Course name | Date

Ethambutol Induced Optic Neuropathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Christopher Morais, MD
Faculty Discussant(s): Joshua Pasol, MD
Presenter/Faculty: Morais, Pasol
Ethambutol Induced Optic Neuropathy A patient with a past medical history of chronic Mycobacterium avium infection, on anti-mycobacterial medication for 5 months, presented with bilateral, painless, progressive visual loss for 1 month. Previous medical history significant for B cell lymphoma and ma…

Granular Cell Tumor

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Charissa Tan, BS
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Presenter/Faculty: Dubovy, Tan, Tse
Granular Cell Tumor A patient was referred by an outside ophthalmologist for evaluation. The patient reported having headaches, double vision, and eye bulging for 3 months. Her exam was notable for restricted extraocular movements in her left eye on abduction and adduction. Her slit lamp exam was n…

Familial Exudative Vitreoretinopathy and Retinopathy of Prematurity

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lauren C. Kiryakoza, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Kiryakoza
Familial Exudative Vitreoretinopathy and Retinopathy of Prematurity An infant underwent ophthalmic examination. Born at 32 weeks, the infant weighed 680 grams and received high-flow nasal cannula for respiratory distress of the newborn. Dilated fundus examination of the right eye revealed periphera…

Full Thickness Macular Hole

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jeffrey Brown, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Brown, Flynn
Full Thickness Macular Hole A middle-aged patient presented to the Bascom Palmer Institute with complaints of persistent floaters in left eye one month after a bicycle accident s/p laser retinopexy. A full-thickness macular hole was subsequently found on exam in the left eye. The patient subsequent…

Choroidal Metastasis

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Brandon Pham, MD
Faculty Discussant(s): Basil K. Williams, MD
Presenter/Faculty: Pham, Williams
Choroidal Metastasis A patient presented to the Bascom Palmer Eye Institute with blurred vision in the left eye for 5 days. Past medical and ocular history was unremarkable. Past social history was notable for 25 pack-year smoking history. Visual acuity in the right eye was 20/20. Visual acuity in …

Macular Neovascularization Secondary to Best Disease in a Pregnant Female

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Konica Singla, MD, MS
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Rosenfeld, Singla
Macular Neovascularization Secondary to Best Disease in a Pregnant Female A patient with a history of Best Disease mutation in BEST1 presented with a sudden onset of blurriness and distortion in her left eye (OS) for three weeks. The patient's family history reveals genetic and visual implications,…

Pressure-Induced Stromal Keratopathy (PISK) and Corneal Scarring After Infectious Keratitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sonia H. Yoo, MD
Presenter/Faculty: Yoo, Zhang
Pressure-Induced Stromal Keratopathy (PISK) and Corneal Scarring After Infectious Keratitis A patient presented with eye pain and decreased vision in the left eye after having LASIK in both eyes. She was found to have an interface infectious keratitis that required re-lifting of the LASIK flap twic…

Choroidal Effusion After Glaucoma Drainage Device

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Merry Ruan, MD, PhD
Faculty Discussant(s): Anna K. Junk, MD
Presenter/Faculty: Junk, Ruan
Choroidal Effusion After Glaucoma Drainage Device A patient with a past medical history of intellectual disability and ocular history of constant eye rubbing, a left eye with central retinal venous occlusion and mixed mechanism glaucoma and a right eye that is pseudophakic with open angle glaucoma …

Myotonic Dystrophy Associated Cataracts

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Matias A. Soifer, MD
Faculty Discussant(s): Guillermo Amescua, MD; Carlos E. Mendoza Santiesteban, MD; Neil Masters, MD
Presenter/Faculty: Amescua, Mendoza Santiesteban, Masters, Soifer
Myotonic Dystrophy Associated Cataracts We present a case series of two siblings with myotonic dystrophy and cataract with different degrees of zonulopathies. Myotonic dystrophy usually presents with early onset cataracts. We showcase the challenges of doing surgery on patients with advanced myopat…

Fungal Keratitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Franklin Zheng, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Ellen Koo, MD
Presenter/Faculty: Dubovy, Koo, Zheng
Fungal Keratitis A patient with a history of corneal ulcer presents for a second opinion due to slow clinical improvement on topical medications. Cultures were negative, but biopsy showed numerous fungal elements. The patient was continued on topical antifungal medication and showed clinical improv…

Non-Paraneoplastic Autoimmune Retinopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shima Dehghani, MD
Faculty Discussant(s): Janet L. Davis, MD; Stephanie M. Llop, MD
Presenter/Faculty: Davis, Dehghani, Llop
Non-Paraneoplastic Autoimmune Retinopathy A patient presented to the uveitis clinic for progressively decreasing vision in both eyes. She first noticed difficulty in seeing at night and later also developed flashes and halos of light. Best-corrected visual acuity was 20/40 in the right eye and 20/8…

