Course name | Date

Alstrom Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Byron L. Lam, MD; Craig A. McKeown, MD
Presenter/Faculty: Hudson, Lam, McKeown
Alstrom Syndrome A 5-year-old male referred to the BPEI pediatric ophthalmology clinic for second opinion regarding bilateral progressive vision loss since infancy. VA was 20/200 OU and the patient had nystagmus. He was 99% percentile for weight but had no hearing loss or polydactyl. He underwent s…

Alternaria Keratitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Paula A. Sepulveda-Beltran, MD
Faculty Discussant(s): Guillermo Amescua, MD; Jean-Marie Parel, Ing.ETS-G, PhD, FARVO
Presenter/Faculty: Amescua, Parel, Sepulveda-Beltran
Alternaria Keratitis A patient with a history of a failed DMEK who required a DSAEK, was referred to the BPEI's cornea department after a 1-month history of culture-confirmed Alternaria keratitis that developed after the DSAEK. The ulcer progressed despite topical and systemic antifungal treatment.…

Alveolar Rhabdomyosarcoma

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Umangi A. Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Brian C. Tse, MD
Presenter/Faculty: Dubovy, Patel, Tse
Alveolar Rhabdomyosarcoma A patient presented to BPEI for evaluation of a left upper lid lesion present since birth with no improvement with conservative treatment. Examination revealed a firm, blue, red lesion involving the upper left eyelid and lower eyelid. MRI orbit imaging revealed extensive s…

Aneurysmal Bone Cyst

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benyam Kinde, MD, PhD
Faculty Discussant(s): Brian C. Tse, MD
Presenter/Faculty: Kinde, Tse
Aneurysmal Bone Cyst A patient with a 2-week history of proptosis and vision changes in the right eye is transferred from an outside hospital. Neuroimaging revealed a large intraorbital and intracranial expansile lesion with multilobulated cystic spaces, surrounded by a thin cortical shell with per…

Aniridia and Secondary Glaucoma

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Sara Schultis, MD
Faculty Discussant(s): Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Maharaj, Schultis
Aniridia and Secondary Glaucoma A patient presented with bilateral uncontrolled intraocular pressure (IOP) on maximum medical therapy. Clinical exam was limited by corneal scarring of both eyes but visual acuity was 20/350 OD and 20/250 OS. Intraocular pressure was 27 OD and 29 OS. She had long-sta…

Aqueous Misdirection After Glaucoma Drainage Implant

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kenneth C. Fan, MD
Faculty Discussant(s): Anna K. Junk, MD
Presenter/Faculty: Fan, Junk
Aqueous Misdirection After Glaucoma Drainage Implant A 54-year-old male presented to the clinic flat anterior chamber 6 weeks after a glaucoma implant device. His vision was 20/200 in the affected eye with an IOP of 10. He had lenticular-corneal touch. His other eye was NLP from presumed POAG. He w…

Aspergillus Keratitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Venincasa
Aspergillus Keratitis A patient with a history of eye trauma with metallic foreign body presented with pain and blurry vision and was found to have severe Aspergillus infectious keratitis. He continued to progress despite topical, systemic, and intrastromal anti-fungal therapy. He was initially tre…

Autosomal Dominant Neovascular Inflammatory Vitreoretinopathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Hudson
Autosomal Dominant Neovascular Inflammatory Vitreoretinopathy A patient with no family history of retinal disease presented to the Bascom Palmer emergency room with 4 days of floaters in her right eye. Her VA was 20/30 and her intraocular pressure was normal. She was found to have vitreous hemorrha…

Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jose J. Echegaray, MD
Faculty Discussant(s): Janet L. Davis, MD; Ninel Z. Gregori, MD; Byron L. Lam, MD
Presenter/Faculty: Davis, Echegaray, Gregori, Lam
Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis A 17-year-old male with a biallelic RPE65 mutation resulting in autosomal recessive Leber Congenital Amaurosis is referred for evaluation for subretinal gene therapy with voretigene neparvovec-rzyl. Baseline evaluation was remarkable fo…

