Primary Uveal Melanoma, Left Eye
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Presenter(s): Noy Ashkenazy, MD, MS
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Abstract A 30-year-old Hispanic female with a history of thyroid disease presented to the Bascom Palmer ER with complaints of blurry vision and eye strain in the left eye while reading for a 1-month duration. Her last eye exam was a decade ago and was normal. She was diagnosed with a primary uveal …
Proliferative Sickle Retinopathy
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Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Ta Chen Peter Chang, MD
Abstract A 3-year-old female was referred to BPEI for treatment of congenital cataracts. After bilateral lensectomy and vitrectomy, the patient was noted to have elevated intraocular pressure. She underwent placement of BGI and was incidentally found to have vitreous hemorrhage. Hemoglobin electrop…
Pythium Insidiosum Keratitis
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Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Guillermo Amescua, MD; Darlene Miller, DHSc, MPH, CIC
Abstract An 83-year-old otherwise healthy female was referred to the BPEI ER for a progressive corneal ulcer. Exam in the left eye was notable for hand motions vision, normal IOP, and severe corneal ulcer associated with hypopyon and scleral extension. B-scan ultrasonography of the eye did not reve…
Refractory Full Thickness Macular Hole
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Presenter(s): Lauren C. Kiryakoza, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Abstract A patient presented with a “black central spot” in the right eye. The past ocular history included an idiopathic full thickness macular hole in the right eye that had undergone pars plana vitrectomy with internal limiting membrane peel two times. The left eye had neovascular glaucoma l…
Refractory Full Thickness Macular Hole
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Presenter(s): Lauren C. Kiryakoza, MD
Faculty Discussant(s): Jayanth Sridhar, MD
Refractory Full Thickness Macular Hole A patient presented with a “black central spot” in the right eye. The past ocular history included an idiopathic full thickness macular hole in the right eye that had undergone pars plana vitrectomy with internal limiting membrane peel two times. The left …
Retinal Capillary Hemangioblastoma in Von-Hippel Lindau Syndrome
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Presenter(s): Eric D. Hansen, MD
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Abstract A 40-year-old male with family history of renal cell carcinoma and history of neurosurgical excision of cerebellar hemangioblastoma presents for routine ophthalmic examination. Vision is 20/20 in both eyes. Fundus examination reveals multiple red-orange retinal tumors superiorly in the rig…
Retinal Cavernous Hemangioma with Vitreous Hemorrhage
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Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Audina M. Berrocal, MD
Abstract A five-week-old full-term male with a history of seizures and birth trauma underwent ophthalmology screening. Initial eye examination revealed vitreous hemorrhage. Subsequent examination under anesthesia with multi-modal imaging revealed vitreous hemorrhage and an intra-retinal mass with n…
Retinoblastoma
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Presenter(s): Lediana Goduni, MD
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Abstract A 2-year-old female with an unremarkable past medical history presented with pain and swelling of the left eye. One examination she was able to fix and follow with both eyes but had a dull red reflex of the left eye as well as a retinal mass. An exam under anesthesia was performed which re…
Scleral and Subretinal Abscess with Endophthalmitis
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Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Guillermo Amescua, MD; Jayanth Sridhar, MD
Abstract A patient presented with blurry vision and pain after scleral buckle removal. He had a remote history of retinal detachment with primary scleral buckling. He had persistent inflammation that did not improve with topical steroids or tap and inject with antibiotics. He underwent a repeat tap…
Scleral-Invasive Ocular Surface Squamous Neoplasia
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Presenter(s): Julia L. Hudson, MD
Faculty Discussant(s): J. William Harbour, MD; Carol L. Karp, MD
Abstract An 83-year-old male with history of skin cancer and tobacco use was referred to BPEI for evaluation of a subconjunctival mass which was previously biopsied. On presentation, a large firm subconjunctival mass with prominent feeder vessels was seen. Anterior segment OCT was suspicious for ne…
