Course name | Date

Granular Corneal Dystrophy Type II

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Redick, Tonk
Granular Corneal Dystrophy Type II A patient presented to the Bascom Palmer Cornea Clinic with progressively blurry vision in both eyes as well as worsening pain and irritation in both eyes. She had a family history of corneal problems. Her visual acuity was 20/100 in the right eye and 5/200 in the…

Granulomatosis with Polyangiitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Fan
Granulomatosis with Polyangiitis This presentation describes a case of granulomatosis with polyangiitis in which ocular disease (scleritis) led to the diagnosis. The patient subsequently developed scleral melt with uveal show, requiring a multidisciplinary approach with Rheumatology to escalate imm…

Hydrolyzed MIRAgel Scleral Buckle

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Brian C. Tse, MD
Presenter/Faculty: Berrocal, Kunkler, Tse
Hydrolyzed MIRAgel Scleral Buckle A patient presented with one year of gradually worsening left eye pain and binocular diplopia. He had a history of remote retinal detachment repair in 1988 and prostate cancer in 2019 s/p radiation therapy in remission. In the left eye, he had limitations to gaze i…

Idiopathic Central Serous Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Matthew B. Donovan, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Donovan, Rosenfeld
Idiopathic Central Serous Chorioretinopathy A 47-year-old male with previous diagnosis of exudative AMD s/p multiple Avastin injections presents with complaint of decreased vision OU. Exam was significant for VA 20/200 OD, 20/25 OS. DFE significant for macular mottling OU. OCT shows serous retinal …

Idiopathic Intracranial Hypertension

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Maeng, Tse
Idiopathic Intracranial Hypertension A 39-year-old male presented to the BPEI ER with blurry vision in his right eye for 2 weeks. Examination revealed CF OD, 20/60 OS vision, right APD, and bilateral disc edema. OCT showed diffusely elevated RNFL thickness and HVF 30-2 was not able to be performed …

Infantile Hemangioma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Thomas E. Johnson, MD
Presenter/Faculty: Johnson, Pirakitikulr
Infantile Hemangioma A 17-month-old girl presented with her mother for evaluation of birthmarks that appeared shortly after birth. The patient was born at 38 weeks gestation weighing 7.2 lb. via C-section. Examination disclosed multiple confluent hemangiomas involving the right cheek, upper and low…

Intracanalicular Optic Nerve Sheath Meningioma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Fan, Lam
Intracanalicular Optic Nerve Sheath Meningioma A middle-aged patient with a PMH of breast cancer, migraines, and hyperlipidemia presents to the Bascom Palmer ER with a chief complaint of headache and left eye blurry vision for the past month. Recent work-up outside is remarkable for normal laborato…

Intraorbital Foreign Body

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Lieux, Rong
Intraorbital Foreign Body Intraorbital foreign bodies most commonly present with an ocular or penetrating injury. However, when the globe is not involved, the presentation of an intraorbital foreign body can be subtle. Here, we present a case of a 21-year-old female with right upper and lower lid s…

Isolated Spherophakia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Bitrian, Medert
Isolated Spherophakia A patient with ocular hypertension and narrow angle was found to have Isolated Spherophakia. She underwent phacoemulsification with a capsular tension ring and intraocular lens in the bag OS. She then had a pars plana vitrectomy with a scleral fixated lens OD. Post-operatively…

Juvenile Psammomatous Ossifying Fibroma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Nickalus Khan, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Chowdhary, Dubovy, Khan, Mendoza Santiesteban
Juvenile Psammomatous Ossifying Fibroma An 18-year-old female presented with blurry vision, headaches for 4 months. She was diagnosed to have papilledema on an outside eye exam and referred to BPEI. Her visual acuity was 20/20 OD, 20/100 OS. Additionally, she was noted to have junctional scotoma on…

Klebsiella Pneumoniae Endogenous Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Janet L. Davis, MD
Discussant(s): Nimesh A. Patel, MD
Presenter/Faculty: Davis, Fan, Patel
Klebsiella Pneumoniae Endogenous Endophthalmitis A 46-year-old healthy male presented with a red and painful eye with a preceding febrile gastrointestinal illness. Examination and work-up revealed concomitant intraocular and liver abscesses that required pars plana vitrectomy, drainage of subretina…

