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…
Full Thickness Macular Hole
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Presenter(s): Don H. Noel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Harry W. Flynn, Jr., MD
Abstract A 68-year-old female presented with blurry vision OD. Reported seeing black spots that became yellow with a halo and cloudy central vision. VA: 20/50 OD and 20/20 OS. DFE was significant for a small round defect in the fovea OD. Imaging work up: significant for OCT showing a full thickness…
Glaucoma Associated with Sturge Weber
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Presenter(s): Rachel H. Lee, MD, MPH
Faculty Discussant(s): Ta Chen Peter Chang, MD
Abstract A 4-week-old male was brought in by his mother for evaluation of elevated pressures in the left eye. Exam was revealing for a port wine birth mark in the V1 and V2 distribution on the left. Patient demonstrated an IOP of 32 in the left eye, with marked corneal edema and buphthalmos on the …
Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis
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Presenter(s): Lily Zhang, MD
Faculty Discussant(s): Andrew J. Rong, MD
Abstract A 21-year-old female presented to the hospital with 5 days of right eye redness, swelling, discharge and pain. Exam revealed VA OD 20/70, painful EOM and severe conjunctival chemosis and discharge, and eyelid swelling. CT scan revealed right preseptal and facial cellulitis and conjunctival…
Granular Cell Tumor
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Presenter(s): Vincent D. Tang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Brian C. Tse, MD
Abstract The patient presented to BPEI for evaluation of a two-week history of worsening diplopia. Examination revealed left unilateral proptosis. MRI orbit imaging revealed an intraorbital well-defined, well-circumscribed lesion arising at the level of the medial rectus. The patient underwent an i…
Granular Cell Tumor
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Presenter(s): Vincent D. Tang, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Brian C. Tse, MD
Granular Cell Tumor The patient presented to BPEI for evaluation of a two-week history of worsening diplopia. Examination revealed left unilateral proptosis. MRI orbit imaging revealed an intraorbital well-defined, well-circumscribed lesion arising at the level of the medial rectus. The patient und…
Granular Corneal Dystrophy Type II
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Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Abstract A patient presented to the Bascom Palmer Cornea Clinic with progressively blurry vision in both eyes as well as worsening pain and irritation in both eyes. She had a family history of corneal problems. Her visual acuity was 20/100 in the right eye and 5/200 in the left eye. Intraocular pre…
Granular Corneal Dystrophy Type II
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Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Granular Corneal Dystrophy Type II A patient presented to the Bascom Palmer Cornea Clinic with progressively blurry vision in both eyes as well as worsening pain and irritation in both eyes. She had a family history of corneal problems. Her visual acuity was 20/100 in the right eye and 5/200 in the…
Granulomatosis with Polyangiitis
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Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Guillermo Amescua, MD
Abstract This presentation describes a case of granulomatosis with polyangiitis in which ocular disease (scleritis) led to the diagnosis. The patient subsequently developed scleral melt with uveal show, requiring a multidisciplinary approach with Rheumatology to escalate immunosuppressive therapy a…
Hydrolyzed MIRAgel Scleral Buckle
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Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Brian C. Tse, MD
Abstract A patient presented with one year of gradually worsening left eye pain and binocular diplopia. He had a history of remote retinal detachment repair in 1988 and prostate cancer in 2019 s/p radiation therapy in remission. In the left eye, he had limitations to gaze in all directions but wors…
Hydrolyzed MIRAgel Scleral Buckle
Include in Catalogue?: No
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Audina M. Berrocal, MD; Brian C. Tse, MD
Hydrolyzed MIRAgel Scleral Buckle A patient presented with one year of gradually worsening left eye pain and binocular diplopia. He had a history of remote retinal detachment repair in 1988 and prostate cancer in 2019 s/p radiation therapy in remission. In the left eye, he had limitations to gaze i…
Idiopathic Central Serous Chorioretinopathy
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Presenter(s): Matthew B. Donovan, MD
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Abstract A 47-year-old male with previous diagnosis of exudative AMD s/p multiple Avastin injections presents with complaint of decreased vision OU. Exam was significant for VA 20/200 OD, 20/25 OS. DFE significant for macular mottling OU. OCT shows serous retinal detachment with pigment epithelial …
Idiopathic Intracranial Hypertension
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Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): David T. Tse, MD
Abstract A 39-year-old male presented to the BPEI ER with blurry vision in his right eye for 2 weeks. Examination revealed CF OD, 20/60 OS vision, right APD, and bilateral disc edema. OCT showed diffusely elevated RNFL thickness and HVF 30-2 was not able to be performed on the right eye but demonst…
Infantile Hemangioma
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Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Thomas E. Johnson, MD
Abstract A 17-month-old girl presented with her mother for evaluation of birthmarks that appeared shortly after birth. The patient was born at 38 weeks gestation weighing 7.2 lb. via C-section. Examination disclosed multiple confluent hemangiomas involving the right cheek, upper and lower eyelids, …
Infantile Hemangioma
Include in Catalogue?: No
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Thomas E. Johnson, MD
Infantile Hemangioma A 17-month-old girl presented with her mother for evaluation of birthmarks that appeared shortly after birth. The patient was born at 38 weeks gestation weighing 7.2 lb. via C-section. Examination disclosed multiple confluent hemangiomas involving the right cheek, upper and low…
Intracanalicular Optic Nerve Sheath Meningioma
Include in Catalogue?: No
Presenter(s): Jason C. Fan, MD, PhD
Faculty Discussant(s): Byron L. Lam, MD
Abstract A middle-aged patient with a PMH of breast cancer, migraines, and hyperlipidemia presents to the Bascom Palmer ER with a chief complaint of headache and left eye blurry vision for the past month. Recent work-up outside is remarkable for normal laboratory work-up, normal MRI brain and orbit…
Intraorbital Foreign Body
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Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Andrew J. Rong, MD
Abstract Intraorbital foreign bodies most commonly present with an ocular or penetrating injury. However, when the globe is not involved, the presentation of an intraorbital foreign body can be subtle. Here, we present a case of a 21-year-old female with right upper and lower lid swelling after all…
Intraorbital Foreign Body
Include in Catalogue?: No
Presenter(s): Caroline L. Lieux, MD
Faculty Discussant(s): Andrew J. Rong, MD
Intraorbital Foreign Body Intraorbital foreign bodies most commonly present with an ocular or penetrating injury. However, when the globe is not involved, the presentation of an intraorbital foreign body can be subtle. Here, we present a case of a 21-year-old female with right upper and lower lid s…
Isolated Spherophakia
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Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Elena Bitrian, MD
Abstract A patient with ocular hypertension and narrow angle was found to have Isolated Spherophakia. She underwent phacoemulsification with a capsular tension ring and intraocular lens in the bag OS. She then had a pars plana vitrectomy with a scleral fixated lens OD. Post-operatively, her intraoc…
Juvenile Psammomatous Ossifying Fibroma
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Presenter(s): Somya Chowdhary, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Nickalus Khan, MD; Carlos E. Mendoza Santiesteban, MD
Abstract An 18-year-old female presented with blurry vision, headaches for 4 months. She was diagnosed to have papilledema on an outside eye exam and referred to BPEI. Her visual acuity was 20/20 OD, 20/100 OS. Additionally, she was noted to have junctional scotoma on visual fields and papilledema …