Infectious Scleritis
Include in Catalogue?: No
Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Guillermo Amescua, MD; Carol L. Karp, MD; David T. Tse, MD
Abstract 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 scleral les…
Interface Fluid Syndrome
Include in Catalogue?: No
Presenter(s): Gina Shetty, MD
Faculty Discussant(s): Ellen Koo, MD
Abstract 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 with interface flu…
Intraoperative Fluid Deviation Syndrome
Include in Catalogue?: No
Presenter(s): Kevin D. Clauss, MD
Faculty Discussant(s): Zubair Ansari, MD
Abstract 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 unexpectedly and the eye becam…
Intraorbital Foreign Body
Include in Catalogue?: No
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Andrew J. Rong, MD
Abstract 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 foreign body. His …
Intraosseous Hemangioma
Include in Catalogue?: No
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Abstract 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 orbit revealed a ly…
Iridocorneal Endothelial Syndrome, Cogan-Reese/Iris Nevus Syndrome Subtype with Secondary Angle Closure Glaucoma
Include in Catalogue?: No
Presenter(s): Jonathan D. Tijerina, MD, MA
Faculty Discussant(s): Guillermo Amescua, MD; Elena Bitrian, MD
Abstract A patient presented with a 3-day history of unilateral worsening eye pain, blurry vision and irregular pupil in the right eye. Found to have elevated IOP at an outside facility and was started on Timolol, Dorzolamide, and Brimonidine eye drops in the affected eye. No past ocular history wa…
IRVAN Syndrome
Include in Catalogue?: No
Presenter(s): Ramsey Yusuf, MD
Faculty Discussant(s): Janet L. Davis, MD
Abstract An adult patient presented to the Uveitis clinic for evaluation after developing visual deficits in the right eye. He was previously diagnosed with multiple branch retinal artery and vein occlusions in both eyes concerning for an occlusive retinal vasculitis. On examination he was found to…
Juvenile Xanthogranuloma
Include in Catalogue?: No
Presenter(s): Lisa M. Tom, MD
Faculty Discussant(s): Ta Chen Peter Chang, MD; Sander R. Dubovy, MD
Abstract Patient presented to the BPEI emergency room with tearing and light sensitivity of the right eye for 1 month. Examination revealed grimace-to-light vision, soft to palpation intraocular pressure, and hyphema. Skin examination revealed yellowish raised skin lesions on the neck and trunk. Op…
Kaposi's Sarcoma of the Conjunctiva
Include in Catalogue?: No
Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract A patient presented to the BPEI Emergency Room with a painless red eye for the past 3 months. Past medical history was limited to a recent hospitalization for a complicated pneumonia and a new diagnosis of HIV. Examination of the eye revealed an elevated, vascular, reddish-purple lesion of…
Leber Hereditary Optic Neuropathy (LHON)
Include in Catalogue?: No
Presenter(s): Anas Yasin, MD
Faculty Discussant(s): Byron L. Lam, MD; Carlos E. Mendoza-Santiesteban, MD
Abstract A previously healthy patient presented to the emergency department (ED) with a 2-week history of bilateral blurry vision associated with painful eye movement. The patient denied eye redness, eye discharge, photophobia, double vision, or headache. The ophthalmic exam showed best-corrected v…
Leukemic Optic Neuropathy
Include in Catalogue?: No
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Byron L. Lam, MD
Abstract Leukemic optic neuropathy is a rare entity that is characterized as optic nerve dysfunction resulting from direct infiltration of neoplastic leukocytes. It is an indicator of central nervous system involvement, and it is a neuro-ophthalmic and oncologic emergency that warrants immediate in…
Leukemic Retinopathy
Include in Catalogue?: No
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Andrew J. Rong, MD; Nicolas A. Yannuzzi, MD
Abstract A patient with no significant past medical history presented to BPEI ER complaining of blurry vision in the left eye for two weeks. On fundus exam, he had hemorrhages in multiple layers of the retina, venous dilation and tortuosity, and Roth spots. CBC was obtained which revealed a white b…
Limbal Stem Cell Deficiency
Include in Catalogue?: No
Presenter(s): Xuemin "Rosie" Zhang, MD
Faculty Discussant(s): Guillermo Amescua, MD
Abstract We report a case of severe unilateral chemical-thermal injury complicated by total limbal stem cell deficiency and symblepharon, treated with Simple Limbal Epithelial Transplantation (SLET) combined with conjunctival autografting (CAG). We used an autologous limbal biopsy and a conjunctiva…
Lisch Corneal Dystrophy
Include in Catalogue?: No
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract A patient presented with blurry vision in the left eye and was found to have a pigmented superficial corneal lesion which showed hyperreflectivity without thickening on the AS-OCT. The lesion was biopsied and confirmed to be Lisch corneal dystrophy on pathology. The lesion recurred and was…
Melanocytoma with Vitreous Seeding
Include in Catalogue?: No
Presenter(s): Nathan L. Scott, MD, MPP
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Sander R. Dubovy, MD
Abstract A patient with 7 years of blurry vision in the right eye presents to clinic for evaluation. He reports no recent acute changes in vision and no precipitating events in the past. He noticed the blurry vision incidentally while driving when he covered his left eye. He has no known past ocula…
Microcephaly with or without Chorioretinopathy, Lymphedema or Intellectual Disability (MCLID)
Include in Catalogue?: No
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Carlos E. Mendoza-Santiesteban, MD; Mustafa Tekin, MD
Abstract This patient with past medical history of microcephaly, lymphedema and mild cognitive delay, was referred for retinal evaluation. Ophthalmological evaluation was notable for hyperopia and extramacular pigmentary changes with peripheral non-perfusion. The ERG disclosed significant rod and c…
Miller Fisher Syndrome
Include in Catalogue?: No
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Hong Jiang, MD, PhD; Byron L. Lam, MD; Carlos E. Mendoza Santiesteban, MD; Joshua Pasol, MD
Abstract A patient presented with binocular diplopia of 2 weeks duration after COVID-19 infection. Additionally, she had neurological symptoms, weakness, tingling, numbness of extremities. She had been fully vaccinated against COVID-19. On exam her BCVA was 20/20 OU, she was noted to have ophthalmo…
Motility Disturbances after Glaucoma Drainage Device
Include in Catalogue?: No
Presenter(s): Anh Pham, MD, PhD
Faculty Discussant(s): Hilda Capo, MD; Luis E. Vazquez, MD, PhD
Abstract A patient with a history of traumatic angle recession glaucoma in the left eye presented with acute onset of double vision and persistent ocular soreness in the left eye. He denied generalized weakness or difficulty with respiration. His surgical history included a valved glaucoma drainage…
Nyctalopia Due to Vitamin A Deficiency
Include in Catalogue?: No
Presenter(s): Mohamed M. Khodeiry, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Abstract A patient with a past medical history of liver cirrhosis, presented to the neuro-ophthalmology clinic with blurry vision in both eyes and nyctalopia that started around a year ago. Ophthalmological exam was notable for a visual acuity of 20/40 in both eyes, reduced color vision, and macula…
Ocular Cicatricial Pemphigoid
Include in Catalogue?: No
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Guillermo Amescua, MD
Abstract A patient with a past medical history significant for biopsy-proven ocular cicatricial pemphigoid (OCP) was referred for cataract evaluation in the right eye. At presentation, her vision in the right eye was hand motion, and she had been off systemic immunosuppression for 9 months. She was…