Knobloch Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Audina M. Berrocal, MD; Craig A. McKeown, MD
Presenter/Faculty: Berrocal, Fowler, McKeown
Knobloch Syndrome An infant presented to the eye clinic with nystagmus. The patient underwent examination. Initial eye examination revealed horizontal nystagmus, a midline occipital scalp lesion, hypoplastic macula in both eyes, and high myopia (greater than -15.0 D in both eyes). Given a family hi…

Lattice Corneal Dystrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Anat Galor, MD, MSPH; Jayne S. Weiss, MD
Presenter/Faculty: Galor, Lieux, Weiss
Lattice Corneal Dystrophy Lattice corneal dystrophy is a rare disease with a variety of etiologies. Historically, corneal dystrophies have been defined as bilateral, progressive processes that start in a patient’s first to second decade of life and have no correlation with systemic illnesses. Whi…

Leber Hereditary Optic Neuropathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza-Santiesteban, MD
Presenter/Faculty: Chowdhary, Lam, Mendoza-Santiesteban
Leber Hereditary Optic Neuropathy An 18-year-old male presented to the ER with bilateral decreased vision and eye pain for 10 days. His visual acuity was HM OD, 20/300 OS. He was noted to have disc pallor OD and temporal pallor with slight nasal elevation OS on fundus exam. His MRI showed T2 hyper …

Metallic Foreign Body

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Thomas E. Johnson, MD
Presenter/Faculty: Dubovy, Johnson, Maeng
Metallic Foreign Body A patient with a history of well-controlled HIV and bipolar affective disorder presented to the clinic with a history of recurrent intermittent periorbital eyelid swelling and pain of 16 years duration. His symptoms began six months after receiving “black market facial fille…

Metastatic Cutaneous Melanoma to Choroid

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Eric D. Hansen, MD
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Sander R. Dubovy, MD; J. William Harbour, MD
Presenter/Faculty: Correa, Dubovy, Hansen, Harbour
Metastatic Cutaneous Melanoma to Choroid An elderly patient presented with vision loss in the right eye and self-referred to BPEI for a second opinion. A pigmented, elevated choroidal lesion concerning for malignancy was noted in the right eye with sub retinal fluid extending into the macula. The p…

Mycobacterium Abscessus Keratitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Zhang
Mycobacterium Abscessus Keratitis A patient was referred for management of a corneal ulcer in their right eye. Initial exam revealed VA OD CF with diffuse corneal epithelial defect, infiltrate, and endothelial plaque and anterior inflammation with a hypopyon. Corneal cultures were positive for Myco…

Mycoplasma Pneumoniae-Induced Rash and Mucositis (MIRM)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Neel D. Pasricha, MD
Faculty Discussant(s): Guillermo Amescua, MD; Swapna Shanbhag, MD
Presenter/Faculty: Amescua, Pasricha, Shanbhag
Mycoplasma Pneumoniae-Induced Rash and Mucositis (MIRM) A patient presented to BPEI ED with dysuria x4 days and worsening red eye and irritation OU x2 days. Diagnosed with possible STI + conjunctivitis by outside Urgent Care 2 days prior. On our examination, he had decreased BCVA of 20/50 OD and 20…

Nasolacrimal Fungal Granuloma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nicole J. Topilow, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Sara T. Wester, MD, FACS
Presenter/Faculty: Dubovy, Topilow, Wester,
Nasolacrimal Fungal Granuloma A 40-year-old man with a past medical history significant only for hyperthyroidism, and no past ocular history, presented with “several months” of left sided proptosis associated with bloody tears, left eye pain, and unilateral blurry vision. He denied trauma, feve…

Neovascular Glaucoma Secondary to Sickle Cell Retinopathy

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Elena Bitrian, MD; Jayanth Sridhar, MD
Presenter/Faculty: Bitrian, Lieux, Sridhar
Neovascular Glaucoma Secondary to Sickle Cell Retinopathy Neovascular glaucoma is a rare cause of elevated intraocular pressure and is typically caused by severe posterior segment ischemia resulting in anterior segment ischemia and neovascularization of the trabecular meshwork angle. Diabetic retin…