Limbal Stem Cell Deficiency
Include in Catalogue?: No
Presenter(s): Xuemin "Rosie" Zhang, MD
Faculty Discussant(s): Guillermo Amescua, MD
Abstract We report a case of severe unilateral chemical-thermal injury complicated by total limbal stem cell deficiency and symblepharon, treated with Simple Limbal Epithelial Transplantation (SLET) combined with conjunctival autografting (CAG). We used an autologous limbal biopsy and a conjunctiva…
Lisch Corneal Dystrophy
Include in Catalogue?: No
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract A patient presented with blurry vision in the left eye and was found to have a pigmented superficial corneal lesion which showed hyperreflectivity without thickening on the AS-OCT. The lesion was biopsied and confirmed to be Lisch corneal dystrophy on pathology. The lesion recurred and was…
Melanocytoma with Vitreous Seeding
Include in Catalogue?: No
Presenter(s): Nathan L. Scott, MD, MPP
Faculty Discussant(s): Zelia M. Correa, MD, PhD; Sander R. Dubovy, MD
Abstract A patient with 7 years of blurry vision in the right eye presents to clinic for evaluation. He reports no recent acute changes in vision and no precipitating events in the past. He noticed the blurry vision incidentally while driving when he covered his left eye. He has no known past ocula…
Microcephaly with or without Chorioretinopathy, Lymphedema or Intellectual Disability (MCLID)
Include in Catalogue?: No
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Carlos E. Mendoza-Santiesteban, MD; Mustafa Tekin, MD
Abstract This patient with past medical history of microcephaly, lymphedema and mild cognitive delay, was referred for retinal evaluation. Ophthalmological evaluation was notable for hyperopia and extramacular pigmentary changes with peripheral non-perfusion. The ERG disclosed significant rod and c…
Miller Fisher Syndrome
Include in Catalogue?: No
Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Hong Jiang, MD, PhD; Byron L. Lam, MD; Carlos E. Mendoza Santiesteban, MD; Joshua Pasol, MD
Abstract A patient presented with binocular diplopia of 2 weeks duration after COVID-19 infection. Additionally, she had neurological symptoms, weakness, tingling, numbness of extremities. She had been fully vaccinated against COVID-19. On exam her BCVA was 20/20 OU, she was noted to have ophthalmo…
Motility Disturbances after Glaucoma Drainage Device
Include in Catalogue?: No
Presenter(s): Anh Pham, MD, PhD
Faculty Discussant(s): Hilda Capo, MD; Luis E. Vazquez, MD, PhD
Abstract A patient with a history of traumatic angle recession glaucoma in the left eye presented with acute onset of double vision and persistent ocular soreness in the left eye. He denied generalized weakness or difficulty with respiration. His surgical history included a valved glaucoma drainage…
Nyctalopia Due to Vitamin A Deficiency
Include in Catalogue?: No
Presenter(s): Mohamed M. Khodeiry, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Abstract A patient with a past medical history of liver cirrhosis, presented to the neuro-ophthalmology clinic with blurry vision in both eyes and nyctalopia that started around a year ago. Ophthalmological exam was notable for a visual acuity of 20/40 in both eyes, reduced color vision, and macula…
Ocular Cicatricial Pemphigoid
Include in Catalogue?: No
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Guillermo Amescua, MD
Abstract A patient with a past medical history significant for biopsy-proven ocular cicatricial pemphigoid (OCP) was referred for cataract evaluation in the right eye. At presentation, her vision in the right eye was hand motion, and she had been off systemic immunosuppression for 9 months. She was…
Ocular Sarcoidosis
Include in Catalogue?: No
Presenter(s): Anna Sporysheva, MD
Faculty Discussant(s): Thomas A. Albini, MD; Luis J. Haddock, MD
Abstract A patient with no past ocular history presented with right eye blurry vision for the past 4 months secondary to non-clearing vitreous hemorrhage. The exam was notable for visual acuity hand motion in the right eye and 20/20 in the left eye. Intra-ocular pressure was 17 and 17 mmHg in each …
Ocular Surface Squamous Neoplasia
Include in Catalogue?: No
Presenter(s): Victor H. Banda, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract A patient presented to BPEI for a cornea evaluation with blurred vision, foreign body sensation and redness for 1 year duration. The exam was notable for visual acuity of 20/150 in the right eye. Intraocular pressure was 8 in the right eye, Slit lamp exam was most notable for conjunctival …