Bardet-Biedl Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Mariana Abi Karam, MD
Faculty Discussant(s): Jaclyn L. Kovach, MD
Presenter/Faculty: Abi Karam, Kovach
Bardet-Biedl Syndrome A young adult presented with progressive decrease in the visual acuity of both eyes. Past medical history included idiopathic intracranial hypertension suspect, obesity, learning disabilities, anxiety, polydactyly (status post excision of an extra toe). Family history includes…

Bartonella Henselae Multifocal Choroiditis

Specialty: Uveitis
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Maura Di Nicola, MD
Presenter/Faculty: Gutkind, Di Nicola
Bartonella Henselae Multifocal Choroiditis A patient with a history of Crohns disease controlled with infliximab presented with 2 weeks left sided blurred vision. He had recently been admitted to the hospital for fever of unknown origin where extensive testing was performed and he was evaluated by …

Bartonella Henselae Neuroretinitis and Branch Retinal Artery Occlusion

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Landon J. Rohowetz, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Rohowetz
Bartonella Henselae Neuroretinitis and Branch Retinal Artery Occlusion A patient with past ocular history of viral conjunctivitis presented with 2 weeks of decreased vision in the right eye. His exam was notable for visual acuity of 20/80+1 in the right eye and 20/20 in the left eye. Intraocular pr…

Bartonella Neuroretinitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Yasman Moshiri, MD
Faculty Discussant(s): Nicolas A. Yannuzzi, MD
Presenter/Faculty: Moshiri, Yannuzzi
Bartonella Neuroretinitis A patient presented with subacute painless decreased vision in the left eye. On examination, she had evidence of stellate macular exudates in the left eye, as well as optic disc edema in the right eye. Imaging including fluorescein angiography and OCT of the macula and ret…

Basal Cell Carcinoma

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Sara Tullis Wester, MD, FACS
Presenter/Faculty: Pirakitikulr, Wester
Basal Cell Carcinoma A 73-year-old female presented to clinic with a large ulcerated lesion involving the forehead, glabella, upper eyelids and extending towards the medial canthi bilaterally. The lesion had been present and growing for over 19 years, but the patient was reluctant to seek medical c…

Best Vitelliform Macular Dystrophy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nina Diklich, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Presenter/Faculty: Diklich, Gregori
Best Vitelliform Macular Dystrophy A patient presented to the clinic after years of progressive blurry vision. The patient reported that at the age of 5 while he lived abroad, that he had a retinal scar, but he was asymptomatic at that time. The patient tried wearing glasses over the years, but the…

Bilateral Dense White Cataracts

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Guillermo Amescua, MD; Harry W. Flynn, Jr., MD
Presenter/Faculty: Amescua, Flynn, Lin
Bilateral Dense White Cataracts This is a patient with significant complex medical history who presented with hand motion vision secondary to bilateral dense white cataracts. Due to high anesthesia risk given the severity of medial comorbidities including an implanted left ventricular assist device…

Bilateral Diffuse Uveal Melanocytic Proliferation

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jonathan Yi, MD
Faculty Discussant(s): Janet L. Davis, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Davis, Yannuzzi, Yi
Bilateral Diffuse Uveal Melanocytic Proliferation A patient with a past medical history of bladder and lung cancer s/p primary excisional therapy, chemotherapy, and a short course of immunotherapy presented with a recent episode of blurry vision in both eyes. Patient’s exam was notable for visual…

Bilateral Exotropic Duane Syndrome

Type: Online 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 Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Byron L. Lam, MD
Presenter/Faculty: Lam, Staropoli
Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect A 51-year-old female was transferred from an outside facility 5 days after buttock augmentation surgery in the prone position. On examination, there was no light perception in the right eye and hand motion vision i…

Bilateral Limbal Stem Cell Deficiency

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jaime D. Martinez Martinez, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Martinez
Bilateral Limbal Stem Cell Deficiency A 32-year-old female patient with bilateral chemical ocular burn. On ocular examination revealed 20/300 and 20.400 vision, with bilateral limbal ischemia and corneal epithelial defect, treated with saline solution irrigation and multiple amniotic membranes. Pat…