Coats' Plus Disease
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Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Coats' Plus Disease An infant born prematurely via emergency cesarean section at 27-weeks due to IUGR and fetal distress weighting 650 g was referred for the evaluation of incomplete vascularization of the retina. After birth, the patient spent 117 days in the neonatal intensive care unit (NICU), w…
Combined Hamartoma of the Retina and Retinal Pigment Epithelium
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Presenter(s): Thomas A. Lazzarini, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Abstract A 19-month-old girl with an unremarkable prenatal and infantile history presented with esotropia of the left eye and was found to have a vascularized mass concerning for retinoblastoma. Examination under anesthesia revealed a charcoal gray, curvilinear retinal mass with well-defined margin…
Conjunctival Amyloidosis
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Presenter(s): Neel D. Pasricha, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract A 48-year-old male with no PMH or POH presented to clinic with painless ptosis OD>OS noticed by his wife for several months. Visual acuity was 20/25 in each eye with unremarkable ocular vitals. Large, yellow-pink, fleshy lesions were noted on the superior bulbar conjunctiva OD and bilat…
Conjunctival Amyloidosis
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Presenter(s): Neel D. Pasricha, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Conjunctival Amyloidosis A 48-year-old male with no PMH or POH presented to clinic with painless ptosis OD>OS noticed by his wife for several months. Visual acuity was 20/25 in each eye with unremarkable ocular vitals. Large, yellow-pink, fleshy lesions were noted on the superior bulbar conjunct…
Conjunctival SCC
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Presenter(s): Oded Ohana, MD
Faculty Discussant(s): Brian C. Tse, MD
Abstract A patient presented to the emergency department with a right eye conjunctival mass. Examination showed a large mass, emanating from the conjunctiva. CT scan showed inferior orbital involvement. Surgical treatment via exenteration was carried out, using a lid sparing technique, providing fa…
Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine
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Presenter(s): Amar P. Shah, MD, MBA
Faculty Discussant(s): Ellen Koo, MD
Abstract A patient with history of pseudophakic bullous keratopathy (PBK) of the right eye (OD) was self-referred to cornea service for progressively decreasing vision. He subsequently underwent uncomplicated Descemet’s membrane endothelial keratoplasty (DMEK) OD. He then presented for routine fo…
Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine
Include in Catalogue?: No
Presenter(s): Amar P. Shah, MD, MBA
Faculty Discussant(s): Ellen Koo, MD
Corneal Graft Endothelial Rejection in Association with COVID-19 Vaccine A patient with history of pseudophakic bullous keratopathy (PBK) of the right eye (OD) was self-referred to cornea service for progressively decreasing vision. He subsequently underwent uncomplicated Descemet’s membrane endo…
Crystalline Keratopathy Secondary to Mycobacteria Abscesses in Setting of Pre-Existing Herpetic Keratitis
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Presenter(s): Amar P. Shah, MD
Faculty Discussant(s): Ellen Koo, MD
Abstract A patient with history of herpetic keratitis referred to cornea service with multifocal, white, anterior stromal deposits left eye. Examination revealed 20/20 with inferior and temporal paracentral, multifocal white deposits on the anterior stroma. The deposits were debrided. Cultures reve…
Crystalline Keratopathy Secondary to Mycobacteria Abscesses in Setting of Pre-Existing Herpetic Keratitis
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Presenter(s): Amar P. Shah, MD
Faculty Discussant(s): Ellen Koo, MD
Crystalline Keratopathy Secondary to Mycobacteria Abscesses in Setting of Pre-Existing Herpetic Keratitis A patient with history of herpetic keratitis referred to cornea service with multifocal, white, anterior stromal deposits left eye. Examination revealed 20/20 with inferior and temporal paracen…
Cutaneous Melanoma Metastatic to the Orbit
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Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Lynn G. Feun, MD; David T. Tse, MD
Abstract A patient with a past medical history of Stage IIA cutaneous melanoma, treated with wide local excision and radiation therapy, presented after 12 years of remission with proptosis, pain, diplopia, and decreased vision, unresponsive to antibiotic therapy. She was found to have a complete pt…
