Course name | Date

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…

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…

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…

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…

Hermansky-Pudlak Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Hilda Capo, MD; Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Capo, McKeown, Mendoza Santiesteban, Vila-Delgado
Hermansky-Pudlak Syndrome An infant was brought to the emergency department by his mother referred from his pediatrician after a routine well-child visit. Parents had noticed severe light sensitivity, but patient was otherwise developing well. Patient grimaced to light in both eyes but had poor fix…

High Myopia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Sonia H. Yoo, MD
Presenter/Faculty: Muniz Castro, Yoo
High Myopia A patient presented to BPEI for laser vision correction. Manifest refraction revealed high myopia with spherical equivalent -9.75 diopters in both eyes. Anterior and posterior segment exam were normal. Tomography imaging showed minimal astigmatism, pachymetry of 557 OD and 566 OS, and n…

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 …

HTLV1 Associated Uveitis

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Sengillo
HTLV1 Associated Uveitis A patient presented to the Bascom Palmer Eye Institute with complaints of floaters in the left eye for 3 years and the right eye for 3 months. Vision was best corrected to 20/25 in both eyes. Anterior segment exam revealed fine KP in both eyes without significant anterior s…

Hydrolyzed MIRAgel Scleral Buckle

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Brian C. Tse, MD
Presenter/Faculty: Berrocal, Kunkler, Tse
Hydrolyzed MIRAgel Scleral Buckle A patient presented with one year of gradually worsening left eye pain and binocular diplopia. He had a history of remote retinal detachment repair in 1988 and prostate cancer in 2019 s/p radiation therapy in remission. In the left eye, he had limitations to gaze i…

Hyphema

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Samuel M. Dresner, MD
Faculty Discussant(s): Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Dresner, Maharaj
Hyphema A patient with past medical history of hypothyroidism, DVT, Basal Cell Carcinoma and past ocular history of birdshot chorioretinitis, severe uveitic glaucoma, and visually significant bilateral cataracts underwent uneventful combined cataract extraction with intraocular lens implantation of…

Hypotony Due to Cyclodialysis Clef

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasmin Islam, MD
Faculty Discussant(s): Jorge Fortun, MD; Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Fortun, Islam, Maharaj
Hypotony Due to Cyclodialysis Clef A patient with a history of high myopia presented as a referral from an the retina service for low intraocular pressure and blurry vision five months after pars plana vitrectomy for vitreous opacities in the left eye. His intraocular pressure was 8 on difluprednat…

Hypotony Maculopathy Following Trabeculectomy

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Adam Rothman, MD
Faculty Discussant(s): Anna K. Junk, MD
Presenter/Faculty: Junk, Rothman
Hypotony Maculopathy Following Trabeculectomy A 64-year-old man with juvenile open angle glaucoma in both eyes s/p trabeculectomy in both eyes with revision in the right eye presents with decreased vision. The patient was found to have visual acuity in right eye of 20/80, intraocular pressure of 5,…

Iatrogenic Medial Rectus Transection

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Craig A. McKeown, MD
Presenter/Faculty: Clauss, McKeown
Iatrogenic Medial Rectus Transection Patient presented with acute onset binocular horizontal diplopia and an incomitant left exotropia with severe, but not complete adduction deficit. On orbital imaging, the medial rectus appeared to be completely transected, however the patient maintained some add…

Idiopathic Central Serous Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Matthew B. Donovan, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Donovan, Rosenfeld
Idiopathic Central Serous Chorioretinopathy A 47-year-old male with previous diagnosis of exudative AMD s/p multiple Avastin injections presents with complaint of decreased vision OU. Exam was significant for VA 20/200 OD, 20/25 OS. DFE significant for macular mottling OU. OCT shows serous retinal …

Idiopathic Intracranial Hypertension

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Maeng, Tse
Idiopathic Intracranial Hypertension A 39-year-old male presented to the BPEI ER with blurry vision in his right eye for 2 weeks. Examination revealed CF OD, 20/60 OS vision, right APD, and bilateral disc edema. OCT showed diffusely elevated RNFL thickness and HVF 30-2 was not able to be performed …

Idiopathic Orbital Inflammation

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Sara Tullis Wester, MD, FACS
Presenter/Faculty: Levitt, Wester
Idiopathic Orbital Inflammation A 47-year-old woman with a past medical history of Grave’s disease complicated by thyroid associated ophthalmopathy presents with left eye pain, swelling, and diplopia worsening for 3 months. Exam reveals left-sided periorbital edema, proptosis, and extraocular mot…