Course name | Date

Retinal Tear in a Fellow Eye

Include in Catalogue?: No
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Abstract A patient presented to Bascom Palmer Eye Institute for routine post operative follow-up after rhegmatogenous retinal detachment repair of the right eye one month prior. Best corrected visual acuity was 20/60 in the right eye and 20/20 in the left eye. Intraocular pressures were 21 in the r…

Sarcoidosis

Include in Catalogue?: No
Presenter(s): Crystal Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Ellen Koo, MD
Abstract A patient with past medical history, recently diagnosed Sjogren’s syndrome, connective tissue disease, psoriasis, eczema, and past ocular history of dry eyes, epiretinal membrane, ocular hypertension, cataracts presented with bilateral itchiness and foreign body sensation. She had consta…

Sebaceous Carcinoma, Concern for Muir-Torre Syndrome

Include in Catalogue?: No
Presenter(s): Viet Chau, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Andrew Rong, MD
Abstract Our patient presented with a greater than one year history of a non-resolving right eyelid mass that began to hemorrhage due to accidental trauma. Exam was remarkable for and extensive multi-lobar ulcerated mass found along the right lower lid along with two other skin lesions on the right…

Smooth Muscle Hamartoma

Include in Catalogue?: No
Presenter(s): Yoseph Sayegh, MD
Faculty Discussant(s): Nathan W. Blessing, MD; Sander R. Dubovy, MD
Abstract Our patient presented due to a one-year history of a slowly growing conjunctival lesion. A large, red, non-tender lesion of the right bulbar conjunctiva was identified on examination. It did not improve after several weeks of medical management with steroids. He had no previous medical or …

Spontaneous Intracranial Hypotension

Include in Catalogue?: No
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Byron L. Lam, MD
Abstract A patient presented with sudden onset of postural headaches that improved with recumbency associated with nausea, vomit, photophobia and phonophobia of 5 days of evolution followed by binocular horizontal diplopia at distance and in left gaze. Patient denied recent weight gain or trauma, u…

Stickler Syndrome

Include in Catalogue?: No
Presenter(s): Lediana Goduni, MD
Faculty Discussant(s): Guillermo Amescua, MD; Audina M. Berrocal, MD
Abstract This presentation describes a teenage patient who presented with bilateral retinal detachments. He has a strong family history of Stickler Syndrome. Additionally, there is a family history of multiple types of cancers, specifically GI cancers. The patient underwent an exam under anesthesia…

Submacular Hemorrhage Secondary to Age-Related Macular Degeneration

Include in Catalogue?: No
Presenter(s): Alaa Al-Dabbagh, MD
Faculty Discussant(s): Thomas A. Albini, MD; Sander R. Dubovy, MD
Abstract A patient presented with enlarging central scotoma in his left eye for 2 days prior. He has a history of wet AMD in his right eye that is under active anti-VEGF therapy. Diagnosis was new conversion to wet AMD in his left eye with new onset massive submacular hemorrhage. Vision was 20/30-2…

Susac Syndrome

Include in Catalogue?: No
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Janet L. Davis, MD
Abstract A patient with a history of a central retinal artery occlusion presented with acute vision loss in his right eye and was found to have a branch retinal artery occlusion. A fluorescein angiogram showed retinal vasculitis of both eyes and the patient was diagnosed with Susac Syndrome. He was…

Syphilitic Uveitis

Include in Catalogue?: No
Presenter(s): Joshua Uhr, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Abstract A 64-year-old male presented to the VA Eye Clinic with painless vision loss in the right eye. He was found to have vitreous hemorrhage, thought to be secondary to a hemorrhagic PVD, which was observed. Over several weeks, the patient’s vision worsened and his vitreous became more opacifi…

Thyroid Associated Ophthalmopathy with Compressive Optic Neuropathy

Include in Catalogue?: No
Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Byron L. Lam, MD
Abstract A patient presented for a second opinion after experiencing pain, proptosis, vision loss, and injection of his left eye for 2 years, with intermittent improvement on systemic steroids. Prior to presentation at our institution, the patient had MRI imaging, a cerebral angiogram, lab tests in…

Thyroid Associated Ophthalmopathy with Compressive Optic Neuropathy

Include in Catalogue?: No
Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Byron L. Lam, MD
Thyroid Associated Ophthalmopathy with Compressive Optic Neuropathy A patient presented for a second opinion after experiencing pain, proptosis, vision loss, and injection of his left eye for 2 years, with intermittent improvement on systemic steroids. Prior to presentation at our institution, the …

Traumatic Aniridia

Include in Catalogue?: No
Presenter(s): Elaine Zhou, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Abstract A patient with past ocular history of penetrating screwdriver trauma to the left globe presents with debilitating glare symptoms and poor vision. The patient has a previous surgical history of primary corneal laceration repair and lensectomy with subsequent reconstruction with scleral fixa…

Traumatic Optic Neuropathy

Include in Catalogue?: No
Presenter(s): Benjamin R. Lin, MD
Faculty Discussant(s): Byron L. Lam, MD
Abstract A patient presented with no light perception four days following being hit in the eye with a curling iron. Besides decreased vision, an afferent pupillary defect, and periorbital edema/ecchymosis, clinical exam including of the optic nerve was otherwise unremarkable. Initial neuroimaging s…

Uveal Effusion Syndrome

Include in Catalogue?: No
Presenter(s): Noy Ashkenazy, MD, MS
Faculty Discussant(s): Janet L. Davis, MD; Sander R. Dubovy, MD; Luis J. Haddock, MD
Abstract A hyperopic patient developed blurry vision in the right eye associated with flashes and floaters. He was seen by a retina specialist who diagnosed the patient for unilateral serous retinal and choroidal detachments. The patient was given high doses of oral prednisone for a suspected infla…

Vitamin A Induced Intracranial Hypertension

Include in Catalogue?: No
Presenter(s): Benjamin Meyer, MD
Faculty Discussant(s): Byron L. Lam, MD
Abstract A patient was found to have acute promyelocytic leukemia and was started on all-trans-retinoic acid (ATRA). He was also noted to incidentally have bilateral papilledema and MR imaging demonstrated multiple stigmata suggestive of chronically elevated intracranial pressure and an underlying …

Vitreous Hemorrhage

Include in Catalogue?: No
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Abstract A patient with a past medical history of hypertension presented with vision loss in the right eye for two days. His exam was notable for visual acuity of hand motions in the right eye and 20/20 in the left eye. Intraocular pressures and slit lamp exam were normal in both eyes. Posterior se…

Wernicke Encephalopathy

Include in Catalogue?: No
Presenter(s): Lulwa El Zein, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Abstract A patient with past history of bariatric surgery presenting with blurred vision, oscillopsia and decreased hearing of few days. Her exam was remarkable for up-beating nystagmus in all gazes. Vision was 20/20 in each eye, pupils equal and reaction. She had full ocular motility and normal an…

Keratoacanthoma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Humberto Salazar, III, MD
Presenter/Faculty: Salazar

Keratoacanthoma

Leukemic Optic Nerve Infiltrate

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Byron L. Lam, MD; Caroline L. Lieux, MD
Presenter/Faculty: Lam, Lieux

A pediatric patient with leukemic infiltrate of the optic nerve in both eyes.

CMV Retinitis, Right Eye

Include in Catalogue?: No
Presenter(s): Anna Sporysheva, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jorge Fortun, MD
CMV Retinitis, Right Eye 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 …