Course name | Date

Chronic External Progressive Ophthalmoplegia

Type: 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…

Closed-Globe Ocular Trauma

Type: 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…

Congenital Zika Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nish Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD
Presenter/Faculty: Dubovy, Patel
Congenital Zika Syndrome A 20 m/o female presented to an eye clinic in Colombia for a follow-up eye exam. Ocular examination revealed a normal anterior segment exam, but fundus photos displayed focal pigment mottling in the macula bilaterally. These ocular findings were attributed to ocular involve…

Conjunctival Keratoacanthoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Quan
Conjunctival Keratoacanthoma Keratoacanthoma (KA) is an epithelial tumor characterized by rapid, abundant growth and a potential for spontaneous resolution. It typically occurs on the skin in sun-exposed areas such as the face, neck, and hands. Rarely it can occur on the conjunctiva and vulvar regi…

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…

Conjunctival Melanoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Cullen D. Ryburn, MD
Faculty Discussant(s): Carol L. Karp, MD
Presenter/Faculty: Karp, Ryburn
Conjunctival Melanoma A 55-year-old male who presented to Bascom Palmer for a multi-year history of a progressively enlarging painless pigmented conjunctival lesion of the right eye. He was found to have a large non-mobile pigmented lesion of the right perilimbal conjunctiva. While initially he was…

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…

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…

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…

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…

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…

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…

Extranodal Marginal Zone Lymphoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Bradford W. Lee, MD, MSC; Izidore S. Lossos, MD
Presenter/Faculty: Hudson, Lee, Lossos
Extranodal Marginal Zone Lymphoma 52-year-old male with Stage IV extranodal MALT lymphoma who initially presented with paranasal and perioribtal disease. He failed treatment with multiple chemotherapeutic agents and represented with decreased VA 20/40 and 20/80 thought to be due to diffuse choroida…

Extranodal Rosai-Dorfman Disease

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): John W. Hinkle, MD
Faculty Discussant(s): Wendy W. Lee, MD, MS
Presenter/Faculty: Hinkle, Lee
Extranodal Rosai-Dorfman Disease A 28-year-old male without past medical history presented with a 1 year history of painless bilateral upper lid swelling. After multimodal imaging studies, the patient underwent diagnostic orbital biopsy. The pathologic analysis of the biopsy showed a plasmacytic in…

Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Amina L. Chaudhry, MBBS
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Chaudhry, Rosenfeld
Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane A 68-year-old female with nonexudative AMD in both eyes, presents with new visual distortion in her left eye. Clinical exam shows markedly declined visual acuity, fundus examination shows small punctate extrafoveal hemo…

Exudative Retinal Detachment Following Treatment of Posterior Uveal Melanoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): J. Daniel Diaz, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Diaz, Harbour
Exudative Retinal Detachment Following Treatment of Posterior Uveal Melanoma A 55-year-old male presented to Bascom Palmer with complaints of flashing lights in his right eye and found to have a large choroidal mass. Work-up revealed a likely choroidal melanoma with an associated small inferior exu…

FLACS - AK Associated Infectious Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Leonid Zlotcavitch, MD
Faculty Discussant(s): Guillermo Amescua, MD; Terrence P. O'Brien, MD
Presenter/Faculty: Amescua, O'Brien, Zlotcavitch
FLACS - AK Associated Infectious Keratitis A 62-year-old female 6 weeks after FLACS - AK presented to BPEI- ED for ocular irritation, decreased vision, and photophobia. Her examination disclosed vision = 20/30, focal conjunctival hyperemia and a corneal stromal infiltrate located beneath a mid-peri…

Fungal Endogenous Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jacob S. Duker, MD
Faculty Discussant(s): Thomas A. Albini, MD; Luis J. Haddock, MD
Presenter/Faculty: Albini, Duker, Haddock
Fungal Endogenous Endophthalmitis A 32-year-old male presented with eye pain and decreased vision and was found to have vitritis in a “string-of-pearls” configuration. Clinical findings, epidemiology, diagnostic techniques and management of fungal endogenous endophthalmitis are described. Prese…

Fungal Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Quan, Singh Tonk
Fungal Keratitis A 59-year-old female presented to the Bascom Palmer Eye Institute emergency room with a 7-day history of a red and painful eye, and loss of vision. The right eye exam demonstrated HM vision with a diffuse limbal-to-limbal cornea ulcer within a previous penetrating keratoplasty graf…

HLA-B27-Associated Uveitis

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Anat Galor, MD, MSPH; Raquel Goldhardt, MD, FACS
Presenter/Faculty: Galor, Goldhardt, Kunkler
HLA-B27-Associated Uveitis A 58-year-old male with a history of CAD, HTN, atrial fibrillation, and schizophrenia presented with 2 days of decreased vision, redness, and pain in the right eye. There was no trauma. Visual acuity was CF OD and IOP OD was elevated. Exam revealed a hemorrhagic hypopyon …