Thyroid Eye Disease
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Chris R. Alabiad, MD
Presenter/Faculty: Levitt, Alabiad
Thyroid Eye Disease A 57-year-old woman with PMH of hyperthyroidism presents with eye pain, swelling, and blurry vision worsening for 3 weeks. Exam revealed severe proptosis, exposure keratopathy, orbital congestion, and markedly reduced visual acuity. CT and laboratory were workup consistent with …
Conjunctival Keratoacanthoma
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Quan
Conjunctival Keratoacanthoma Keratoacanthoma (KA) is an epithelial tumor characterized by rapid, abundant growth and a potential for spontaneous resolution. It typically occurs on the skin in sun-exposed areas such as the face, neck, and hands. Rarely it can occur on the conjunctiva and vulvar regi…
Pseudoangiomatous Retinal Gliosis
Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Rehan M. Hussain, MD
Faculty Discussant(s): J. William Harbour, MD
Presenter/Faculty: Harbour, Hussain
Pseudoangiomatous Retinal Gliosis A 54-year-old Hispanic male presented with decreased vision in the right eye over 3 months. Dilated fundus exam of the right eye showed a geographic area of chorioretinal alteration in the far temporal periphery at 9 o’clock, a gliovascular retinal mass superiorl…
Sterile Endophthalmitis
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Stanley S.K. Park, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Flynn, Park
Sterile Endophthalmitis Post-injection sterile endophthalmitis is an acute intraocular inflammation of the vitreous cavity that resolves without the need of intravitreal antibiotics and/or vitreoretinal surgery. Differentiating between infectious and sterile endopthalmitis is often difficult and no…
Retinopathy of Prematurity
Specialty: Pediatric Ophthalmology and Strabismus
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nicolas A. Yannuzzi, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Presenter/Faculty: Berrocal, Yannuzzi
Retinopathy of Prematurity An 19-year-old woman presented with decreased vision in the right eye and was found to have a retinal detachment. She had a history of retinopathy of prematurity as an infant and had been treated with laser photocoagulation. Treatment for retinopathy of prematurity in the…
Ocular Ischemic Syndrome
Specialty: Neuro-Ophthalmology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Discussant(s): Norman Schatz, MD; Jayanth Sridhar, MD
Presenter/Faculty: Quan, Schatz, Sridhar
Ocular Ischemic Syndrome Ocular ischemic syndrome (OIS) is a rare condition associated with severe carotid artery occlusive disease leading to ocular hypoperfusion. It typically presents at mean age of 65, there is no racial predilection, and is two times more common in men than women. It is typica…
Severe Non-Proliferative Diabetic Retinopathy with Cystoid Macular Edema
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Eric R. H. Duerr, MD
Discussant(s): Jayanth Sridhar, MD
Presenter/Faculty: Duerr, Sridhar
Severe Non-Proliferative Diabetic Retinopathy with Cystoid Macular Edema A 65-year-old male with diabetic retinopathy and CME presented to the BPEI retina clinic for continued management of his chronic ocular condition. His care was complicated by an inability to submit to ocular examinations in th…
Extranodal Rosai-Dorfman Disease
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): John W. Hinkle, MD
Faculty Discussant(s): Wendy W. Lee, MD, MS
Presenter/Faculty: Hinkle, Lee
Extranodal Rosai-Dorfman Disease A 28-year-old male without past medical history presented with a 1 year history of painless bilateral upper lid swelling. After multimodal imaging studies, the patient underwent diagnostic orbital biopsy. The pathologic analysis of the biopsy showed a plasmacytic in…
Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis
Specialty: Retina and Vitreous Diseases
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…
Fungal Keratitis
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Presenter/Faculty: Quan, Singh Tonk
Fungal Keratitis A 59-year-old female presented to the Bascom Palmer Eye Institute emergency room with a 7-day history of a red and painful eye, and loss of vision. The right eye exam demonstrated HM vision with a diffuse limbal-to-limbal cornea ulcer within a previous penetrating keratoplasty graf…
Ocular Cicatricial Pemphigoid
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Shruti Aggarwal, MBBS
