Course name | Date

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…

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…

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 …

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 …

Enophthalmos Due to Metastatic Orbital Breast Carcinoma

Specialty: Ocular Oncology
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Presenter/Faculty: Beca, Dubovy, Tse
Enophthalmos Due to Metastatic Orbital Breast Carcinoma A patient presented to the ER with subconjunctival hemorrhage but incidentally noted to have enophthalmos with mild extraocular movement restriction in the contralateral eye. Further history revealed breast cancer history that was treated 18 y…

Epithelial Downgrowth

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Erin Ong, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Ong
Epithelial Downgrowth A patient with a history of bilateral corneal transplants, glaucoma drainage device, and iris cysts presented with gradually decreasing vision after surgical removal of the cyst and cataract surgery in that eye. The patient was diagnosed with epithelial downgrowth and underwen…

FEVR (Familial Exudative Vitreoretinopathy)

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mehdi Roozbahani, MD
Faculty Discussant(s): Jorge Fortun, MD
Presenter/Faculty: Fortun, Roozbahani
FEVR (Familial Exudative Vitreoretinopathy) A patient was referred to our clinic for retinal evaluation. Vision was 20/20 in the right eye and 20/200 in the left eye. Exam showed unremarkable anterior segment exam. Posterior exam showed peripheral shallow retinal detachment in the right eye and ret…

Hermansky-Pudlak Syndrome

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Hilda Capo, MD; Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Capo, McKeown, Mendoza Santiesteban, Vila-Delgado
Hermansky-Pudlak Syndrome An infant was brought to the emergency department by his mother referred from his pediatrician after a routine well-child visit. Parents had noticed severe light sensitivity, but patient was otherwise developing well. Patient grimaced to light in both eyes but had poor fix…

High Myopia

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Sonia H. Yoo, MD
Presenter/Faculty: Muniz Castro, Yoo
High Myopia A patient presented to BPEI for laser vision correction. Manifest refraction revealed high myopia with spherical equivalent -9.75 diopters in both eyes. Anterior and posterior segment exam were normal. Tomography imaging showed minimal astigmatism, pachymetry of 557 OD and 566 OS, and n…

HTLV1 Associated Uveitis

Specialty: Uveitis
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Sengillo
HTLV1 Associated Uveitis A patient presented to the Bascom Palmer Eye Institute with complaints of floaters in the left eye for 3 years and the right eye for 3 months. Vision was best corrected to 20/25 in both eyes. Anterior segment exam revealed fine KP in both eyes without significant anterior s…

Hypotony Due to Cyclodialysis Clef

Specialty: Glaucoma
Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasmin Islam, MD
Faculty Discussant(s): Jorge Fortun, MD; Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Fortun, Islam, Maharaj
Hypotony Due to Cyclodialysis Clef A patient with a history of high myopia presented as a referral from an the retina service for low intraocular pressure and blurry vision five months after pars plana vitrectomy for vitreous opacities in the left eye. His intraocular pressure was 8 on difluprednat…

Infectious Scleritis

Type: Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Guillermo Amescua, MD; Carol L. Karp, MD; David T. Tse, MD
Presenter/Faculty: Amescua, Castro, Karp, Tse
Infectious Scleritis An elderly patient presented to BPEI with 7 days of decreased vision and pain in the left eye. Visual acuity was hand motion and exam revealed a localized area of scleral necrosis and suppuration. B scan showed a very small and shallow ciliochoroidal detachment. Cultures of the…