Sebaceous Carcinoma Presenting with Corneal Ulcer and Descemetocele
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Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Carol L. Karp, MD
Abstract An 87-year-old male was referred for second opinion due to nonhealing corneal ulcer of his right eye. He had a past medical history significant for basal cell carcinoma, arthritis, hypertension, hypothyroid, CABG, and carotid stent. Initial examination disclosed hand motion vision in the r…
Sorsby Macular Dystrophy
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Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Abstract We present the case of a 33-year-old male who presented with visual distortions in the left eye. Visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fundus examination revealed reticular pseudodrusen in both eyes, and a choroidal neovascular membrane in the left eye for whi…
Sorsby Macular Dystrophy
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Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Sorsby Macular Dystrophy We present the case of a 33-year-old male who presented with visual distortions in the left eye. Visual acuity was 20/20 in the right eye and 20/30 in the left eye. Fundus examination revealed reticular pseudodrusen in both eyes, and a choroidal neovascular membrane in the …
Squamous Cell Carcinoma, Metastatic Prostatic Adenocarcinoma
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Presenter(s): Umangi A. Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Brian C. Tse, MD
Abstract A 77-year-old Caucasian male with a history of locally advanced prostate cancer on androgen deprivation therapy presented to BPEI for evaluation of a right lower lid lesion present for six weeks that did not improve with conservative treatment. Exam revealed a firm, painless lesion at the …
Squamous Cell Carcinoma, Metastatic Prostatic Adenocarcinoma
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Presenter(s): Umangi A. Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Brian C. Tse, MD
Squamous Cell Carcinoma, Metastatic Prostatic Adenocarcinoma A 77-year-old Caucasian male with a history of locally advanced prostate cancer on androgen deprivation therapy presented to BPEI for evaluation of a right lower lid lesion present for six weeks that did not improve with conservative trea…
Steroid-Induced Glaucoma
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Presenter(s): Alison J. Lauter, MD
Faculty Discussant(s): Steven J. Gedde, MD
Abstract A 32-year-old female presented to Bascom Palmer Eye Institute complaining of an inferior field defect in her left eye. Examination revealed 20/20 vision with correction, an APD, normal IOP, PCIOL, and optic nerve pallor and cupping of the left eye. Right eye exam was WNL. HVF 24-2 testing …
Sturge-Weber Syndrome
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Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Elena Bitrian, MD; J. William Harbour, MD
Abstract A child was born with an extensive, bilateral, flat, red facial skin lesion that was initially flat and barely noticeable but over time has grown and become thicker and a deeper red color. He was born at term to a healthy mother, had no other lesions on his body, no other symptoms, and a n…
Sturge-Weber Syndrome
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Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Elena Bitrian, MD; J. William Harbour, MD
Sturge-Weber Syndrome A child was born with an extensive, bilateral, flat, red facial skin lesion that was initially flat and barely noticeable but over time has grown and become thicker and a deeper red color. He was born at term to a healthy mother, had no other lesions on his body, no other symp…
Submacular Hemorrhage
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Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Thomas A. Albini, MD; Harry W. Flynn, Jr., MD; Philip J. Rosenfeld, MD, PhD
Abstract An 82-year-old woman presents for follow-up for macular degeneration. Her vision in the right eye at the time of presentation is 20/60. After loss to follow-up due to Covid-19, the patient presents with decreased vision in the right eye secondary to a submacular hemorrhage. Her vision at t…
Submacular Hemorrhage
Include in Catalogue?: No
Presenter(s): Prashanth G. Iyer, MD
Faculty Discussant(s): Thomas A. Albini, MD; Harry W. Flynn, Jr., MD; Philip J. Rosenfeld, MD, PhD
Submacular Hemorrhage An 82-year-old woman presents for follow-up for macular degeneration. Her vision in the right eye at the time of presentation is 20/60. After loss to follow-up due to Covid-19, the patient presents with decreased vision in the right eye secondary to a submacular hemorrhage. He…