CMV Retinitis
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Presenter(s): Akaanksh Shetty, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Abstract A patient with a past ocular history of POAG s/p phaco/trab OD and BGI OS, and ERM OS with macular edema OS receiving intravitreal Dexamethasone injections since 2017 presented with left eye redness, decreased VA, and pain for 4 days. He reported no history of trauma, no recent hospitaliza…
CMV Retinitis, Right Eye
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Presenter(s): Anna Sporysheva, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jorge Fortun, MD
Abstract A patient with no past ocular history presented with right eye pain, redness, photophobia, decreased vision for a week. His exam was notable for visual acuity 20/50 in the right eye and 20/20 in the left eye. Intra-ocular pressure was 20 and 17 mmHg. The slit-lamp exam was notable for acti…
Congenital Hereditary Endothelial Dystrophy
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Presenter(s): Margaret Wang French, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Angela Y. Zhu, MD
Abstract A young patient presented with progressive “eye color changes” noted for at least 2 years. Her parents also noted increasing photophobia and her eyes turning inwards for extended periods of time. Her exam was notable for best corrected visual acuity of 20/50 in the right eye and 20/80 …
Conjunctival Squamous Cell Carcinoma, Keratoacanthoma Type
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Presenter(s): Jonathan D. Tijerina, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract A patient presented with a rapidly enlarging lesion of the nasal conjunctiva of the left eye. The past ocular history was significant only for bilateral surgical removal of cataracts with intraocular lens placement. The patient had a past medical history notable for renal cell carcinoma (R…
Corneal Decompensation
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Presenter(s): Rebecca Chen, MD
Faculty Discussant(s): Sarah Wellik, MD
Abstract A patient with past ocular history of primary open-angle glaucoma, status post glaucoma drainage implant in the right eye, underwent cataract surgery in the right eye. Preoperative potential acuity meter testing predicted visual acuity outcome of 20/25. The patient developed persistent blu…
Corneal Decompensation
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Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH
Abstract Corneal decompensation in the setting of glaucoma surgery is a complex entity that is poorly understood. Endothelial cell loss occurs from both the glaucoma itself and from the placement of intraocular glaucoma devices. This decline in endothelial cells occurs via direct and indirect mecha…
Cytomegalovirus Anterior Uveitis
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Presenter(s): Yasman Moshiri, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Abstract A patient presented with acute blurry vision, foreign-body sensation, and elevated intraocular pressure in the left eye. On examination, he had evidence of chronic intraocular inflammation including keratic precipitates, He had experienced similar episodes periodically over the last two de…
Endogenous Fungal Endophthalmitis
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Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Abstract A patient presents with bilateral sequential blurry vision and eye pain for the past month. He has a complicated medical history with multiple infections requiring surgical debridement. His exam is remarkable for bilateral vitritis and chorioretinal lesions. He is admitted as an inpatient …
Endophthalmitis
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Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Abstract This is a case of a patient with post-operative light sensitivity 3 days after cataract extraction in the context of not beginning prednisolone drops. The initial vision was 20/25 with a mild fibrinous reaction on the lens and anterior chamber cell. The differential included post-operative…
Enophthalmos Due to Metastatic Orbital Breast Carcinoma
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Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Abstract A patient presented to the ER with subconjunctival hemorrhage but incidentally noted to have enophthalmos with mild extraocular movement restriction in the contralateral eye. Further history revealed breast cancer history that was treated 18 years prior with chemo & radiotherapy alongs…
Epithelial Downgrowth
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Presenter(s): Erin Ong, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract A patient with a history of bilateral corneal transplants, glaucoma drainage device, and iris cysts presented with gradually decreasing vision after surgical removal of the cyst and cataract surgery in that eye. The patient was diagnosed with epithelial downgrowth and underwent argon laser…
FEVR (Familial Exudative Vitreoretinopathy)
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Presenter(s): Mehdi Roozbahani, MD
Faculty Discussant(s): Jorge Fortun, MD
Abstract A patient was referred to our clinic for retinal evaluation. Vision was 20/20 in the right eye and 20/200 in the left eye. Exam showed unremarkable anterior segment exam. Posterior exam showed peripheral shallow retinal detachment in the right eye and retinal detachment with macular involv…
Hereditary Transthyretin Amyloidosis (hATTR)
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Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Janet L. Davis, MD
Abstract This report describes a case of hereditary transthyretin amyloidosis (hATTR) in an elderly patient who presented with bilateral retinal arteriolar vascular sheathing and vitreous hemorrhage in one eye. The patient underwent a full history, physical exam, genetic workup, and cardiac imaging…
Hermansky-Pudlak Syndrome
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Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Hilda Capo, MD; Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Abstract An infant was brought to the emergency department by his mother referred from his pediatrician after a routine well-child visit. Parents had noticed severe light sensitivity, but patient was otherwise developing well. Patient grimaced to light in both eyes but had poor fixation associated …
High Myopia
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Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Sonia H. Yoo, MD
Abstract A patient presented to BPEI for laser vision correction. Manifest refraction revealed high myopia with spherical equivalent -9.75 diopters in both eyes. Anterior and posterior segment exam were normal. Tomography imaging showed minimal astigmatism, pachymetry of 557 OD and 566 OS, and norm…
HTLV1 Associated Uveitis
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Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Thomas A. Albini, MD
Abstract A patient presented to the Bascom Palmer Eye Institute with complaints of floaters in the left eye for 3 years and the right eye for 3 months. Vision was best corrected to 20/25 in both eyes. Anterior segment exam revealed fine KP in both eyes without significant anterior segment cell or f…
Hyphema
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Presenter(s): Samuel Dresner, MD
Faculty Discussant(s): Arindel S. Maharaj, MD, PhD
Abstract A patient with past medical history of hypothyroidism, DVT, Basal Cell Carcinoma and past ocular history of birdshot chorioretinitis, severe uveitic glaucoma, and visually significant bilateral cataracts underwent uneventful combined cataract extraction with intraocular lens implantation o…
Hypotony Due to Cyclodialysis Clef
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Presenter(s): Yasmin Islam, MD
Faculty Discussant(s): Jorge Fortun, MD; Arindel S. Maharaj, MD, PhD
Abstract A patient with a history of high myopia presented as a referral from an the retina service for low intraocular pressure and blurry vision five months after pars plana vitrectomy for vitreous opacities in the left eye. His intraocular pressure was 8 on difluprednate four times day and atrop…
Iatrogenic Medial Rectus Transection
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Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Craig A. McKeown, MD
Abstract 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 adduction ability and thus like…
Idiopathic Intracranial Hypertension with Secondary Choroidal Neovascular Membrane
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Presenter(s): Landon J. Rohowetz, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD; Nicolas A. Yannuzzi, MD
Abstract 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. Intraocular pressures were 22 and 21. Anterior segment exam was unremarkab…