Course name | Date

Sebaceous Carcinoma, Concern for Muir-Torre Syndrome

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Viet Chau, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Andrew Rong, MD
Presenter/Faculty: Chau, Dubovy, Rong
Sebaceous Carcinoma, Concern for Muir-Torre Syndrome Our patient presented with a greater than one year history of a non-resolving right eyelid mass that began to hemorrhage due to accidental trauma. Exam was remarkable for and extensive multi-lobar ulcerated mass found along the right lower lid al…

Smooth Muscle Hamartoma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yoseph Sayegh, MD
Faculty Discussant(s): Nathan W. Blessing, MD; Sander R. Dubovy, MD
Presenter/Faculty: Blessing, Dubovy, Sayegh
Smooth Muscle Hamartoma Our patient presented due to a one-year history of a slowly growing conjunctival lesion. A large, red, non-tender lesion of the right bulbar conjunctiva was identified on examination. It did not improve after several weeks of medical management with steroids. He had no previ…

Spontaneous Intracranial Hypotension

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Vila-Delgado
Spontaneous Intracranial Hypotension A patient presented with sudden onset of postural headaches that improved with recumbency associated with nausea, vomit, photophobia and phonophobia of 5 days of evolution followed by binocular horizontal diplopia at distance and in left gaze. Patient denied rec…

Stickler Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lediana Goduni, MD
Faculty Discussant(s): Guillermo Amescua, MD; Audina M. Berrocal, MD
Presenter/Faculty: Amescua, Berrocal, Goduni
Stickler Syndrome This presentation describes a teenage patient who presented with bilateral retinal detachments. He has a strong family history of Stickler Syndrome. Additionally, there is a family history of multiple types of cancers, specifically GI cancers. The patient underwent an exam under a…

Submacular Hemorrhage Secondary to Age-Related Macular Degeneration

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alaa Al-Dabbagh, MD
Faculty Discussant(s): Thomas A. Albini, MD; Sander R. Dubovy, MD
Presenter/Faculty: Al-Dabbagh, Albini, Dubovy
Submacular Hemorrhage Secondary to Age-Related Macular Degeneration A patient presented with enlarging central scotoma in his left eye for 2 days prior. He has a history of wet AMD in his right eye that is under active anti-VEGF therapy. Diagnosis was new conversion to wet AMD in his left eye with …

Susac Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Zhang
Susac Syndrome A patient with a history of a central retinal artery occlusion presented with acute vision loss in his right eye and was found to have a branch retinal artery occlusion. A fluorescein angiogram showed retinal vasculitis of both eyes and the patient was diagnosed with Susac Syndrome. …

Syphilitic Uveitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Joshua Uhr, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Gregori, Uhr
Syphilitic Uveitis A 64-year-old male presented to the VA Eye Clinic with painless vision loss in the right eye. He was found to have vitreous hemorrhage, thought to be secondary to a hemorrhagic PVD, which was observed. Over several weeks, the patient’s vision worsened and his vitreous became mo…

Traumatic Aniridia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Elaine Zhou, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Tonk, Zhou
Traumatic Aniridia A patient with past ocular history of penetrating screwdriver trauma to the left globe presents with debilitating glare symptoms and poor vision. The patient has a previous surgical history of primary corneal laceration repair and lensectomy with subsequent reconstruction with sc…

Traumatic Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lin
Traumatic Optic Neuropathy A patient presented with no light perception four days following being hit in the eye with a curling iron. Besides decreased vision, an afferent pupillary defect, and periorbital edema/ecchymosis, clinical exam including of the optic nerve was otherwise unremarkable. Init…

Uveal Effusion Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Noy Ashkenazy, MD, MS
Faculty Discussant(s): Janet L. Davis, MD; Sander R. Dubovy, MD; Luis J. Haddock, MD
Presenter/Faculty: Ashkenazy, Davis, Dubovy, Haddock
Uveal Effusion Syndrome A hyperopic patient developed blurry vision in the right eye associated with flashes and floaters. He was seen by a retina specialist who diagnosed the patient for unilateral serous retinal and choroidal detachments. The patient was given high doses of oral prednisone for a …

Vitamin A Induced Intracranial Hypertension

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin Meyer, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Mayer
Vitamin A Induced Intracranial Hypertension A patient was found to have acute promyelocytic leukemia and was started on all-trans-retinoic acid (ATRA). He was also noted to incidentally have bilateral papilledema and MR imaging demonstrated multiple stigmata suggestive of chronically elevated intra…

Vitreous Hemorrhage

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Flynn, Kunkler
Vitreous Hemorrhage A patient with a past medical history of hypertension presented with vision loss in the right eye for two days. His exam was notable for visual acuity of hand motions in the right eye and 20/20 in the left eye. Intraocular pressures and slit lamp exam were normal in both eyes. P…

Wernicke Encephalopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lulwa El Zein, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: El Zein, Mendoza Santiesteban
Wernicke Encephalopathy A patient with past history of bariatric surgery presenting with blurred vision, oscillopsia and decreased hearing of few days. Her exam was remarkable for up-beating nystagmus in all gazes. Vision was 20/20 in each eye, pupils equal and reaction. She had full ocular motilit…

Optic Nerve Pit

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Lieux
Optic Nerve Pit Optic nerve anomalies are rare entities with a variety of clinical presentations. They can be classified according to anomalies of disc size, disc conformation, or by the presence of abnormal tissue on the optic nerve head, or pseudoswelling. Here, we present a child with an inciden…