Course name | Date

Indirect Carotid Cavernous Fistula

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Joshua Pasol, MD; Robert M. Starke, MD
Presenter/Faculty: Hudson, Pasol, Starke
Indirect Carotid Cavernous Fistula A 72-year-old female referred to Bascom Palmer Emergency room with 4 months of progressive painless diplopia and eye redness after dental procedure. Exam revealed VA 20/25 OU with bilateral abducens palsy, and arterialization of the conjunctival vessels. Review of…

Infantile Hemangioma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Thomas E. Johnson, MD
Presenter/Faculty: Johnson, Pirakitikulr
Infantile Hemangioma A 17-month-old girl presented with her mother for evaluation of birthmarks that appeared shortly after birth. The patient was born at 38 weeks gestation weighing 7.2 lb. via C-section. Examination disclosed multiple confluent hemangiomas involving the right cheek, upper and low…

Infectious Scleritis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Guillermo Amescua, MD; Carol L. Karp, MD; David T. Tse, MD
Presenter/Faculty: Amescua, Castro, Karp, Tse
Infectious Scleritis An elderly patient presented to BPEI with 7 days of decreased vision and pain in the left eye. Visual acuity was hand motion and exam revealed a localized area of scleral necrosis and suppuration. B scan showed a very small and shallow ciliochoroidal detachment. Cultures of the…

Infectious Sclerokeratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Reyes-Capo
Infectious Sclerokeratitis A 79-year-old male presented to BPEI with 4 days of decreased vision and pain in the right eye. Visual acuity was hand motion and exam revealed a large multifocal corneal infiltrate with associated corneal and scleral thinning. B scan demonstrated large choroidal and reti…

Inherited Retinal Degeneration Presented with Intermediate Uveitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jila Noorikolouri, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Noorikolouri
Inherited Retinal Degeneration Presented with Intermediate Uveitis A 12-year-old Hispanic female presented to the uveitis clinic seeking second opinion for treatment of intermediate uveitis 4 years ago. Patient had already been treated with several immunosuppressive agents and biologics without any…

Interface Fluid Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Gina Shetty, MD
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Shetty
Interface Fluid Syndrome A patient with a past ocular history of LASIK underwent ACIOL removal and cataract surgery. After surgery the patient was noted to have persistent corneal edema with LASIK flap haze. Anterior segment OCT was performed which showed fluid in the LASIK interface, consistent wi…

Intracanalicular Optic Nerve Sheath Meningioma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fan, Lam
Intracanalicular Optic Nerve Sheath Meningioma A middle-aged patient with a PMH of breast cancer, migraines, and hyperlipidemia presents to the Bascom Palmer ER with a chief complaint of headache and left eye blurry vision for the past month. Recent work-up outside is remarkable for normal laborato…

Intraoperative Aqueous Misdirection

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Adam Rothman, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Justin H. Townsend, MD
Presenter/Faculty: Chang, Townsend, Rothman
Intraoperative Aqueous Misdirection A 3-year-old boy with primary congenital glaucoma OU s/p BVT (x1 OD, x2 OS) presents to clinic with elevated IOP OD despite maximum medical therapy. He undergoes exam under anesthesia with median intraocular pressure (IOP) 37 mm Hg OD. The patient then underwent …

Intraoperative Fluid Deviation Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Zubair Ansari, MD
Presenter/Faculty: Ansari, Clauss
Intraoperative Fluid Deviation Syndrome A patient underwent routine cataract surgery one month after uncomplicated cataract extraction and intraocular lens implantation of the contralateral eye. Intraoperatively, during the hydrodissection step of cataract extraction, the anterior chamber shallowed…

Intraorbital Foreign Body

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Lieux, Rong
Intraorbital Foreign Body Intraorbital foreign bodies most commonly present with an ocular or penetrating injury. However, when the globe is not involved, the presentation of an intraorbital foreign body can be subtle. Here, we present a case of a 21-year-old female with right upper and lower lid s…

