Course name | Date

External Ophthalmomyiasis due to Dermatobia Hominis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Stevens, Tse
External Ophthalmomyiasis due to Dermatobia Hominis A child presented with right eye swelling for five days refractory to systemic antibiotics. On examination, he had significant periorbital edema, erythema, injection, a chemosis. At the lateral canthus, a small scab with skin defect was visualized…

Exposed Glaucoma Drainage Device

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasmin Islam, MD
Faculty Discussant(s): Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Islam, Maharaj
Exposed Glaucoma Drainage Device A patient with a history of moderate primary open angle glaucoma, pseudophakia, and diabetic macular edema of the right eye presented for a regularly scheduled glaucoma follow-up examination. He had previously undergone a trabeculectomy and subsequent revision in th…

Erdheim Chester Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Masako Chen, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Chen, Dubovy, Karp
Erdheim Chester Disease A 37-year-old male presented to clinic with bilateral conjunctival lesions for 7 months. Patient has a history of lytic bone lesions, 50-pound weight loss, and fevers. Examination revealed 20/20 vision in both eyes, mobile, discrete conjunctival lesions in bilateral bulbar c…

Epithelial Downgrowth

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
Epithelial Downgrowth This case presents a 56-year-old female who presented with dramatic decrease of vision over a one-year duration. Patient has previously undergone both eyes corneal transplant, glaucoma drainage device. Patient developed right eye iris cyst, that started growing occupying the a…

Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Dubovy, Flynn, Venincasa
Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty A patient presented to the BPEI emergency room on referral for iritis and uveitis in the right eye, approximately four weeks after she underwent a bilateral upper and lower blepharoplasty in the community. Examinatio…

Elevated Episcleral Venous Pressure

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Isha Gupta, MD
Faculty Discussant(s): David S. Greenfield, MD; Luis J. Haddock, MD
Presenter/Faculty: Haddock, Greenfield, Gupta
Elevated Episcleral Venous Pressure A 59-year-old male presented with blurred vision in both eyes. He was referred to the glaucoma service for evaluation of elevated intraocular pressure. On examination, the patient was observed to have blood in Schlemm’s canal and bilateral intraretinal and subr…

Drug Associated Occlusive Retinal Vasculitis and Intraocular Inflammation

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Thomas A. Albini, MD; Philip J. Rosenfeld, MD, PhD; Caroline R. Baumal, MD
Presenter/Faculty: Albini, Baumal, Iyer, Rosenfeld
Drug Associated Occlusive Retinal Vasculitis and Intraocular Inflammation A 78-year-old male with a known history of exudative age-related macular degeneration in both eyes had been treated with intravitreal aflibercept injections for many years unable to extend past 5 weeks. He was recently treate…

Dislocated Intraocular Lens

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Falcone, MD
Faculty Discussant(s): Justin H. Townsend, MD
Presenter/Faculty: Falcone, Townsend
Dislocated Intraocular Lens A 74-year-old male presented to the BPEI ER with blurred vision in the right eye for 3 days. He underwent cataract surgery in both eyes 9 years prior in Costa Rica. He denied any other prior ocular history or trauma. Exam revealed VA 20/200+1 in the right eye. IOP was wi…

Diffuse Unilateral Subretinal Neuroretinitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas A. Albini, MD
Discussant(s): Nimesh A. Patel, MD
Presenter/Faculty: Albini, Kunkler, Patel
Diffuse Unilateral Subretinal Neuroretinitis A 54-year-old woman from Honduras with a history of T2DM, HTN, OSA presented with 4 months of progressive visual loss in the right eye. She had been seen by many eye care providers and carried the diagnoses of macular degeneration and multifocal choroidi…

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…

Cystoid Macular Edema (CME)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mehdi Roozbahani, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD; Luis E. Vazquez, MD, PhD
Presenter/Faculty: Roozbahani, Rosenfeld, Vazquez
Cystoid Macular Edema (CME) A patient presents with recent blurry vision OS. VA 20/200 OD and 20/25 OS. Exam significant for macular scar OD and macular edema OS. Imaging workup significant for OCT showing intra-retinal fluid and VMT OS, SS-OCTA OS showed CNV. Patient started on Aflibercept injecti…

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…

Cutaneous Melanoma Metastatic to the Orbit

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Lynn G. Feun, MD; David T. Tse, MD
Presenter/Faculty: Dubovy, Feun, Gutkind, Tse
Cutaneous Melanoma Metastatic to the Orbit A patient with a past medical history of Stage IIA cutaneous melanoma, treated with wide local excision and radiation therapy, presented after 12 years of remission with proptosis, pain, diplopia, and decreased vision, unresponsive to antibiotic therapy. S…

Crystalline Keratopathy Secondary to Mycobacteria Abscesses in Setting of Pre-Existing Herpetic Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Amar P. Shah, MD
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Shah
Crystalline Keratopathy Secondary to Mycobacteria Abscesses in Setting of Pre-Existing Herpetic Keratitis A patient with history of herpetic keratitis referred to cornea service with multifocal, white, anterior stromal deposits left eye. Examination revealed 20/20 with inferior and temporal paracen…

Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fowler, Lam
Cranial Nerve 6 Palsy from Metastatic Cholangiocarcinoma A 34-year-old woman presented with 2 weeks of diplopia. The patient had binocular horizontal diplopia with a right cranial nerve 6 palsy and moderate-to-severe headache of 1-week duration. Magnetic resonance imaging (MRI) of the brain and orb…

COVID-19 Related Conjunctivitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Guillermo Amescua, MD; Zubair Ansari, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Amescua, Ansari, Flynn, Laura
COVID-19 Related Conjunctivitis A 33-year-old female presented with 6 days of eye redness and tearing without vision changes. She had no significant past medical history and was not taking any medications. Of note, the patient was a Registered Nurse at University of Miami Hospital. She had multiple…

Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Amar P. Shah, MD, MBA
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Shah
Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine A patient with history of pseudophakic bullous keratopathy (PBK) of the right eye (OD) was self-referred to cornea service for progressively decreasing vision. He subsequently underwent uncomplicated Descemet’s membrane endo…

Conjunctival Squamous Cell Carcinoma with Intraorbital and Intraocular Invasion

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Carol L. Karp, MD
Presenter/Faculty: Johnson, Karp, Kunkler
Conjunctival Squamous Cell Carcinoma with Intraorbital and Intraocular Invasion A 64-year-old male with a history of T2DM and HTN was referred for 2 weeks of severe pain and redness in the right eye. Two months earlier, he had undergone reported pterygium removal surgery in another country. At pres…

Conjunctival SCC

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Oded Ohana, MD
Faculty Discussant(s): Brian C. Tse, MD
Presenter/Faculty: Ohana, Tse
Conjunctival SCC A patient presented to the emergency department with a right eye conjunctival mass. Examination showed a large mass, emanating from the conjunctiva. CT scan showed inferior orbital involvement. Surgical treatment via exenteration was carried out, using a lid sparing technique, prov…

Conjunctival Melanoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jane C. Cook, MD
Faculty Discussant(s): Carol L. Karp, MD
Presenter/Faculty: Cook, Karp
Conjunctival Melanoma A 38-year-old healthy man presents with a pigmented lesion two years after onset and undergoes excisional biopsy which confirms conjunctival melanoma. Systemic work-up reveals metastasis, and the patient undergoes multiple cycles of radiation and chemotherapy. He later died of…