Bilateral Mycobacterium Tuberculosis-Associated Necrotizing Kerato Sclerouveitis Complicated by Bilateral Corneoscleral Perforation and Uveal Prolapse
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Presenter(s): Jonathan D. Tijerina, MD, MA
Faculty Discussant(s): Thomas A. Albini, MD; Guillermo Amescua, MD
Abstract A patient presented from the Bahamas with 5-month history of redness, worsening eye pain, and 5 days of decreasing vision with enlarging “red spots” bilaterally. There was no past ocular history. Past medical history notable for asthma, and previously treated Chlamydia. Upon presentati…
Black Cataract
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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
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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
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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 …
Branchio-Oculo-Facial Syndrome and Coloboma
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Presenter(s): Mariana Abi Karam, MD
Faculty Discussant(s): Craig A. McKeown, MD; Carlos E. Mendoza Santiesteban, MD
Abstract A young child presented with light perception visual acuity in the right eye and white cataract. Some dysmorphic features were also documented such as wide nasal tip, prominent philtral pillars, hypertelorism, telecanthus, right ptosis, and malformed pinnae on the right. Cataract extractio…
Brimonidine Associated Uveitis
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Presenter(s): Kevin Shen, MD
Faculty Discussant(s): Richard K. Parrish, II, MD
Abstract A patient with a past ocular history of advanced normal tension glaucoma in both eyes presented with 1 month of blurry vision in both eyes. His exam was notable for decreased visual acuity of 20/30 in the right eye and 20/50 in the left eye. Intraocular pressure was 9 in both eyes. Slit la…
Central Serous Chorioretinopathy
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Presenter(s): Ahmad Najafi, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Abstract We present the case of a patient with decreased vision in the right eye. The patient immigrated to the United States in 2015, and discovered his decreased vision during an eye exam for a driver’s license. He was diagnosed with Wet AMD and had received 5-6 doses of anti-VEGF with little t…
Chronic Angle-Closure Glaucoma
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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
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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…
CMV Retinitis, Right Eye
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Presenter(s): Anna Sporysheva, MD
Faculty Discussant(s): Thomas A. Albini, MD; Jorge Fortun, MD
Abstract 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 notable for acti…
Congenital Hereditary Endothelial Dystrophy
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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
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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
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Presenter(s): Rebecca Chen, MD
Faculty Discussant(s): Sarah Wellik, MD
Abstract A patient with past ocular history of primary open-angle glaucoma, status post glaucoma drainage implant in the right eye, underwent cataract surgery in the right eye. Preoperative potential acuity meter testing predicted visual acuity outcome of 20/25. The patient developed persistent blu…
Corneal Decompensation
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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
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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
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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
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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…
Enophthalmos Due to Metastatic Orbital Breast Carcinoma
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Presenter(s): Flavius Beca, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Abstract A patient presented to the ER with subconjunctival hemorrhage but incidentally noted to have enophthalmos with mild extraocular movement restriction in the contralateral eye. Further history revealed breast cancer history that was treated 18 years prior with chemo & radiotherapy alongs…
Epithelial Downgrowth
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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)
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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…