Orthokeratology Lens Related Keratitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ronaldo Nuesi, MD
Faculty Discussant(s): Rami J. Aboumourad, OD; Angela Y. Zhu, MD
Presenter/Faculty: Aboumourad, Nuesi, Zhu
Orthokeratology Lens Related Keratitis A myopic patient with daily orthokeratology lens use presented for eye pain and decrease in vision of both eyes for one week. Patient had no changes in his normal use of lenses. On examination, patient demonstrated findings concerning for an infectious keratit…

Ciliochoroidal Melanoma with Extraocular Extension Complicated by Sympathetic Ophthalmia

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ayman Elnahry, MD, PhD
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Maura Di Nicola, MD
Presenter/Faculty: Correa, Di Nicola, Elnahry
Ciliochoroidal Melanoma with Extraocular Extension Complicated by Sympathetic Ophthalmia A patient presented with a pigmented conjunctival lesion in the right eye of insidious onset and progressive course. She was found to have a ciliochoroidal melanoma with extraocular extension and underwent exci…

Secondary Vitreoretinal Lymphoma

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasman Moshiri, MD
Faculty Discussant(s): Thomas A. Albini, MD; Sander R. Dubovy, MD
Presenter/Faculty: Albini, Dubovy, Moshiri
Secondary Vitreoretinal Lymphoma A patient presented to the clinic with two years of intermittent blurry vision and vitreous hemorrhage of the left eye. Shortly before presentation, he had been diagnosed with diffuse large B-cell lymphoma based on biopsy of an enlarged axillary lymph node. The pati…

Squamous Cell Carcinoma of the Lacrimal Sac

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Juan S. Guerrero Rey, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Andrew J. Rong, MD
Presenter/Faculty: Dubovy, Rey, Rong
Squamous Cell Carcinoma of the Lacrimal Sac A patient presented to the emergency department for a history of tearing on the right eye and medial canthal mass. He had a history of chronic sinus pain for months, initial examination was notable for increased tear lake on the right eye, along with an i…

Choroidal Granuloma from Presumed Ocular Tuberculosis

Specialty: Uveitis
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ramsey Yusuf, MD
Faculty Discussant(s): Stephanie M. Llop, MD
Presenter/Faculty: Llop, Yusuf
Choroidal Granuloma from Presumed Ocular Tuberculosis An adult patient presented to the Bascom Palmer emergency room with 1 year of vision loss in the right eye and 3 months of vision loss in the left eye. She lived outside the United States in a country where tuberculosis was non-endemic, however …

Paracentral Acute Middle Maculopathy (PAMM) Associated with Antiphospholipid Antibody Syndrome and impending Central Retinal Vein Occlusion

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Maura Abraham, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Abraham, Rosenfeld
Paracentral Acute Middle Maculopathy (PAMM) Associated with Antiphospholipid Antibody Syndrome and impending Central Retinal Vein Occlusion We report a case of paracentral acute middle maculopathy (PAMM) associated antiphospholipid antibody syndrome, and impending central retinal vein occlusion (CR…

Enlarged Tube-Shunt Bleb After Glaucoma Tube Shunt Implantation

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Vikram Paranjpe, MD
Faculty Discussant(s): Elena Bitrian, MD
Presenter/Faculty: Bitrian, Paranjpe
Enlarged Tube-Shunt Bleb After Glaucoma Tube Shunt Implantation A middle-aged patient with a past ocular history of a congenital cataract in the left eye, status-post cataract extraction without intraocular lens placement as child, subsequent iris-sutured intraocular lens placement in 2018, and mul…

Myopic Traction Maculopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Elza Rachid, MD
Faculty Discussant(s): Jorge Fortun, MD
Presenter/Faculty: Fortun, Rachid
Myopic Traction Maculopathy This is a case of an elderly woman with pathologic myopia referred for asymptomatic worsening macular schisis in the right eye on optical coherence tomography (OCT). Fundus examination showed pathologic myopia and a posterior pole staphyloma. She was diagnosed with myopi…

Cyclodialysis Cleft After Atent Implantation

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Javier Nahmias, MD
Faculty Discussant(s): Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Maharaj, Nahmias
Cyclodialysis Cleft After Atent Implantation Patient with history of primary open angle glaucoma presented with persistent hyphema and hypotony after combined cataract surgery and implantation of a stent. Vision on presentation was hand motion with an intraocular pressure of 6. Exam was notable for…