Acquired Corneal Subepithelial Hypertrophy (ACSH)
Specialty: Corneal and External Diseases
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.
Acute Syphilitic Posterior Placoid Uveitis
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Ramsey Yusuf, MD
Faculty Discussant(s): Thomas A. Albini, MD
Abstract An adult patient presented to the Bascom Palmer emergency room for evaluation of five days of bilateral painless vision loss and floaters. On slit lamp examination he did not have any conjunctival injection or anterior chamber cell or flare. Dilated fundus examination demonstrated vitreous…
Alternaria Keratitis
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Paula A. Sepulveda-Beltran, MD
Faculty Discussant(s): Guillermo Amescua, MD; Jean-Marie Parel, Ing.ETS-G, PhD, FARVO
Abstract A patient with a history of a failed DMEK who required a DSAEK, was referred to the BPEI's cornea department after a 1-month history of culture-confirmed Alternaria keratitis that developed after the DSAEK. The ulcer progressed despite topical and systemic antifungal treatment. Slit lamp e…
Alternaria Keratitis
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Paula A. Sepulveda-Beltran, MD
Faculty Discussant(s): Guillermo Amescua, MD; Jean-Marie Parel, Ing.ETS-G, PhD, FARVO
Alternaria Keratitis A patient with a history of a failed DMEK who required a DSAEK, was referred to the BPEI's cornea department after a 1-month history of culture-confirmed Alternaria keratitis that developed after the DSAEK. The ulcer progressed despite topical and systemic antifungal treatment.…
Bilateral Limbal Stem Cell Deficiency
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Piero Carletti, BS
Faculty Discussant(s): Guillermo Amescua, MD
Discussant(s): Victor L. Perez, MD
Abstract Ocular burns are ophthalmic emergencies that can lead to severe long-lasting visual morbidity and disability. The prognosis for visual recovery is largely determined by the degree of ocular tissue damage on initial presentation, especially the extent of limbal involvement. A ship cruise en…
Bilateral Limbal Stem Cell Deficiency
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Piero Carletti, BS
Faculty Discussant(s): Guillermo Amescua, MD
Discussant(s): Victor L. Perez, MD
Bilateral Limbal Stem Cell Deficiency Ocular burns are ophthalmic emergencies that can lead to severe long-lasting visual morbidity and disability. The prognosis for visual recovery is largely determined by the degree of ocular tissue damage on initial presentation, especially the extent of limbal …
Black Cataract
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Ronaldo Nuesi, MD
Faculty Discussant(s): Zubair Ansari, MD
Abstract A patient with no past ocular history presented with painless vision loss to HM in the left eye over last 6 weeks. The patient had poor, chronically declining visual acuity in that eye for years but did not have access to care. Slit lamp exam was notable for a dense, black cataract in the …
Branch Retinal Artery Occlusion
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Brandon Pham, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Abstract A patient with a past medical history of fusiform aneurysm of the right anterosuperior M2 trunk measuring 7 x 15 mm underwent a pipeline assisted coil embolization of the right middle cerebral artery M2 fusiform aneurysm, which led to almost complete obliteration of the aneurysm with very …
Branch Retinal Artery Occlusion
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Brandon Pham, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Branch Retinal Artery Occlusion A patient with a past medical history of fusiform aneurysm of the right anterosuperior M2 trunk measuring 7 x 15 mm underwent a pipeline assisted coil embolization of the right middle cerebral artery M2 fusiform aneurysm, which led to almost complete obliteration of …
Chronic Angle-Closure Glaucoma
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Kevin Shen, MD
Faculty Discussant(s): Elena Bitrian, MD
Abstract A monocular patient with advanced chronic angle closure glaucoma in her left eye was referred for possible glaucoma surgery. She reported progressive worsening vision, especially of her peripheral vision. Exam was notable for visual acuity of 20/40 with an intraocular pressure of 18 on max…
CMV Retinitis
Specialty: Corneal and External Diseases
Include in Catalogue?: No
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…
Congenital Hereditary Endothelial Dystrophy
Specialty: Corneal and External Diseases
Include in Catalogue?: No
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
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Vetted By: Carol L. Karp, MD
Vetted Date: June 21, 2025
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
Specialty: Corneal and External Diseases
Include in Catalogue?: No
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
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Vetted By: Anat Galor, MD, MSPH
Vetted Date: April 22, 2025
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
Specialty: Corneal and External Diseases
Include in Catalogue?: No
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
Specialty: Corneal and External Diseases
Include in Catalogue?: No
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…
Epithelial Downgrowth
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Vetted By: Carol L. Karp, MD
Vetted Date: June 21, 2025
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)
Specialty: Corneal and External Diseases
Include in Catalogue?: No
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)
Specialty: Corneal and External Diseases
Include in Catalogue?: No
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…