Faculty Discussant(s): Guillermo Amescua, MD
Presenter/Faculty: Aggarwal, Amescua
Ocular Cicatricial Pemphigoid An 83-year-old monocular male presented to the Cornea division, Bascom Palmer Eye Institute with bilateral decreased vision, pain redness and burning for many years getting progressively worse. Examination revealed hand motion vision, ankyloblepharon and chronic cicatr…
Primary Vitreoretinal Lymphoma
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Rehan M. Hussain, MD
Faculty Discussant(s): Thomas A. Albini, MD
Presenter/Faculty: Albini, Hussain
Primary Vitreoretinal Lymphoma A 77-year-old female with a history of vitritis of unknown origin and two non-diagnostic vitrectomies presented with a white plaque on the posterior capsule of her left eye after being lost to follow up for several years. Repeat vitrectomy confirmed the suspected diag…
Normal Tension Glaucoma
Specialty: Glaucoma
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Richard K. Parrish, II, MD
Presenter/Faculty: Parrish, Pirakitikulr
Normal Tension Glaucoma A 22-year-old previously healthy female from Guatemala presents as a referral for “severe glaucoma” with symptoms of intermittent headaches and gradual decline in vision most notable in the left eye. On exam the patient is found to have low-normal intraocular tension, op…
Conjunctival Melanoma
Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jane C. Cook, MD
Faculty Discussant(s): Carol L. Karp, MD
Presenter/Faculty: Cook, Karp
Conjunctival Melanoma A 38-year-old healthy man presents with a pigmented lesion two years after onset and undergoes excisional biopsy which confirms conjunctival melanoma. Systemic work-up reveals metastasis, and the patient undergoes multiple cycles of radiation and chemotherapy. He later died of…
Retained Lens Fragment
Specialty: Cataracts and Intraocular Lenses
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Presenter/Faculty: Flynn, Fowler
Retained Lens Fragment A 61-year-old male referred after complicated cataract extraction surgery (phacoemulsification). On exam he was found to have a large piece of retained nuclear fragment in the inferior vitreous. He underwent PPV along with lens exchange with anterior chamber IOL placement. He…
Recurrent Pterygium
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Jaime D. Martinez Martinez, MD
Faculty Discussant(s): Alfonso L. Sabater, MD, PhD
Presenter/Faculty: Martinez, Sabater
Recurrent Pterygium We present a 71-year-old male patient with multiple pterygium resection surgeries on the left eye and one on the right eye. Referred to BPEI with progressive horizontal diplopia on lateral gaze for seven months. On ocular examination revealed 20/60 vision in the left eye, restri…
Dislocated Intraocular Lens
Specialty: Cataracts and Intraocular Lenses
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Falcone, MD
Faculty Discussant(s): Justin H. Townsend, MD
Presenter/Faculty: Falcone, Townsend
Dislocated Intraocular Lens A 74-year-old male presented to the BPEI ER with blurred vision in the right eye for 3 days. He underwent cataract surgery in both eyes 9 years prior in Costa Rica. He denied any other prior ocular history or trauma. Exam revealed VA 20/200+1 in the right eye. IOP was wi…
Mucormycosis
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
Mucormycosis A 61-year-old male with interstitial lung disease status post left lung transplant on immunosuppression develops worsening left facial and periorbital swelling after dental cleaning. Symptoms are unresponsive to oral antibiotics and after three days the patient is examined by ophthalmo…
Adenoviral Conjunctivitis
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Laura
Adenoviral Conjunctivitis A 31-year-old male presents with eye redness, foreign body sensation, and blurry vision in both eyes, worse in the right eye. On exam he is found to have follicular conjunctivitis in both eyes with sub epithelial infiltrates on the right cornea. His conjunctiva were cultur…
Alkaline Chemical Corneal Burn
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Presenter/Faculty: Galor, Staropoli
Alkaline Chemical Corneal Burn A 63-year-old male presented with decreased vision and pain after alkali chemical splash to both eyes at a utility plant. He presented with perilimbal ischemia in the right eye greater than the left, complete opacification of the right cornea and a large epithelial de…