Course name | Date

Chronic External Progressive Ophthalmoplegia

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Heidy C. Martinez, MD
Faculty Discussant(s): Hilda Capo, MD
Presenter/Faculty: Capo, Martinez
Chronic External Progressive Ophthalmoplegia A 36-years-old female patient presents to pediatric ophthalmology clinic at BPEI for a second opinion regarding progressive bilateral ptosis and exotropia. The patient has a history of progressive bilateral ptosis OS>OD and limitation of ocular moveme…

Chronic Macula Changes with Juvenile X-linked Retinoschisis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel

This patient is known to have XLRS and is 80 years old. Over time the macula schisis has led to central atrophy and pigmentary changes. The OCT shows schisis cavities and thinning of the retina.

Chronic Macula on Retinal Detachment with Two Demarcation Lines

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): J. Daniel Diaz, MD; Nimesh A. Patel, MD; Justin H. Townsend, MD
Presenter/Faculty: Diaz, Patel, Townsend

Patient with a history of pathological myopia and retinal detachment in the fellow eye. Has been stable with a large chronic retinal detachment. There are two demarcation lines noted in the macula. The vision is preserved.

Chronic Retinal Detachment with Laser Demarcation

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Patel, Flynn

Temporal horseshoe tear with localized retinal detachment. It was demarcated with laser retinopexy and has remained stable.

Chronic Retinal Detachment With Pseudocyst

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Hasenin Al-khersan, MD; Nimesh A. Patel, MD
Presenter/Faculty: Al-khersan, Patel
The pseudocyst (yellow arrow) can be a signal that the retinal detachment is chronic. The ultrasound helps to clearly define the fluid filled cavity. It is thought that these are formed by schisis cavities in the outer plexiform layer. If closure of the primary break is not possible, or if the pseu…

Cicatricial Conjunctivitis, Steven Johnson Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Victor H. Banda, MD
Presenter/Faculty: Amescua, Banda

A patient with bilateral cicatricial conjunctivitis changes secondary to Steven Johnson Syndrome. Slit lamp photo of both eyes with madarosis, distichiasis, trichiasis, lid margin keratinization. Right eye with partial ankyloblepharon with corneal exposure. Left eye with complete ankyloblepharon.

Ciliary Body Metastatic Lung Tumor

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): J. William Harbour, MD; Nimesh A. Patel, MD
Presenter/Faculty: Harbour, Patel

Slit lamp photo with white tumor growing into the sulcus inferior temporally. The Ultrasound Biomicroscopy shows a medium density mass in the ciliary body. The patient had known stage 4 lung cancer.

Ciliochoroidal Melanoma with Extraocular Extension Associated with Sympathetic Ophthalmia

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Zelia M. Correa, MD, PhD; Maura Di Nicola, MD; Ayman Elnahry, MD, PhD
Presenter/Faculty: Correa, Di Nicola, Elnahry

Multimodal imaging of a patient with ciliochoroidal melanoma with extraocular extension associated with sympathetic ophthalmia before and after treatment.

Ciliochoroidal Melanoma with Extraocular Extension Complicated by Sympathetic Ophthalmia

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ayman Elnahry, MD, PhD
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Maura Di Nicola, MD
Presenter/Faculty: Correa, Di Nicola, Elnahry
Ciliochoroidal Melanoma with Extraocular Extension Complicated by Sympathetic Ophthalmia A patient presented with a pigmented conjunctival lesion in the right eye of insidious onset and progressive course. She was found to have a ciliochoroidal melanoma with extraocular extension and underwent exci…

Circumscribed Choroidal Hemangioma

Specialty: Ocular Oncology
Type: Online 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…

Closed-Globe Ocular Trauma

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Justin H. Townsend, MD
Presenter/Faculty: Fan, Townsend
Closed-Globe Ocular Trauma An 18-year-old female presents to BPEI ER after sustaining injuries to the eye from a motor vehicle accident. The patient was diagnosed with a closed-globe injury and had subsequent traumatic angle-recession glaucoma, vitreous prolapse, and traumatic cataract. She also ha…

Closing the Health Gap: The Role of Diversity in Ophthalmology

Specialty: Other
Type: Other Lectures
Include in Catalogue?: Yes
Presenter(s): Basil K. Williams, Jr., MD
Presenter/Faculty: Williams

CMV Retinitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Akaanksh Shetty, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Shetty, Sridhar
CMV Retinitis A patient with a past ocular history of POAG s/p phaco/trab OD and BGI OS, and ERM OS with macular edema OS receiving intravitreal Dexamethasone injections since 2017 presented with left eye redness, decreased VA, and pain for 4 days. He reported no history of trauma, no recent hospit…

CMV Retinitis & Toxoplasmosis Chorioretinitis in HIV/AIDS Patient

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Janet L. Davis, MD; Jayanth Sridhar, MD
Presenter/Faculty: Beca, Davis, Sridhar
CMV Retinitis & Toxoplasmosis Chorioretinitis in HIV/AIDS Patient An adult patient presented to Jackson Memorial Hospital with complaint of blurred vision, fever, abdominal pain, weight loss, and rash. Examination revealed a chorioretinal lesion concerning for toxoplasma chorioretinitis. The pa…

CMV Retinitis with Frosted Branch Angiitis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Patel, Swaminathan

In this condition, vasculitis of both arteries and veins, with translucent exudation, gives a similar appearance to the frosted branches of a tree. (Yellow arrow). Superior nasally, there is also the classic retinal whitening with retinal hemorrhages, also known as a “pizza pie fundus”.

CMV Retinitis, Right Eye

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anna Sporysheva, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jorge Fortun, MD
Presenter/Faculty: Albini, Fortun, Sporysheva
CMV Retinitis, Right Eye A patient with no past ocular history presented with right eye pain, redness, photophobia, decreased vision for a week. His exam was notable for visual acuity 20/50 in the right eye and 20/20 in the left eye. Intra-ocular pressure was 20 and 17 mmHg. The slit-lamp exam was …

Coats Disease

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Harbour, Lin
Coats Disease An infant presented with suspected retinoblastoma after undergoing an exam under anesthesia (EUA) with an outside provider. On repeat exam under anesthesia, there were no mass lesions identified on indirect exam or ultrasound. Indirect exam revealed powdery yellow exudative changes an…

Coats' Disease Stage 4

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Victor Villegas, MD
Presenter/Faculty: Patel, Villegas

RetCam photo with a bullous exudative retinal detachment. Angiography shows area of engorged vessels, telangiectasias and neovascularization. Ultrasound with moderate dense vitreous opacities and no calcifications. Surgery with external drainage was required for treatment.

Coats' Disease with Secondary Pseudoangiomatous Acquired Retinal Gliosis

Type: Online 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…

Coats' Plus Disease

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Fernandez
Coats' Plus Disease An infant born prematurely via emergency cesarean section at 27-weeks due to IUGR and fetal distress weighting 650 g was referred for the evaluation of incomplete vascularization of the retina. After birth, the patient spent 117 days in the neonatal intensive care unit (NICU), w…