Course name | Date

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…

Submacular Hemorrhage

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Thomas A. Albini, MD; Harry W. Flynn, Jr., MD; Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Albini, Flynn, Iyer, Rosenfeld
Submacular Hemorrhage An 82-year-old woman presents for follow-up for macular degeneration. Her vision in the right eye at the time of presentation is 20/60. After loss to follow-up due to Covid-19, the patient presents with decreased vision in the right eye secondary to a submacular hemorrhage. He…

Posner-Schlossman Syndrome Due to CMV Virus

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Thomas A. Albini, MD; Sarah Wellik, MD
Presenter/Faculty: Albini, Medert, Wellik
Posner-Schlossman Syndrome Due to CMV Virus A 31-year-old woman with recurrent intraocular pressure spikes despite acyclovir therapy was found to have PCR-confirmed CMV anterior uveitis consistent with one of the presumptive etiologies of Posner-Schlossman. She was started on oral valganciclovir an…

Orbital Cellulitis, Cavernous Sinus Thrombosis, Pyomyositis of Extraocular Muscle, Bacteremia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Thomas E. Johnson, MD
Presenter/Faculty: Johnson, Venincasa
Orbital Cellulitis, Cavernous Sinus Thrombosis, Pyomyositis of Extraocular Muscle, Bacteremia A 17-year-old female with no significant PMH presented to the BPEI Emergency Room with a red, swollen left eye for two days in the setting of recent lower lid lesion that the patient believed was a chalazi…

Coats' Disease with Secondary Pseudoangiomatous Acquired Retinal Gliosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Harbour, Salazar
Coats' Disease with Secondary Pseudoangiomatous Acquired Retinal Gliosis A healthy 6-year-old female was referred after she failed her school vision screening in the right eye. Exam revealed a visual acuity of count fingers (CF) at 1 foot in the right eye. Slit lamp examination was unremarkable. Fu…

Full Thickness Macular Hole

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Don H. Noel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Dubovy, Flynn, Noel,
Full Thickness Macular Hole A 68-year-old female presented with blurry vision OD. Reported seeing black spots that became yellow with a halo and cloudy central vision. VA: 20/50 OD and 20/20 OS. DFE was significant for a small round defect in the fovea OD. Imaging work up: significant for OCT showi…

Cataracts and Radial Keratotomy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Masako Chen, MD
Faculty Discussant(s): Kendall E. Donaldson, MD, MS
Presenter/Faculty: Chen, Donaldson
Cataracts and Radial Keratotomy A 69-year-old male presented to Bascom Palmer Eye Institute for glare and blurry vision in both eyes. Exam revealed 20/70 vision in right eye and 20/60 in left eye. Patient had 8 RK incision in both eyes and 2+ NS in both eyes. Patient's preoperative evaluation inclu…

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. …

Idiopathic Intracranial Hypertension

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Maeng, Tse
Idiopathic Intracranial Hypertension A 39-year-old male presented to the BPEI ER with blurry vision in his right eye for 2 weeks. Examination revealed CF OD, 20/60 OS vision, right APD, and bilateral disc edema. OCT showed diffusely elevated RNFL thickness and HVF 30-2 was not able to be performed …

Glaucoma Associated with Sturge Weber

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Rachel H. Lee, MD, MPH
Faculty Discussant(s): Ta Chen Peter Chang, MD
Presenter/Faculty: Chang, Lee
Glaucoma Associated with Sturge Weber A 4-week-old male was brought in by his mother for evaluation of elevated pressures in the left eye. Exam was revealing for a port wine birth mark in the V1 and V2 distribution on the left. Patient demonstrated an IOP of 32 in the left eye, with marked corneal …

Proliferative Sickle Retinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Ta Chen Peter Chang, MD
Presenter/Faculty: Berrocal, Chang, Hudson
Proliferative Sickle Retinopathy A 3-year-old female was referred to BPEI for treatment of congenital cataracts. After bilateral lensectomy and vitrectomy, the patient was noted to have elevated intraocular pressure. She underwent placement of BGI and was incidentally found to have vitreous hemorrh…

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…

Adult Onset Xanthogranuloma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Bradford W. Lee, MD, MSC
Presenter/Faculty: Clauss, Lee
Adult Onset Xanthogranuloma A 48-year-old male presented with intermittent bilateral eyelid swelling for 5 years and progressively enlarging well-demarcated yellow eyelid lesions. On exam, patient had chemosis, and reduced up gaze in the right eye, prompting orbital imaging with MRI which demonstra…

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 …

Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Rong, Zhang
Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis A 21-year-old female presented to the hospital with 5 days of right eye redness, swelling, discharge and pain. Exam revealed VA OD 20/70, painful EOM and severe conjunctival chemosis and discharge, and eyelid swelling. CT scan revealed righ…

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…

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 …

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…

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…

Ocular Surface Squamous Neoplasia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Galor, Karp, Stevens
Ocular Surface Squamous Neoplasia A 71-year-old male with a history of atopic dermatitis was referred to BPEI for evaluation of a corneal lesion. Exam revealed an opalescent and gelatinous lesion at 2-4 o'clock at the limbus in the left eye. Anterior segment OCT showed a thickened, hyperreflective …