Course name | Date

Pythium Insidiosum Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Guillermo Amescua, MD; Darlene Miller, DHSc, MPH, CIC
Presenter/Faculty: Amescua, Kunkler, Miller
Pythium Insidiosum Keratitis An 83-year-old otherwise healthy female was referred to the BPEI ER for a progressive corneal ulcer. Exam in the left eye was notable for hand motions vision, normal IOP, and severe corneal ulcer associated with hypopyon and scleral extension. B-scan ultrasonography of …

Radius-Maumenee Syndrome

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD
Presenter/Faculty: Chang, Medert
Radius-Maumenee Syndrome A 15-year-old male presented with elevated intraocular pressure of the left eye. Gonioscopy revealed blood in Schlemm’s canal. Fundoscopic examination and subsequent ophthalmic imaging confirmed a diagnosis of glaucoma in the left eye. Neuro-imaging was normal without sig…

Recurrent Pterygium

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jaime D. Martinez Martinez, MD
Faculty Discussant(s): Alfonso L. Sabater, MD, PhD
Presenter/Faculty: Martinez, Sabater
Recurrent Pterygium We present a 71-year-old male patient with multiple pterygium resection surgeries on the left eye and one on the right eye. Referred to BPEI with progressive horizontal diplopia on lateral gaze for seven months. On ocular examination revealed 20/60 vision in the left eye, restri…

Refractory Full Thickness Macular Hole

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lauren C. Kiryakoza, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Kiryakoza, Sridhar
Refractory Full Thickness Macular Hole A patient presented with a “black central spot” in the right eye. The past ocular history included an idiopathic full thickness macular hole in the right eye that had undergone pars plana vitrectomy with internal limiting membrane peel two times. The left …

Restrictive Strabismus and Brown Syndrome Secondary to Graves Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Capo, Chowdhary
Restrictive Strabismus and Brown Syndrome Secondary to Graves’ Disease A 68-year-old male with restrictive strabismus and Brown syndrome with extraocular movement restriction secondary to TED. He was on clinical trial for Teprotumumab 302 and had prior RAI ablation. His visual acuity OD is 20/20,…

Retained Lens Fragment

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Flynn, Fowler
Retained Lens Fragment A 61-year-old male referred after complicated cataract extraction surgery (phacoemulsification). On exam he was found to have a large piece of retained nuclear fragment in the inferior vitreous. He underwent PPV along with lens exchange with anterior chamber IOL placement. He…

Retina Vasculitis, Leprosy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Sulaiman Alhumaid, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Alhumaid
Retina Vasculitis, Leprosy A 56-year-old man referred to the BPEI for intermediate uveitis and retinal vasculitis. Examination revealed 20/25 vision in both eyes and trace vitreous cells in both eyes. Ocular coherence tomography showed no macular edema. Fluorescein angiogram showed retinal vasculit…

Retinal Arterial Macroaneurysm

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Reyes-Capo, Sridhar
Retinal Arterial Macroaneurysm 82-year-old female presented to BPEI from the Cayman Islands with 3 weeks of floaters and decreased vision in the right eye. Visual acuity was hand motion and posterior exam revealed vitreous hemorrhage, submacular hemorrhage, and a retinal arterial macroaneurysm (RAM…

Retinal Capillary Hemangioblastoma in Von-Hippel Lindau Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Eric D. Hansen, MD
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Presenter/Faculty: Dubovy, Hansen, Harbour
Retinal Capillary Hemangioblastoma in Von-Hippel Lindau Syndrome A 40-year-old male with family history of renal cell carcinoma and history of neurosurgical excision of cerebellar hemangioblastoma presents for routine ophthalmic examination. Vision is 20/20 in both eyes. Fundus examination reveals …

Retinal Cavernous Hemangioma with Vitreous Hemorrhage

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Fowler
Retinal Cavernous Hemangioma with Vitreous Hemorrhage A five-week-old full-term male with a history of seizures and birth trauma underwent ophthalmology screening. Initial eye examination revealed vitreous hemorrhage. Subsequent examination under anesthesia with multi-modal imaging revealed vitreou…

Retinal Detachment Caused by Proliferative Sickle Cell Retinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Thomas A. Lazzarini, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Lazzarini, Sridhar
Retinal Detachment Caused by Proliferative Sickle Cell Retinopathy A 44-year-old man and 19-year-old man, neither with initially disclosed medical history, present with severe vision loss one eye. Both patients have findings consistent with retinal detachment associated with proliferative retinopat…

Retinal Vasculitis in Birdshot Chorioretinopathy

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jila Noorikolouri, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Noorikolouri
Retinal Vasculitis in Birdshot Chorioretinopathy A 51-year-old female who presents to the uveitis clinic for evaluation of progressive vision loss of both eyes. Patient was referred after a complete infectious and non-infectious uveitis lab workup which was negative. Retinal vasculitis with abnorma…

Retinoblastoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lediana Goduni, MD
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Presenter/Faculty: Dubovy, Goduni, Harbour
Retinoblastoma A 2-year-old female with an unremarkable past medical history presented with pain and swelling of the left eye. One examination she was able to fix and follow with both eyes but had a dull red reflex of the left eye as well as a retinal mass. An exam under anesthesia was performed wh…

Retinopathy of Prematurity

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nicolas A. Yannuzzi, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Yannuzzi
Retinopathy of Prematurity An 19-year-old woman presented with decreased vision in the right eye and was found to have a retinal detachment. She had a history of retinopathy of prematurity as an infant and had been treated with laser photocoagulation. Treatment for retinopathy of prematurity in the…

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 …

Scleral-Invasive Ocular Surface Squamous Neoplasia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): J. William Harbour, MD; Carol L. Karp, MD
Presenter/Faculty: Harbour, Hudson, Karp
Scleral-Invasive Ocular Surface Squamous Neoplasia An 83-year-old male with history of skin cancer and tobacco use was referred to BPEI for evaluation of a subconjunctival mass which was previously biopsied. On presentation, a large firm subconjunctival mass with prominent feeder vessels was seen. …

Sebaceous Carcinoma Presenting with Corneal Ulcer and Descemetocele

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Carol L. Karp, MD
Presenter/Faculty: Karp, Staropoli
Sebaceous Carcinoma Presenting with Corneal Ulcer and Descemetocele An 87-year-old male was referred for second opinion due to nonhealing corneal ulcer of his right eye. He had a past medical history significant for basal cell carcinoma, arthritis, hypertension, hypothyroid, CABG, and carotid stent…

Severe Non-Proliferative Diabetic Retinopathy with Cystoid Macular Edema

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Eric R. H. Duerr, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Duerr, Sridhar
Severe Non-Proliferative Diabetic Retinopathy with Cystoid Macular Edema A 65-year-old male with diabetic retinopathy and CME presented to the BPEI retina clinic for continued management of his chronic ocular condition. His care was complicated by an inability to submit to ocular examinations in th…

Severe Ocular Chemical Injury

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Aditya Kanesa-thasan, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Kanesa-thasan, Singh Tonk
Severe Ocular Chemical Injury A 41-year-old male international patient presented to BPEI 2 months after the initial injury with persistent redness and decreased vision. Clinical exam revealed scleral melt and ischemia and the patient was started on medical treatment and scheduled for urgent tenopla…

Silent Brain Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Pirakitikulr, Tse
Silent Brain Syndrome A 34-year-old male presents for corneal evaluation with progressive decline in vision in both eyes associated with pain, redness and discharge. The patient’s past medical history is notable for a cerebellar cyst that was removed at age 21 and placement of a ventricular-atria…