Course name | Date

Acanthamoeba Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Angela J. Verkade, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Verkade
Acanthamoeba Keratitis Acanthamoeba keratitis, while an uncommon form of keratitis, is important to recognize and treat aggressively. Unfortunately, due to its encysted form, acanthamoeba is not only difficult to diagnose with standards methods of culture, but it is also very resistant to treatment…

Achromobacter Xylosoxidans Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Thomas A. Lazzarini, MD
Faculty Discussant(s): Guillermo Amescua, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Amescua, Flynn, Lazzarini
Achromobacter Xylosoxidans Endophthalmitis A 79-year-old male with history of Fuchs endothelial dystrophy of both eyes s/p penetrating keratoplasty of both eyes (1980s), repeat penetrating keratoplasty of left eye (2018) and regmatogenous retinal detachment of left eye s/p repair with silicon oil w…

Acquired Corneal Subepithelial Hypertrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Angelica G. Ortiz, MD
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Ortiz
Acquired Corneal Subepithelial Hypertrophy A patient presented to the Bascom Palmer Eye Institute with decreasing vision in her right eye several months after having a penetrating keratoplasty for ruptured radial keratotomy incisions. Her exam was notable for visual acuity of 20/60 in the right eye…

Acute Posterior Multifocal Placoid Pigment Epitheliopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hasenin Al-khersan, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Al-khersan
Acute Posterior Multifocal Placoid Pigment Epitheliopathy A patient presented with one week of blurred vision. He noted a concomitant headache and cold symptoms as well. He had a history of IV drug use 10 days prior. His visual acuity was 20/100 in the right eye and 20/20 in the left eye. Examinati…

Acute Retinal Necrosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Joshua Uhr, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Uhr
Acute Retinal Necrosis A monocular patient with no past ocular history in the left eye presented with several days of decreased vision in the left eye. On examination he was found to have panuveitis, and there was concern for necrotizing retinitis. He was treated empirically for presumed acute reti…

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…

Acute Syphilitic Posterior Placoid Chorioretinitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jayanth Sridhar, MD
Presenter/Faculty: Albini, Lin, Sridhar
Acute Syphilitic Posterior Placoid Chorioretinitis A 56-year-old Hispanic male with past medical history of gout presented to the emergency room with a “purple spot” in his right eye for the last four days. Examination was significant for best corrected visual acuity (BCVA) 20/70, no anterior c…

Acute Syphilitic Posterior Placoid Uveitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ramsey Yusuf, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Yusuf
Acute Syphilitic Posterior Placoid Uveitis An adult patient presented to the Bascom Palmer emergency room for evaluation of five days of bilateral painless vision loss and floaters. On slit lamp examination he did not have any conjunctival injection or anterior chamber cell or flare. Dilated fundus…

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…

Adenoid Cystic Carcinoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Presenter/Faculty: Dubovy, Lin, Tse
Adenoid Cystic Carcinoma A patient with past medical history of a previously resected lacrimal gland mass presented to the emergency room with worsening unilateral proptosis and eye pain with persistent new eversion of the upper eyelid for several days. Examination was significant for severe propto…

Adenoid Cystic Carcinoma of the Lacrimal Gland

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle Latting, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Latting, Tse
Adenoid Cystic Carcinoma of the Lacrimal Gland A 43-year-old female presented to her primary care physician with swelling of the lateral aspect of the right upper eyelid without visual complaints. The primary care physician noted proptosis of the right globe and ordered a CT scan which revealed a m…

Adenoviral Conjunctivitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Laura
Adenoviral Conjunctivitis 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 conjunctiva were cultur…

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…

Age Related Macular Degeneration

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
Age Related Macular Degeneration RPE tears occur in AMD as part of the normal disease progression. They are usually associated with vascularized pigment epithelial detachments at a rate of 10%. RPE tears are also associated with Central Serous Retinopathy, Retinal Angiomatous Proliferation, Polypoi…

Age-Related Macular Degeneration

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ruba Muhtaseb, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Muhtaseb, Rosenfeld
Age-Related Macular Degeneration We present an elderly patient with new onset visual distortions in the right eye. Vision is 20/30 OD, 20/20 OS. She is diagnosed with exudative Age-related Macular Degeneration (AMD) in the right eye and non-exudative AMD in the left eye. Swept Source OCT Angiograph…

Alkaline Chemical Corneal Burn

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Staropoli
Alkaline Chemical Corneal Burn A 63-year-old male presented with decreased vision and pain after alkali chemical splash to both eyes at a utility plant. He presented with perilimbal ischemia in the right eye greater than the left, complete opacification of the right cornea and a large epithelial de…

Alstrom Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Byron L. Lam, MD; Craig A. McKeown, MD
Presenter/Faculty: Hudson, Lam, McKeown
Alstrom Syndrome A 5-year-old male referred to the BPEI pediatric ophthalmology clinic for second opinion regarding bilateral progressive vision loss since infancy. VA was 20/200 OU and the patient had nystagmus. He was 99% percentile for weight but had no hearing loss or polydactyl. He underwent s…

Alternaria Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Paula A. Sepulveda-Beltran, MD
Faculty Discussant(s): Guillermo Amescua, MD; Jean-Marie Parel, Ing.ETS-G, PhD, FARVO
Presenter/Faculty: Amescua, Parel, Sepulveda-Beltran
Alternaria Keratitis A patient with a history of a failed DMEK who required a DSAEK, was referred to the BPEI's cornea department after a 1-month history of culture-confirmed Alternaria keratitis that developed after the DSAEK. The ulcer progressed despite topical and systemic antifungal treatment.…

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…

Aqueous Misdirection After Glaucoma Drainage Implant

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kenneth C. Fan, MD
Faculty Discussant(s): Anna K. Junk, MD
Presenter/Faculty: Fan, Junk
Aqueous Misdirection After Glaucoma Drainage Implant A 54-year-old male presented to the clinic flat anterior chamber 6 weeks after a glaucoma implant device. His vision was 20/200 in the affected eye with an IOP of 10. He had lenticular-corneal touch. His other eye was NLP from presumed POAG. He w…