Course name | Date

Brown Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Omar Abu Su'ud, MD; Hilda Capo, MD
Presenter/Faculty: Abu Su'ud, Capo

Patient with Brown Syndrome with images and videos showing for esotropia which was worse in left gaze, hypotropia of left eye worse in right gaze and upgaze accompanied by limited elevation OS in adduction and incyclotorsion left eye, and restriction of extraocular movement of both eyes.

Corneal Neurotization

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Elli Park, MD; Andrew J. Rong, MD
Presenter/Faculty: Amescua, Park, Rong
This patient presented with left-sided CN 5, 6, 7, and 8 palsies leading to multiple emergency visits for corneal erosions and infectious corneal ulcers. Prior treatment was with amniotic membrane discs, superficial keratectomy with EDTA, botox tarsorrhaphy, and a surgical ertractor reinsertion wit…

Terrien Marginal Degeneration (TMD)

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Viet Chau, MD
Presenter/Faculty: Amescua, Chau
A patient presented with blurred vision in the left eye. Examination showed corneal neovascularization and lipid deposition inferiorly. Anterior segment OCT revealed significant corneal stromal thinning with descemetocele. Treatment was with a with an optical penetrating keratoplasty with corrected…

Persistent Fetal Vasculature

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Maria Paula Fernandez, MD
Presenter/Faculty: Berrocal, Fernandez
A 6-week old patient presented with persistent fetal vasculature leading to a loss of red reflex due to a congenital cataract. UBM showed an anteriorly rotated ciliary body with a thickened retrolental membrane and a spherically shaped lens. Ultrasound showed a membrane from the optic disc with red…

Silicone Gluteal Injections Leading to Retinal Arterial Embolization

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Landon J. Rohowetz, MD; Jayanth Sridhar, MD
Presenter/Faculty: Rohowetz, Sridhar

Fundus photos and FA with retinal non perfusion, peripheral hemorrhages, and crystalline like retinopathy and both eyes. The OCT retina shows multiple small areas of hyperreflectivity.

Papilledema from Hypervitaminosis A

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Byron L. Lam, MD; Benjamin Meyer, MD
Presenter/Faculty: Lam, Meyer
This patient presented with optic nerve edema. The medical history was significant for acute promyelocytic leukemia being treated with all-trans retinoic acid (ATRA). The picture however worsened in tandem with intracranial hemorrhage from possible intracranial leukemia, raising the concern for leu…

Idiopathic Intracranial Hypertension Complicated by Peripapillary Choroidal Neovascular Membrane Formation

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carlos E. Mendoza Santiesteban, MD; Landon J. Rohowetz, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Mendoza, Rohowetz, Yannuzzi

Fundus photo demonstrating grade 1 optic nerve head edema in the right eye and grade 3 optic nerve head edema in the left eye. The left eye also demonstrates retinal folds, subretinal hemorrhage, and leakage on fluorescein angiography consistent with a choroidal neovascular membrane.

Iridocorneal Endothelial (ICE) Syndrome, Cogan-Reese/Iris Nevus Syndrome Subtype

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Elena Bitrian, MD; Jonathan D. Tijerina, MD, MA
Presenter/Faculty: Amescua, Bitrian, Tijerina

Slit lamp examination discloses corneal endothelial irregularity, trace MCCE, iridocorneal touch with high PAS at 1:00, 3:00, 6:00 and 9:30, pigmented nodules, and correctopia in the right eye.

Granular Corneal Dystrophy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Benjamin R. Lin, MD; Angela Y. Zhu, MD, MBA
Presenter/Faculty: Lin, Zhu

Case of granular dystrophy treated with penetrating keratoplasty.

Peripapillary Sarcoid Granuloma

Specialty: Uveitis
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Viet Chau, MD; Janet L. Davis, MD
Presenter/Faculty: Chau, Davis

Fundus photo demonstrating a peripaillary elevated lesion. OCT with subretinal fluid and retina thickening. CT scan showed pulmonary nodules.

Lisch Corneal Dystrophy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carol L. Karp, MD; Lily Zhang, MD
Presenter/Faculty: Karp, Zhang

Slit lamp photo of biopsy proven Lisch Corneal dystrophy.

Ghost Cell Glaucoma

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Flavius Beca, MD
Presenter/Faculty: Beca

A patient with proliferative diabetic retinopathy and history of cataract extraction presenting with recurrent episodes of high intraocular pressure. Fundus photo reveals hazy view with dense white vitreous opacity as well as diffuse retinal changes consistent with diabetes.

Kaposi's Sarcoma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Flavius Beca, MD
Presenter/Faculty: Beca

Kaposi's sarcoma of the conjunctiva.

OSSN Masquerading as a Pinguecula/Severe Dry Eye

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Victor H. Banda, MD; Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Banda, Dubovy, Karp
Patient presents with unilateral blurred vision, foreign body sensation and redness. Picture on the right shows gelatinous pinguecula at limbal location 4 clock hour, corneal surface with significant PEE. Picture on the left is HR-OCT that shows thickened and hyperreflective epithelium with abrupt …

Total Hyphema

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Samuel M. Dresner, MD; Arindel S. Maharaj, MD, PhD
Presenter/Faculty: Dresner, Maharaj

Total hyphema with dehemoglobinized heme inferiorly post operative day 1 s/p ce/iol/kahook dual blade right eye

Iris Cyst

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Carol L. Karp, MD; Erin Ong, MD
Presenter/Faculty: Karp, Ong

Iris cyst

Pseudoangiomatous Retinal Gliosis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Luis J. Haddock, MD; Marilyn A. Marquez, MD
Presenter/Faculty: Haddock, Marquez

Figure 1: Fundus photography of patient treated with Iodine plaque, PPV and endolaser due to Pseudoangiomatous retinal glisois that caused a retinal detachment. Figure 2: Bscan of same patient as figure 1 before surgery.

Coloboma Associated with Branchio-Oculo-Facial Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Mariana Abi Karam, MD; Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Presenter/Faculty: Abi Karam, McKeown, Mendoza Santiesteban

Coloboma associated with a systemic syndrome.

Pseudoxanthoma Elasticum

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Lazzarini, MD; Landon J. Rohowetz, MD; Justin H. Townsend, MD
Presenter/Faculty: Lazzarini, Rohowetz, Townsend
A patient with pseudoxanthoma elasticum presented with decreased vision in both eyes. Initial fundus exam revealed angioid streaks, peripapillary atrophy, comet lesions, and a peau d'orange fundus appearance in both eyes. The patient was lost to follow-up and presented 3 years later with a choroida…

Acquired Corneal Subepithelial Hypertrophy (ACSH)

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ellen Koo, MD; Angelica G. Ortiz, MD
Presenter/Faculty: Koo, Ortiz

A patient with acquired corneal subepithelial hypertrophy (ACSH) following history of penetrating keratoplasty. Slit lamp photo of the right eye is most notable for a temporal area of white, crescent-shaped, elevated corneal opacity.