopia. Examination revealed left unilateral proptosis. MRI orbit imaging revealed an intraorbital well-defined, well-circumscribed lesion arising at the level of the medial rectus. The patient und…

Polypoidal Choroidal Vasculopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Sridhar, Staropoli
Polypoidal Choroidal Vasculopathy This is a case of a patient with 3 years of blurry vision. He was diagnosed with polypoidal choroidal vasculopathy by an outside physician and was receiving monthly aflibercept injections with documented worsening of vision and appearance on OCT. ICG was repeated o…

Orbital Metastatic Breast Cancer

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Presenter/Faculty: Dubovy, Tse, Zhang
Orbital Metastatic Breast Cancer A patient presented to the ER with redness of the right eye for months. Initial exam revealed VA 20/50 and was noted to have right sided ptosis and ophthalmoplegia. MRI of the orbits was performed which showed an ill-defined right orbital mass. The patient underwent…

Spontaneous Intracranial Hypotension

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Vila-Delgado
Spontaneous Intracranial Hypotension A patient presented with sudden onset of postural headaches that improved with recumbency associated with nausea, vomit, photophobia and phonophobia of 5 days of evolution followed by binocular horizontal diplopia at distance and in left gaze. Patient denied rec…

Sympathetic Ophthalmia

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Kunkler
Sympathetic Ophthalmia A patient presented with blurry vision in the right eye for one day. He had a history of remote retinal detachment repair in the left eye due to blunt trauma. Slit lamp examination revealed anterior uveitis in the right eye and prolapsed iris tissue in an old surgical wound i…

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…

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…

Familial Exudative Vitreoretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Venincasa
Familial Exudative Vitreoretinopathy A child with a history of full-term birth complicated by arrest of descent and resolved neonatal seizure with normal MRI and EEG was referred for evaluation of nystagmus. An examination under anesthesia was required, during which an electroretinogram demonstrate…

Neovascular Glaucoma Secondary to Sickle Cell Retinopathy

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Elena Bitrian, MD; Jayanth Sridhar, MD
Presenter/Faculty: Bitrian, Lieux, Sridhar
Neovascular Glaucoma Secondary to Sickle Cell Retinopathy Neovascular glaucoma is a rare cause of elevated intraocular pressure and is typically caused by severe posterior segment ischemia resulting in anterior segment ischemia and neovascularization of the trabecular meshwork angle. Diabetic retin…

Granular Corneal Dystrophy Type II

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Redick, Tonk
Granular Corneal Dystrophy Type II A patient presented to the Bascom Palmer Cornea Clinic with progressively blurry vision in both eyes as well as worsening pain and irritation in both eyes. She had a family history of corneal problems. Her visual acuity was 20/100 in the right eye and 5/200 in the…

Ocular Cicatricial Pemphigoid / Mucous Membrane Pemphigoid

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Guillermo Amescua, MD; Sander R. Dubovy, MD
Presenter/Faculty: Amescua, Dubovy, Reyes-Capo
Ocular Cicatricial Pemphigoid / Mucous Membrane Pemphigoid A patient with a PMHx of HTN presented to BPEI with redness and discharge of the left eye for 3 months. Review of systems was negative for any systemic symptoms. Visual acuity of the left eye was 20/80, IOP was 13 mmHg, there was no APD, an…

Sturge-Weber Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Elena Bitrian, MD; J. William Harbour, MD
Presenter/Faculty: Bitrian, Harbour, Salazar
Sturge-Weber Syndrome A child was born with an extensive, bilateral, flat, red facial skin lesion that was initially flat and barely noticeable but over time has grown and become thicker and a deeper red color. He was born at term to a healthy mother, had no other lesions on his body, no other symp…

Epithelial Downgrowth

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ghada J. AlBayyat, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: AlBayyat, Dubovy, Karp
Epithelial Downgrowth This case presents a 56-year-old female who presented with dramatic decrease of vision over a one-year duration. Patient has previously undergone both eyes corneal transplant, glaucoma drainage device. Patient developed right eye iris cyst, that started growing occupying the a…

Polypoidal Choroidal Vasculopathy (PCV)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mehdi Roozbahani, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Roozbahani, Rosenfeld
Polypoidal Choroidal Vasculopathy (PCV) A patient diagnosed with neovascular AMD in the left eye was referred to retina clinic at Bascom Palmer Eye Institute because of poor answer to monthly Ranibizumab and Bevacizumab intra vitreal injections. VA was 20/200 in the left eye. OCT showed intra retin…