Intraorbital Wooden Foreign Body

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Apostolos Anagnostopoulos, MD
Faculty Discussant(s): Chris R. Alabiad, MD
Presenter/Faculty: Alabiad, Anagnostopoulos
Intraorbital Wooden Foreign Body A 63-year-old male with a history of decreased extraocular motility, binocular diplopia and proptosis presenting to the ED after trauma with a palm tree branch a few days before presentation. The patient presents 6 days after trauma with a tree branch. He had a 360-…

Intraosseous Hemangioma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Presenter/Faculty: Dubovy, Maeng, Tse
Intraosseous Hemangioma An otherwise healthy patient presented to the Emergency Room for evaluation of a left orbital rim lesion, found incidentally by an eyebrow technician. On exam, there was a firm bony mass along the superior orbital rim. Eye exam was otherwise unremarkable. CT scan of the orbi…

Iridocorneal Endothelial Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Medert
Iridocorneal Endothelial Syndrome (ICE) A 27-year-old woman presented for corneal evaluation with a history of secondary glaucoma. She was found to have iridocorneal endothelial syndrome (ICE). She underwent DSAEK, which failed after 13 months. Subsequent Type 1 Boston Keratoprosthesis was successf…

IRVAN Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ramsey Yusuf, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Yusuf
IRVAN Syndrome An adult patient presented to the Uveitis clinic for evaluation after developing visual deficits in the right eye. He was previously diagnosed with multiple branch retinal artery and vein occlusions in both eyes concerning for an occlusive retinal vasculitis. On examination he was fo…

Isolated Spherophakia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Bitrian, Medert
Isolated Spherophakia A patient with ocular hypertension and narrow angle was found to have Isolated Spherophakia. She underwent phacoemulsification with a capsular tension ring and intraocular lens in the bag OS. She then had a pars plana vitrectomy with a scleral fixated lens OD. Post-operatively…

Juvenile Myasthenia Gravis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lulwa El Zein, MD
Faculty Discussant(s): Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: El Zein, McKeown, Mendoza Santiesteban
Juvenile Myasthenia Gravis A child previously healthy, presented to the ED with his mother for new onset right upper eyelid ptosis of few weeks duration. History was significant for variability in eye alignment over the past few months. Exam was notable for right upper eyelid ptosis with MRD1 of -2…

Juvenile Psammomatous Ossifying Fibroma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Nickalus Khan, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Chowdhary, Dubovy, Khan, Mendoza Santiesteban
Juvenile Psammomatous Ossifying Fibroma An 18-year-old female presented with blurry vision, headaches for 4 months. She was diagnosed to have papilledema on an outside eye exam and referred to BPEI. Her visual acuity was 20/20 OD, 20/100 OS. Additionally, she was noted to have junctional scotoma on…

Juvenile Xanthogranuloma

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lisa M. Tom, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Sander R. Dubovy, MD
Presenter/Faculty: Chang, Dubovy, Tom
Juvenile Xanthogranuloma Patient presented to the BPEI emergency room with tearing and light sensitivity of the right eye for 1 month. Examination revealed grimace-to-light vision, soft to palpation intraocular pressure, and hyphema. Skin examination revealed yellowish raised skin lesions on the ne…

Kaposi's Sarcoma of the Conjunctiva

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Beca, Dubovy, Karp
Kaposi's Sarcoma of the Conjunctiva A patient presented to the BPEI Emergency Room with a painless red eye for the past 3 months. Past medical history was limited to a recent hospitalization for a complicated pneumonia and a new diagnosis of HIV. Examination of the eye revealed an elevated, vascula…

Klebsiella Pneumoniae Endogenous Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Janet L. Davis, MD
Discussant(s): Nimesh A. Patel, MD
Presenter/Faculty: Davis, Fan, Patel
Klebsiella Pneumoniae Endogenous Endophthalmitis A 46-year-old healthy male presented with a red and painful eye with a preceding febrile gastrointestinal illness. Examination and work-up revealed concomitant intraocular and liver abscesses that required pars plana vitrectomy, drainage of subretina…