Course name | Date

Iatrogenic Medial Rectus Transection

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Craig A. McKeown, MD
Presenter/Faculty: Clauss, McKeown
Iatrogenic Medial Rectus Transection Patient presented with acute onset binocular horizontal diplopia and an incomitant left exotropia with severe, but not complete adduction deficit. On orbital imaging, the medial rectus appeared to be completely transected, however the patient maintained some add…

Idiopathic Central Serous Chorioretinopathy

Type: Online 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: Online 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 …

Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Landon J. Rohowetz, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Mendoza Santiesteban, Rohowetz, Yannuzzi
Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane A patient with no past ocular history presented to the emergency department complaining of floaters in the left eye for 4 days. Exam was notable for visual acuity of 20/20 in the right eye and 20/25 in the left eye. …

Idiopathic Orbital Inflammation

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Sara Tullis Wester, MD, FACS
Presenter/Faculty: Levitt, Wester
Idiopathic Orbital Inflammation A 47-year-old woman with a past medical history of Grave’s disease complicated by thyroid associated ophthalmopathy presents with left eye pain, swelling, and diplopia worsening for 3 months. Exam reveals left-sided periorbital edema, proptosis, and extraocular mot…

Indirect Carotid Cavernous Fistula

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Joshua Pasol, MD; Robert M. Starke, MD
Presenter/Faculty: Hudson, Pasol, Starke
Indirect Carotid Cavernous Fistula A 72-year-old female referred to Bascom Palmer Emergency room with 4 months of progressive painless diplopia and eye redness after dental procedure. Exam revealed VA 20/25 OU with bilateral abducens palsy, and arterialization of the conjunctival vessels. Review of…

Infantile Hemangioma

Type: Online 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…

Infectious Scleritis

Type: Online 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…

Infectious Sclerokeratitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Reyes-Capo
Infectious Sclerokeratitis A 79-year-old male presented to BPEI with 4 days of decreased vision and pain in the right eye. Visual acuity was hand motion and exam revealed a large multifocal corneal infiltrate with associated corneal and scleral thinning. B scan demonstrated large choroidal and reti…

Inherited Retinal Degeneration Presented with Intermediate Uveitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jila Noorikolouri, MD
Faculty Discussant(s): Janet L. Davis, MD
Presenter/Faculty: Davis, Noorikolouri
Inherited Retinal Degeneration Presented with Intermediate Uveitis A 12-year-old Hispanic female presented to the uveitis clinic seeking second opinion for treatment of intermediate uveitis 4 years ago. Patient had already been treated with several immunosuppressive agents and biologics without any…

Interface Fluid Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Gina Shetty, MD
Faculty Discussant(s): Ellen Koo, MD
Presenter/Faculty: Koo, Shetty
Interface Fluid Syndrome A patient with a past ocular history of LASIK underwent ACIOL removal and cataract surgery. After surgery the patient was noted to have persistent corneal edema with LASIK flap haze. Anterior segment OCT was performed which showed fluid in the LASIK interface, consistent wi…

Intracanalicular Optic Nerve Sheath Meningioma

Type: Online 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…

Intraocular Foreign Body

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Crystal Zhang, MD
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Ellen Koo, MD
Presenter/Faculty: Correa, Koo, Zhang
Intraocular Foreign Body A patient with past ocular history of remote trauma, unilateral retinal detachment repair, and cataract extraction presented with inferior iris pigmentation and chronic corneal edema. He complains of decreased vision, redness, and foreign body sensation. His visual acuity w…

Intraoperative Aqueous Misdirection

Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Adam Rothman, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Justin H. Townsend, MD
Presenter/Faculty: Chang, Townsend, Rothman
Intraoperative Aqueous Misdirection A 3-year-old boy with primary congenital glaucoma OU s/p BVT (x1 OD, x2 OS) presents to clinic with elevated IOP OD despite maximum medical therapy. He undergoes exam under anesthesia with median intraocular pressure (IOP) 37 mm Hg OD. The patient then underwent …

Intraoperative Fluid Deviation Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Zubair Ansari, MD
Presenter/Faculty: Ansari, Clauss
Intraoperative Fluid Deviation Syndrome A patient underwent routine cataract surgery one month after uncomplicated cataract extraction and intraocular lens implantation of the contralateral eye. Intraoperatively, during the hydrodissection step of cataract extraction, the anterior chamber shallowed…

Intraorbital Foreign Body

Type: Online 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…

Intraorbital Foreign Body

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Rong, Stevens
Intraorbital Foreign Body A patient presented with right eye redness, swelling, and diplopia for 6 weeks after a dirt bike accident, where his right eye hit a tree branch. He underwent imaging and evaluation at an outside institution which revealed orbital fractures, but no evidence of an orbital f…

Intraorbital Wooden Foreign Body

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Apostolos Anagnostopoulos, MD
Faculty Discussant(s): Chris R. Alabiad, MD
Presenter/Faculty: Alabiad, Anagnostopoulos
Intraorbital Wooden Foreign Body A 63-year-old male with a history of decreased extraocular motility, binocular diplopia and proptosis presenting to the ED after trauma with a palm tree branch a few days before presentation. The patient presents 6 days after trauma with a tree branch. He had a 360-…

Intraosseous Hemangioma

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Presenter/Faculty: Dubovy, Maeng, Tse
Intraosseous Hemangioma An otherwise healthy patient presented to the Emergency Room for evaluation of a left orbital rim lesion, found incidentally by an eyebrow technician. On exam, there was a firm bony mass along the superior orbital rim. Eye exam was otherwise unremarkable. CT scan of the orbi…

Iridocorneal Endothelial Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Amescua, Medert
Iridocorneal Endothelial Syndrome (ICE) A 27-year-old woman presented for corneal evaluation with a history of secondary glaucoma. She was found to have iridocorneal endothelial syndrome (ICE). She underwent DSAEK, which failed after 13 months. Subsequent Type 1 Boston Keratoprosthesis was successf…