Course name | Date

UGH Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kristin A. Minkowski, MD
Faculty Discussant(s): David S. Greenfield, MD; Byron L. Lam, MD
Presenter/Faculty: Greenfield, Lam, Minkowski,
UGH Syndrome A patient presented to the glaucoma service with episodes of transient, monocular vision loss, associated with eye color change from blue to brown. Episodes at gradual onset and resolution, lasting hours in duration. Extensive lab and imaging work-up were unrevealing. Examination revea…

Alveolar Rhabdomyosarcoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Umangi A. Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Brian C. Tse, MD
Presenter/Faculty: Dubovy, Patel, Tse
Alveolar Rhabdomyosarcoma A patient presented to BPEI for evaluation of a left upper lid lesion present since birth with no improvement with conservative treatment. Examination revealed a firm, blue, red lesion involving the upper left eyelid and lower eyelid. MRI orbit imaging revealed extensive s…

Cytomegalovirus Retinitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Marilyn A. Marquez, MD
Faculty Discussant(s): Janet L. Davis, MD; Luis J. Haddock, MD
Presenter/Faculty: Davis, Haddock, Marquez
Cytomegalovirus Retinitis A patient presented to the BPEI Clinic complaining of floaters in the right eye for ten weeks. Examination revealed a BCVA of 20/25 right eye and 20/20 left eye, mild keratic precipitates, +1 vitritis and a peripheral chorioretinal lesion on fundus exam in his right eye. A…

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…

Uveal Effusion Syndrome

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lediana Goduni, MD
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Sander R. Dubovy, MD; J. William Harbour, MD
Presenter/Faculty: Correa, Dubovy, Goduni, Harbour
Uveal Effusion Syndrome A patient was referred to the ocular oncology service for evaluation of a suspicious choroidal mass and serous retinal detachment in the right eye. The Snellen visual acuity was 20/80 and intraocular pressures were normal in both eyes. Examination and imaging of the right ey…

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…

Uveal Effusion Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Thomas A. Albini, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Albini, Laura, Yannuzzi
Uveal Effusion Syndrome A patient with an ocular history of a retinal detachment (RD) in the left eye (OS) status post repair by pars plana vitrectomy (PPV) complicated by suprachoroidal hemorrhage presented with bullous serous RD in the right eye (OD). His initial visual acuity (VA) was hand motio…

Metastatic Cutaneous Melanoma to Choroid

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Eric D. Hansen, MD
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Sander R. Dubovy, MD; J. William Harbour, MD
Presenter/Faculty: Correa, Dubovy, Hansen, Harbour
Metastatic Cutaneous Melanoma to Choroid An elderly patient presented with vision loss in the right eye and self-referred to BPEI for a second opinion. A pigmented, elevated choroidal lesion concerning for malignancy was noted in the right eye with sub retinal fluid extending into the macula. The p…

Orbital Venous Lymphatic Malformation

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Pirakitikulr, Rong
Orbital Venous Lymphatic Malformation A patient presented to the ER complaining of 2 days of increasing pain and swelling behind the left eye. Of note the patient reported that as a teenager he was previously treated for an orbital tumor. On exam he was found to have massive proptosis, hyperglobus …

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…

Bleb Leak

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alison J. Lauter, MD
Faculty Discussant(s): Luis E. Vazquez, MD, PhD
Presenter/Faculty: Lauter, Vazquez
Bleb Leak An elderly patient presented to the glaucoma department for follow up examination of her primary open angle glaucoma. Her IOP was above goal and progression was noted on Humphrey visual fields of both eyes. She underwent uncomplicated cataract extraction with intraocular lens implant comb…

Leber Hereditary Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza-Santiesteban, MD
Presenter/Faculty: Chowdhary, Lam, Mendoza-Santiesteban
Leber Hereditary Optic Neuropathy An 18-year-old male presented to the ER with bilateral decreased vision and eye pain for 10 days. His visual acuity was HM OD, 20/300 OS. He was noted to have disc pallor OD and temporal pallor with slight nasal elevation OS on fundus exam. His MRI showed T2 hyper …

Circumscribed Choroidal Hemangioma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Matthew B. Donovan, MD
Faculty Discussant(s): Sander R. Dubovy, MD
Presenter/Faculty: Donovan, Dubovy
Circumscribed Choroidal Hemangioma A patient presented with blurry vision OD. VA 20/40 OD and 20/20 OS. DFE significant for elevation along the superior arcade. Imaging workup significant for OCT showing foveal involving serous retinal detachment OD. FA and ICG showed hyperfluoroescent lesion super…

Knobloch Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Audina M. Berrocal, MD; Craig A. McKeown, MD
Presenter/Faculty: Berrocal, Fowler, McKeown
Knobloch Syndrome An infant presented to the eye clinic with nystagmus. The patient underwent examination. Initial eye examination revealed horizontal nystagmus, a midline occipital scalp lesion, hypoplastic macula in both eyes, and high myopia (greater than -15.0 D in both eyes). Given a family hi…

Acute Zonal Occult Outer Retinopathy (AZOOR)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Thomas A. Albini, MD; Byron L. Lam, MD
Presenter/Faculty: Albini, Lam, Sengillo
Acute Zonal Occult Outer Retinopathy (AZOOR) A 31-year-old male presents with eye redness, foreign body sensation, and blurry vision in both eyes, worse in the right eye. On exam he is found to have follicular conjunctivitis in both eyes with sub epithelial infiltrates on the right cornea. His conj…

Scleral and Subretinal Abscess with Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Guillermo Amescua, MD; Jayanth Sridhar, MD
Presenter/Faculty: Amescua, Fan, Sridhar
Scleral and Subretinal Abscess with Endophthalmitis A patient presented with blurry vision and pain after scleral buckle removal. He had a remote history of retinal detachment with primary scleral buckling. He had persistent inflammation that did not improve with topical steroids or tap and inject …

Cyclodialysis Cleft

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Elena Bitrian, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Bitrian, Reyes-Capo, Swaminathan
Cyclodialysis Cleft A patient with no significant PMHx presented to BPEI one day after being hit with a giant rubber band in his left eye. Visual acuity of the left eye was hand motion and IOP was 21 mmHg. Examination revealed a hyphema, vitreous hemorrhage, and shallow choroidal detachments. The p…

Peripheral Ulcerative Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Salazar
Peripheral Ulcerative Keratitis A patient with well-controlled HIV on antiretroviral therapy presented to the emergency department with five months of left eye pain, redness, discharge, and blurry vision. Visual acuity in the left eye was found to be 20/60 and slit lamp examination was remarkable f…

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…

PAM and OSSN

Specialty: Ocular Oncology
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
PAM and OSSN This case presents a 67-year-old gentleman who was referred for a pigmented lesion. The HR-OCT suggested that this was not simply a small area of PAM, but rather demonstrated an epithelial hyper-reflectivity and thickening with an abrupt change from normal to mildly thickened epitheliu…