Course name | Date

Steroid-Induced Glaucoma

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alison J. Lauter, MD
Faculty Discussant(s): Steven J. Gedde, MD
Presenter/Faculty: Gedde, Lauter
Steroid-Induced Glaucoma A 32-year-old female presented to Bascom Palmer Eye Institute complaining of an inferior field defect in her left eye. Examination revealed 20/20 vision with correction, an APD, normal IOP, PCIOL, and optic nerve pallor and cupping of the left eye. Right eye exam was WNL. H…

Strabismus Secondary to a Glaucoma Drainage Implant

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Falcone, MD
Faculty Discussant(s): Hilda Capo, MD; Kara M. Cavuoto, MD; Craig A. McKeown, MD
Presenter/Faculty: Capo, Cavuoto, Falcone, McKeown
Strabismus Secondary to a Glaucoma Drainage Implant A 10-year-old female was referred to the clinic for strabismus evaluation. She had a complex past ocular history including a congenital cataract OD s/p CE/IOL OD at 8 weeks old, RXT s/p RLR recession and RMR resection, IOL dislocation s/p PPV/lens…

Suprachoroidal Hemorrhage

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Laura, Flynn
Suprachoroidal Hemorrhage A 76-year-old male that presented to the retina service at Bascom Palmer Eye Institute with left eye pain and elevated intraocular pressure eleven days status post complicated cataract surgery during which he was left aphakic. Of note, the patient was on Aspirin 81mg daily…

Thioridazine Macular Toxicity

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David J. Grasic, MD
Faculty Discussant(s): Jorge Fortun, MD; Luis J. Haddock, MD
Presenter/Faculty: Fortun, Grasic, Haddock
Thioridazine Macular Toxicity A 69-year-old male with decreased vision OU referred to BPEI for a 2nd opinion. Originally diagnosed with dry age-related macular degeneration. Fundal examination revealed extensive chorioretinal atrophy in the macula and the medioretina. After thorough work up, it was…

Thyroid Eye Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Chris R. Alabiad, MD
Presenter/Faculty: Levitt, Alabiad
Thyroid Eye Disease A 57-year-old woman with PMH of hyperthyroidism presents with eye pain, swelling, and blurry vision worsening for 3 weeks. Exam revealed severe proptosis, exposure keratopathy, orbital congestion, and markedly reduced visual acuity. CT and laboratory were workup consistent with …

Total Hyphema

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Steven J. Gedde, MD; Paul F. Palmberg, MD, PhD; Richard K. Parrish, II, MD
Presenter/Faculty: Gedde, Palmberg, Parrish, Quan
Total Hyphema A 79-year-old female with no history of trauma presents to the Bascom Palmer Emergency room with one day of sudden decreased vision and pain in the right eye. One day prior, the patient underwent argon laser trabeculoplasty in the right eye for treatment of mild primary open angle gla…

Toxic Anterior Segment Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ying Chen, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Chen, Flynn
Toxic Anterior Segment Syndrome A 73-year-old male with history of myopia presents with 1 day of blurry vision in the right eye after uncomplicated cataract extraction and intraocular lens implant. Patient reports mild irritation without associated pain. Vision at presentation was count fingers wit…

Toxoplasmosis Necrotizing Retinitis Mimicking Acute Retinal Necrosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): J. Daniel Diaz, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Diaz
Toxoplasmosis Necrotizing Retinitis Mimicking Acute Retinal Necrosis A 38-year-old male was referred to Bascom Palmer retina department with a 7-month history of decreased vision in the right eye. Examination revealed hand motions vision, anterior and posterior segment inflammation, and a near tota…

Traumatic Transection of a Lateral Rectus Muscle by a Zygomatic Implant

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nicole J. Topilow, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Capo, Topilow
Traumatic Transection of a Lateral Rectus Muscle by a Zygomatic Implant Zygomatic implants can be used to support dental prostheses in patients with inadequate maxillary bone volume. While maxillary sinusitis is the most common reported complication of ZI placement, rarely, intraorbital penetration…

UGH Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Joanne W. Ho, MD, MAS
Faculty Discussant(s): Kendall E. Donaldson, MD, MS
Presenter/Faculty: Donaldson, Ho
UGH Syndrome A patient referred to the Bascom Palmer Eye Institute with chronic uveitis after uncomplicated cataract surgery with multifocal lens implantation. She was found to have iris chaffing on UBM and a fixed, dilated pupil. She underwent intraocular lens exchange with implantation of a scler…

Varicella Zoster Virus Retinitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Sengillo
Varicella Zoster Virus Retinitis A 59-year-old male with a past medical history of polymyositis on multiple immunosuppressants and a recent episode of shingles treated one month ago, presents to Bascom Palmer with decreased vision and pain in the right eye. Visual acuity was 20/150 in the affected …

Vitamin A Deficiency

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nicole J. Topilow, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Topilow
Vitamin A Deficiency A 73-year-old woman with a past medical history significant for Crohn’s disease and recently diagnosed colon cancer with recent sigmoid colon resection, presented with ten days of blurry vision in both eyes and nyctalopia. Onset of her symptoms was during a hospitalization fo…

VKH

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Thomas A. Albini, MD; Anat Galor, MD, MSPH
Presenter/Faculty: Albini, Galor, Redick
VKH A 52-year-old female that presents with blurry vision and eye pain for 2 days. VA OD E at 6' and OS 20/400. AC trace cell. Vit 1+ cell. DFE and OCT showed swollen optic disc and bilateral serous retinal detachments. Most likely diagnosis for bilateral panuveitis with serous retinal detachments …