Orbital Lympathic Dominant Lymphatic Venous Malformation
Include in Catalogue?: No
Presenter(s): Oded Ohana, MD
Faculty Discussant(s): David T. Tse, MD
Abstract A patient with a past ocular history of orbital lymphatic-venous malformation with left upper eyelid swelling and proptosis at childhood who underwent sclerosing therapy presents 7 years later with newly developed left upper eyelid swelling, proptosis, gaze limitations (mainly left elevati…
Orbital Lympathic Dominant Lymphatic Venous Malformation
Specialty: Ophthalmic Pathology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Oded Ohana, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Ohana, Tse
Orbital Lympathic Dominant Lymphatic Venous Malformation A patient with a past ocular history of orbital lymphatic-venous malformation with left upper eyelid swelling and proptosis at childhood who underwent sclerosing therapy presents 7 years later with newly developed left upper eyelid swelling, …
Orbital Metastatic Breast Cancer
Specialty: Ophthalmic Pathology
Include in Catalogue?: No
Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Abstract A patient presented to the ER with redness of the right eye for months. Initial exam revealed VA 20/50 and was noted to have right sided ptosis and ophthalmoplegia. MRI of the orbits was performed which showed an ill-defined right orbital mass. The patient underwent right orbitotomy for bi…
Orbital Sarcoidosis
Specialty: Ophthalmic Pathology
Include in Catalogue?: No
Presenter(s): Lauren C. Kiryakoza, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Thomas E. Johnson, MD
Abstract A patient presented with three months of left eye swelling and pain. He was found to have periorbital firmness and fullness, proptosis, and conjunctival chemosis. He underwent computed tomography imaging of the orbits with contrast, which demonstrated an ill-defined, irregular and enhancin…
PAM and OSSN
Specialty: Ophthalmic Pathology
Include in Catalogue?: No
Presenter(s): Ghada J. AlBayyat, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract This case presents a 67-year-old gentleman who was referred for a pigmented lesion. The HR-OCT suggested that this was not simply a small area of PAM, but rather demonstrated an epithelial hyper-reflectivity and thickening with an abrupt change from normal to mildly thickened epithelium. T…
Paraneoplastic Autoimmune Retinopathy
Specialty: Ophthalmic Pathology
Include in Catalogue?: No
Presenter(s): Chris Wu, MD
Faculty Discussant(s): Janet L. Davis, MD
Abstract A patient with a history of advanced ovarian cancer presented with flashes, glare and peripheral visual field loss of 10 months duration. Best-corrected visual acuity was 20/30 in the right eye and 20/40 in the left eye with normal intraocular pressures in both eyes. Slit lamp exam showed …
Penetrating Ocular Fishhook Injury
Specialty: Ophthalmic Pathology
Include in Catalogue?: No
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Harry W. Flynn, Jr., MD; Nicolas A. Yannuzzi, MD
Discussant(s): Diana M. Laura, MD
Abstract A patient with a history of stroke, hypertension, and pseudophakia of both eyes, presented with eye trauma while fishing without protective eyewear. While reeling in, his fishhook flew out of the water and hit him in the right eye. On presentation, his right eye visual acuity was light per…
Peripheral Retinal Abnormalities
Specialty: Retina and Vitreous Diseases
Include in Catalogue?: No
Presenter(s): William E. Smiddy, MD
Presenter/Faculty: Smiddy
Persistent Fetal Vasculature
Specialty: Retina and Vitreous Diseases
Include in Catalogue?: No
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Abstract This patient with past ocular history of leukocoria was referred forretinal evaluation. Ophthalmological evaluation under anesthesia was notable for a cataractous lens with spherical appearance,anterior segment dysplasia andpersistence of the iridohyaloid vessels and tunica vasculosa lenti…
Persistent Fetal Vasculature
Specialty: Retina and Vitreous Diseases
Include in Catalogue?: No
Presenter(s): Maria Paula Fernandez, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Persistent Fetal Vasculature This patient with past ocular history of leukocoria was referred forretinal evaluation. Ophthalmological evaluation under anesthesia was notable for a cataractous lens with spherical appearance,anterior segment dysplasia andpersistence of the iridohyaloid vessels and tu…