Course name | Date

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…

Acquired Corneal Subepithelial Hypertrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Angelica G. Ortiz, MD
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Ortiz
Acquired Corneal Subepithelial Hypertrophy A patient presented to the Bascom Palmer Eye Institute with decreasing vision in her right eye several months after having a penetrating keratoplasty for ruptured radial keratotomy incisions. Her exam was notable for visual acuity of 20/60 in the right eye…

Acute Posterior Multifocal Placoid Pigment Epitheliopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hasenin Al-khersan, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Al-khersan
Acute Posterior Multifocal Placoid Pigment Epitheliopathy A patient presented with one week of blurred vision. He noted a concomitant headache and cold symptoms as well. He had a history of IV drug use 10 days prior. His visual acuity was 20/100 in the right eye and 20/20 in the left eye. Examinati…

Acute Retinal Necrosis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Joshua Uhr, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Uhr
Acute Retinal Necrosis A monocular patient with no past ocular history in the left eye presented with several days of decreased vision in the left eye. On examination he was found to have panuveitis, and there was concern for necrotizing retinitis. He was treated empirically for presumed acute reti…

Acute Syphilitic Posterior Placoid Uveitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ramsey Yusuf, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Yusuf
Acute Syphilitic Posterior Placoid Uveitis An adult patient presented to the Bascom Palmer emergency room for evaluation of five days of bilateral painless vision loss and floaters. On slit lamp examination he did not have any conjunctival injection or anterior chamber cell or flare. Dilated fundus…

Age-Related Macular Degeneration

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ruba Muhtaseb, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Muhtaseb, Rosenfeld
Age-Related Macular Degeneration We present an elderly patient with new onset visual distortions in the right eye. Vision is 20/30 OD, 20/20 OS. She is diagnosed with exudative Age-related Macular Degeneration (AMD) in the right eye and non-exudative AMD in the left eye. Swept Source OCT Angiograph…

Bilateral Exotropic Duane Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Craig A. McKeown, MD
Presenter/Faculty: McKeown, Vila-Delgado
Bilateral Exotropic Duane Syndrome A healthy 5-year-old male presented with an outward deviation of both eyes since approximately 4 months of age. Motility testing was notable for significant limitation to adduction in both eyes, significant downshoot in the right eye and downshoot and upshoot in t…

Bilateral Mycobacterium Tuberculosis-Associated Necrotizing Kerato Sclerouveitis Complicated by Bilateral Corneoscleral Perforation and Uveal Prolapse

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jonathan D. Tijerina, MD, MA
Faculty Discussant(s): Thomas A. Albini, MD; Guillermo Amescua, MD
Presenter/Faculty: Albini, Amescua, Tijerina
Bilateral Mycobacterium Tuberculosis-Associated Necrotizing Kerato Sclerouveitis Complicated by Bilateral Corneoscleral Perforation and Uveal Prolapse A patient presented from the Bahamas with 5-month history of redness, worsening eye pain, and 5 days of decreasing vision with enlarging “red spot…

Branchio-Oculo-Facial Syndrome and Coloboma

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariana Abi Karam, MD
Faculty Discussant(s): Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Abi Karam, McKeown, Mendoza Santiesteban
Branchio-Oculo-Facial Syndrome and Coloboma A young child presented with light perception visual acuity in the right eye and white cataract. Some dysmorphic features were also documented such as wide nasal tip, prominent philtral pillars, hypertelorism, telecanthus, right ptosis, and malformed pinn…

Brimonidine Associated Uveitis

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin Shen, MD
Faculty Discussant(s): Richard K. Parrish, II, MD
Presenter/Faculty: Parrish, Shen
Brimonidine Associated Uveitis A patient with a past ocular history of advanced normal tension glaucoma in both eyes presented with 1 month of blurry vision in both eyes. His exam was notable for decreased visual acuity of 20/30 in the right eye and 20/50 in the left eye. Intraocular pressure was 9…

Central Serous Chorioretinopathy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ahmad Najafi, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Najafi, Rosenfeld
Central Serous Chorioretinopathy We present the case of a patient with decreased vision in the right eye. The patient immigrated to the United States in 2015, and discovered his decreased vision during an eye exam for a driver’s license. He was diagnosed with Wet AMD and had received 5-6 doses of…

Chronic Angle-Closure Glaucoma

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin Shen, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Bitrian, Shen
Chronic Angle-Closure Glaucoma A monocular patient with advanced chronic angle closure glaucoma in her left eye was referred for possible glaucoma surgery. She reported progressive worsening vision, especially of her peripheral vision. Exam was notable for visual acuity of 20/40 with an intraocular…

CMV Retinitis

Type: 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, Right Eye

Type: 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 …

Congenital Hereditary Endothelial Dystrophy

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Margaret Wang French, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Angela Y. Zhu, MD
Presenter/Faculty: Chang, Wang, Zhu
Congenital Hereditary Endothelial Dystrophy A young patient presented with progressive “eye color changes” noted for at least 2 years. Her parents also noted increasing photophobia and her eyes turning inwards for extended periods of time. Her exam was notable for best corrected visual acuity o…

Conjunctival Squamous Cell Carcinoma, Keratoacanthoma Type

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jonathan D. Tijerina, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Tijerina
Conjunctival Squamous Cell Carcinoma, Keratoacanthoma Type A patient presented with a rapidly enlarging lesion of the nasal conjunctiva of the left eye. The past ocular history was significant only for bilateral surgical removal of cataracts with intraocular lens placement. The patient had a past m…

Corneal Decompensation

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Rebecca Chen, MD
Faculty Discussant(s): Sarah Wellik, MD
Presenter/Faculty: Chen, Wellik
Corneal Decompensation A patient with past ocular history of primary open-angle glaucoma, status post glaucoma drainage implant in the right eye, underwent cataract surgery in the right eye. Preoperative potential acuity meter testing predicted visual acuity outcome of 20/25. The patient developed …

Corneal Decompensation

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH
Presenter/Faculty: Dubovy, Galor, Lieux
Corneal Decompensation Corneal decompensation in the setting of glaucoma surgery is a complex entity that is poorly understood. Endothelial cell loss occurs from both the glaucoma itself and from the placement of intraocular glaucoma devices. This decline in endothelial cells occurs via direct and …

Cytomegalovirus Anterior Uveitis

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasman Moshiri, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Moshiri
Cytomegalovirus Anterior Uveitis A patient presented with acute blurry vision, foreign-body sensation, and elevated intraocular pressure in the left eye. On examination, he had evidence of chronic intraocular inflammation including keratic precipitates, He had experienced similar episodes periodica…

Endogenous Fungal Endophthalmitis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Fan, Flynn
Endogenous Fungal Endophthalmitis A patient presents with bilateral sequential blurry vision and eye pain for the past month. He has a complicated medical history with multiple infections requiring surgical debridement. His exam is remarkable for bilateral vitritis and chorioretinal lesions. He is …