Course name | Date

Sorsby Macular Dystrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Iyer, Rosenfeld
Sorsby Macular Dystrophy We present the case of a 33-year-old male who presented with visual distortions in the left eye. Visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fundus examination revealed reticular pseudodrusen in both eyes, and a choroidal neovascular membrane in the …

Bilateral Tube Exposure

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lisa M. Tom, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Bitrian, Tom
Bilateral Tube Exposure A patient presented to the BPEI emergency room with blurry vision and pain of both eyes for 1 week. The patient had a history of Xen gel stents with injection of 0.1ml 0.04mg/mL mitomycin-C, as well as revision of both blebs with injection of triamcinolone and mitomycin-C, i…

Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Dubovy, Flynn, Venincasa
Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty A patient presented to the BPEI emergency room on referral for iritis and uveitis in the right eye, approximately four weeks after she underwent a bilateral upper and lower blepharoplasty in the community. Examinatio…

Post-Refractive Corneal Haze

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Xuemin "Rosie" Zhang, MD
Faculty Discussant(s): Sonia H. Yoo, MD
Presenter/Faculty: Yoo, Zhang
Post-Refractive Corneal Haze A patient presented to the Bascom Palmer Eye Institute with bilateral anterior stromal corneal haze after photorefractive keratectomy for high myopia in both eyes 5 years ago. His vision was 20/200 in both eyes, in the setting of significant irregular astigmatism induce…

Ocular Neuromyotonia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Capo, Vila-Delgado
Ocular Neuromyotonia A child with a history of left exotropia secondary to a congenital third nerve palsy treated with strabismus surgery and ptosis repair presented with sudden onset intermittent left upper lid twitching and involuntary eye movements. Patient had no previous history of intracrania…

Orbital Cysts

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Thomas E. Johnson, MD
Presenter/Faculty: Dubovy, Johnson, Stevens
Orbital Cysts An elderly patient presented with two years of chronic pain in an otherwise healthy-appearing anophthalmic socket after enucleation. CT orbits was obtained which showed two hyperdense cystic lesions superior and posterior to the orbital implant. Orbital exploration was performed, the …

Acute Retinal Necrosis Secondary to HSV-2

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Lieux
Acute Retinal Necrosis Secondary to HSV-2 Acute retinal necrosis is a rare entity clinically defined by one or more foci of retinal necrosis in the peripheral retina with circumferential spread and rapid progression in the absence of therapy. It typically includes an occlusive vasculopathy and prom…

Cataract Associated with Ciliary Body Melanoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Megan A. Rowlands, MD, MPH
Faculty Discussant(s): J. William Harbour, MD; Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Harbour, Maharaj, Rowlands
Cataract Associated with Ciliary Body Melanoma A patient with recently diagnosed ciliary body melanoma was referred to the BPEI glaucoma service for cataract evaluation. Examination revealed CF vision, a dense white cataract, and ciliary body melanoma that had extended into the iris. The patient ha…

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…

Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Janet L. Davis, MD; Jonathan F. Russell, MD, PhD
Presenter/Faculty: Davis, Lin, Russell
Bilateral Subacute/Chronic Endophthalmitis Leading to Complex Combined Retinal Detachment A patient with past medical history of chronic sciatica and recurrent skin abscesses presented to an outside hospital with positive blood, urine, and skin abscess cultures positive for methicillin sensitive st…

Uveitic Glaucoma

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Elena Bitrian, MD; Richard K. Parrish, II, MD
Presenter/Faculty: Bitrian, Quan, Parrish
Uveitic Glaucoma A patient presented to the Bascom Palmer Eye Institute emergency room with complaints of decreased vision, pain, and photophobia in the right eye for 3 months. The patient has no past medical history. He has a past ocular history of prior pars plana vitrectomy and trabeculectomy in…

Vitreopapillary Traction Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shahnaz Miri, MD, MBA
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza-Santiesteban, MD
Presenter/Faculty: Miri, Lam, Mendoza-Santiesteban
Vitreopapillary Traction Syndrome The patient presented to the emergency room (ER) with recent-onset photopsia and blurred vision in the left eye, ocular discomfort, and headache. Examination revealed 20/25 vision in the left eye, blurred disc margin, and inferior disc hemorrhage. MRI orbit was unr…

Metallic Foreign Body

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Thomas E. Johnson, MD
Presenter/Faculty: Dubovy, Johnson, Maeng
Metallic Foreign Body A patient with a history of well-controlled HIV and bipolar affective disorder presented to the clinic with a history of recurrent intermittent periorbital eyelid swelling and pain of 16 years duration. His symptoms began six months after receiving “black market facial fille…

Mycobacterium Abscessus Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Zhang
Mycobacterium Abscessus Keratitis A patient was referred for management of a corneal ulcer in their right eye. Initial exam revealed VA OD CF with diffuse corneal epithelial defect, infiltrate, and endothelial plaque and anterior inflammation with a hypopyon. Corneal cultures were positive for Myco…

Mycoplasma Pneumoniae-Induced Rash and Mucositis (MIRM)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Neel D. Pasricha, MD
Faculty Discussant(s): Guillermo Amescua, MD; Swapna Shanbhag, MD
Presenter/Faculty: Amescua, Pasricha, Shanbhag
Mycoplasma Pneumoniae-Induced Rash and Mucositis (MIRM) A patient presented to BPEI ED with dysuria x4 days and worsening red eye and irritation OU x2 days. Diagnosed with possible STI + conjunctivitis by outside Urgent Care 2 days prior. On our examination, he had decreased BCVA of 20/50 OD and 20…

Conjunctival SCC

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Oded Ohana, MD
Faculty Discussant(s): Brian C. Tse, MD
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…

Tattoo Granuloma with Uveitis

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Staropoli
Tattoo Granuloma with Uveitis A patient presented with painful decreased vision in the right eye for 3 weeks. He was found to be in pupillary block with 360* posterior synechiae and anterior chamber cell in both eyes. A laser peripheral iridotomy was performed with relief of pain and elevated press…

Vitreous Amyloidosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shobha Topgi, MD
Faculty Discussant(s): Jorge Fortun, MD
Presenter/Faculty: Fortun, Topgi
Vitreous Amyloidosis A patient presented to clinic with four months of blurry vision in the right eye. Of note, patient had previous vitrectomy for vitreous floaters of the left eye and panretinal photocoagulation in both eyes for retinal neovascularization. Examination of the right eye revealed de…

Central Serous Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Don H. Noel, MD
Faculty Discussant(s): Sander R. Dubovy, MD
Presenter/Faculty: Dubovy, Noel
Central Serous Chorioretinopathy A patient presented with blurry vision associated with distortion OS. Self-referred to Bascom Palmer. VA: OD: 20/20 and OS: 20/200. Imaging work up was significant for OCT, showing subretinal fluid, choroidal thickness and elevation map. Fluorescein angiography reve…

Ocular Cicatricial Pemphigoid

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nicole J. Topilow, MD
Faculty Discussant(s): Guillermo Amescua, MD; Andrew Rong, MD
Presenter/Faculty: Amescua, Topilow, Rong
Ocular Cicatricial Pemphigoid An elderly patient with a past ocular history of biopsy-negative cicatrizing conjunctivitis with symblepharon in both eyes, dry eye syndrome, myopic degeneration, and bilateral pseudophakia presented with right eye pain and itching for 3 days. She reported no associate…