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
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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
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
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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…
Exposed Glaucoma Drainage Device
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Presenter(s): Yasmin Islam, MD
Faculty Discussant(s): Arindel S. Maharaj, MD, PhD
Abstract A patient with a history of moderate primary open angle glaucoma, pseudophakia, and diabetic macular edema of the right eye presented for a regularly scheduled glaucoma follow-up examination. He had previously undergone a trabeculectomy and subsequent revision in the right eye, and he had …
Exposed Glaucoma Drainage Device
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Presenter(s): Yasmin Islam, MDa
Faculty Discussant(s): Arindel S. Maharaj, MD, PhD
Exposed Glaucoma Drainage Device A patient with a history of moderate primary open angle glaucoma, pseudophakia, and diabetic macular edema of the right eye presented for a regularly scheduled glaucoma follow-up examination. He had previously undergone a trabeculectomy and subsequent revision in th…
External Ophthalmomyiasis due to Dermatobia Hominis
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Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): David T. Tse, MD
Abstract A child presented with right eye swelling for five days refractory to systemic antibiotics. On examination, he had significant periorbital edema, erythema, injection, a chemosis. At the lateral canthus, a small scab with skin defect was visualized. Computerized tomography of the orbits rev…
External Ophthalmomyiasis due to Dermatobia Hominis
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Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): David T. Tse, MD
External Ophthalmomyiasis due to Dermatobia Hominis A child presented with right eye swelling for five days refractory to systemic antibiotics. On examination, he had significant periorbital edema, erythema, injection, a chemosis. At the lateral canthus, a small scab with skin defect was visualized…
Extra-Parenchymal Neurocysticercosis (NCC)
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Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Hong Jiang, MD, PhD
Discussant(s): Folusakin Ayoade, MD
Abstract A patient presented with blurry vision and headaches for 6 months. He was found to have grade 5 papilledema with hemorrhages. MRI brain/orbits showed bilateral flattening of the posterior sclera with intraocular protrusion of the optic nerve head and prominent leptomeningeal enhancement. E…
Extra-Parenchymal Neurocysticercosis (NCC)
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Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Hong Jiang, MD, PhD
Discussant(s): Folusakin Ayoade, MD
Extra-Parenchymal Neurocysticercosis (NCC) A patient presented with blurry vision and headaches for 6 months. He was found to have grade 5 papilledema with hemorrhages. MRI brain/orbits showed bilateral flattening of the posterior sclera with intraocular protrusion of the optic nerve head and promi…
Familial Exudative Vitreoretinopathy
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Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Abstract A child with a history of full-term birth complicated by arrest of descent and resolved neonatal seizure with normal MRI and EEG was referred for evaluation of nystagmus. An examination under anesthesia was required, during which an electroretinogram demonstrated mildly reduced rod amplitu…
Familial Exudative Vitreoretinopathy
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Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Audina M. Berrocal, MD
Familial Exudative Vitreoretinopathy A child with a history of full-term birth complicated by arrest of descent and resolved neonatal seizure with normal MRI and EEG was referred for evaluation of nystagmus. An examination under anesthesia was required, during which an electroretinogram demonstrate…