Cutaneous Melanoma Metastatic to the Orbit
Include in Catalogue?: No
Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Lynn G. Feun, MD; David T. Tse, MD
Cutaneous Melanoma Metastatic to the Orbit A patient with a past medical history of Stage IIA cutaneous melanoma, treated with wide local excision and radiation therapy, presented after 12 years of remission with proptosis, pain, diplopia, and decreased vision, unresponsive to antibiotic therapy. S…
Cyclodialysis Cleft
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Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Elena Bitrian, MD; Swarup S. Swaminathan, MD
Abstract A patient with no significant PMHx presented to BPEI one day after being hit with a giant rubber band in his left eye. Visual acuity of the left eye was hand motion and IOP was 21 mmHg. Examination revealed a hyphema, vitreous hemorrhage, and shallow choroidal detachments. The patient was …
Cystoid Macular Edema (CME)
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Presenter(s): Mehdi Roozbahani, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD; Luis E. Vazquez, MD, PhD
Abstract A patient presents with recent blurry vision OS. VA 20/200 OD and 20/25 OS. Exam significant for macular scar OD and macular edema OS. Imaging workup significant for OCT showing intra-retinal fluid and VMT OS, SS-OCTA OS showed CNV. Patient started on Aflibercept injections but after multi…
Cystoid Macular Edema (CME)
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Presenter(s): Mehdi Roozbahani, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD; Luis E. Vazquez, MD, PhD
Cystoid Macular Edema (CME) A patient presents with recent blurry vision OS. VA 20/200 OD and 20/25 OS. Exam significant for macular scar OD and macular edema OS. Imaging workup significant for OCT showing intra-retinal fluid and VMT OS, SS-OCTA OS showed CNV. Patient started on Aflibercept injecti…
Cytomegalovirus Retinitis
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Presenter(s): Marilyn A. Marquez, MD
Faculty Discussant(s): Janet L. Davis, MD; Luis J. Haddock, MD
Abstract A patient presented to the BPEI Clinic complaining of floaters in the right eye for ten weeks. Examination revealed a BCVA of 20/25 right eye and 20/20 left eye, mild keratic precipitates, +1 vitritis and a peripheral chorioretinal lesion on fundus exam in his right eye. Associated symptom…
Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty
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Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Harry W. Flynn, Jr., MD
Abstract A patient presented to the BPEI emergency room on referral for iritis and uveitis in the right eye, approximately four weeks after she underwent a bilateral upper and lower blepharoplasty in the community. Examination revealed a visual acuity of hand motion in the affected eye, a conjuncti…
Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty
Include in Catalogue?: No
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Harry W. Flynn, Jr., MD
Endophthalmitis from Globe Perforation During Bilateral Upper/Lower Blepharoplasty A patient presented to the BPEI emergency room on referral for iritis and uveitis in the right eye, approximately four weeks after she underwent a bilateral upper and lower blepharoplasty in the community. Examinatio…
Epithelial Downgrowth
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Presenter(s): Ghada J. AlBayyat, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract This case presents a 56-year-old female who presented with dramatic decrease of vision over a one-year duration. Patient has previously undergone both eyes corneal transplant, glaucoma drainage device. Patient developed right eye iris cyst, that started growing occupying the anterior chamb…
Epithelial Downgrowth
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Presenter(s): Ghada J. AlBayyat, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Epithelial Downgrowth This case presents a 56-year-old female who presented with dramatic decrease of vision over a one-year duration. Patient has previously undergone both eyes corneal transplant, glaucoma drainage device. Patient developed right eye iris cyst, that started growing occupying the a…
Erdheim Chester Disease
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Presenter(s): Masako Chen, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract A 37-year-old male presented to clinic with bilateral conjunctival lesions for 7 months. Patient has a history of lytic bone lesions, 50-pound weight loss, and fevers. Examination revealed 20/20 vision in both eyes, mobile, discrete conjunctival lesions in bilateral bulbar conjunctiva, and…