Course name | Date

Ocular Cicatricial Pemphigoid / Mucous Membrane Pemphigoid

Include in Catalogue?: No
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Guillermo Amescua, MD; Sander R. Dubovy, MD
Abstract A patient with a PMHx of HTN presented to BPEI with redness and discharge of the left eye for 3 months. Review of systems was negative for any systemic symptoms. Visual acuity of the left eye was 20/80, IOP was 13 mmHg, there was no APD, and EOMs were full. Examination of the left eye reve…

Ocular Cicatricial Pemphigoid / Mucous Membrane Pemphigoid

Include in Catalogue?: No
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Guillermo Amescua, MD; Sander R. Dubovy, MD
Ocular Cicatricial Pemphigoid / Mucous Membrane Pemphigoid A patient with a PMHx of HTN presented to BPEI with redness and discharge of the left eye for 3 months. Review of systems was negative for any systemic symptoms. Visual acuity of the left eye was 20/80, IOP was 13 mmHg, there was no APD, an…

Ocular Metastatic Cutaneous Melanoma

Include in Catalogue?: No
Presenter(s): Megan A. Rowlands, MD, MPH
Faculty Discussant(s): Sander R. Dubovy, MD; David S. Greenfield, MD; J. William Harbour, MD
Abstract A patient with metastatic cutaneous melanoma to the eye was referred to BPEI glaucoma service for elevated IOP. Examination revealed 20/125 vision and IOP 31 mmHg on multiple glaucoma drops. Gonioscopy revealed a diffuse melanomatous membrane and pigment accumulation in the inferior angle.…

Ocular Metastatic Cutaneous Melanoma

Include in Catalogue?: No
Presenter(s): Megan A. Rowlands, MD, MPH
Faculty Discussant(s): Sander R. Dubovy, MD; David S. Greenfield, MD; J. William Harbour, MD
Ocular Metastatic Cutaneous Melanoma A patient with metastatic cutaneous melanoma to the eye was referred to BPEI glaucoma service for elevated IOP. Examination revealed 20/125 vision and IOP 31 mmHg on multiple glaucoma drops. Gonioscopy revealed a diffuse melanomatous membrane and pigment accumul…

Ocular Neuromyotonia

Include in Catalogue?: No
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Hilda Capo, MD
Abstract A child with a history of left exotropia secondary to a congenital third nerve palsy treated with strabismus surgery and ptosis repair presented with sudden onset intermittent left upper lid twitching and involuntary eye movements. Patient had no previous history of intracranial masses, br…

Ocular Neuromyotonia

Include in Catalogue?: No
Presenter(s): Mariam S. Vila-Delgado, MD
Faculty Discussant(s): Hilda Capo, MD
Ocular Neuromyotonia A child with a history of left exotropia secondary to a congenital third nerve palsy treated with strabismus surgery and ptosis repair presented with sudden onset intermittent left upper lid twitching and involuntary eye movements. Patient had no previous history of intracrania…

Ocular Surface Squamous Neoplasia

Include in Catalogue?: No
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH; Carol L. Karp, MD
Abstract A 71-year-old male with a history of atopic dermatitis was referred to BPEI for evaluation of a corneal lesion. Exam revealed an opalescent and gelatinous lesion at 2-4 o'clock at the limbus in the left eye. Anterior segment OCT showed a thickened, hyperreflective epithelium with an abrupt…

Ophthalmia Nodosa

Include in Catalogue?: No
Presenter(s): Noy Ashkenazy, MD, MS
Faculty Discussant(s): Janet L. Davis, MD
Abstract A patient presented to the Bascom Palmer Eye Institute retina/uveitis clinic with 2 months of right eye irritation and floaters. He reported being hit in the right eye by a large flying insect while working on a cruise ship in the Bahamas immediately prior to the onset of symptoms. He saw …

Ophthalmia Nodosa

Include in Catalogue?: No
Presenter(s): Noy Ashkenazy, MD, MS
Faculty Discussant(s): Janet L. Davis, MD
Ophthalmia Nodosa A patient presented to the Bascom Palmer Eye Institute retina/uveitis clinic with 2 months of right eye irritation and floaters. He reported being hit in the right eye by a large flying insect while working on a cruise ship in the Bahamas immediately prior to the onset of symptoms…

Optic Disc Drusen with Structural and Functional Changes

Include in Catalogue?: No
Presenter(s): Mariana Abi Karam, MD
Faculty Discussant(s): Hilda Capo, MD; Byron L. Lam, MD
Abstract A young child presented with crossing of the eyes without headaches or associated neurologic symptoms. Visual acuity was OD 20/30 and OS 20/40. Motility examination demonstrated moderate angle esotropia with full versions. Intraocular pressure (IOP) was normal. Dilated fundus exam revealed…

Optic Disc Drusen with Structural and Functional Changes

Include in Catalogue?: No
Presenter(s): Mariana Abi Karam, MD
Faculty Discussant(s): Hilda Capo, MD; Byron L. Lam, MD
Optic Disc Drusen with Structural and Functional Changes A young child presented with crossing of the eyes without headaches or associated neurologic symptoms. Visual acuity was OD 20/30 and OS 20/40. Motility examination demonstrated moderate angle esotropia with full versions. Intraocular pressur…

Orbital Cellulitis, Cavernous Sinus Thrombosis, Pyomyositis of Extraocular Muscle, Bacteremia

Include in Catalogue?: No
Presenter(s): Michael J. Venincasa, MD
Faculty Discussant(s): Thomas E. Johnson, MD
Abstract A 17-year-old female with no significant PMH presented to the BPEI Emergency Room with a red, swollen left eye for two days in the setting of recent lower lid lesion that the patient believed was a chalazion. Examination revealed 20/100 vision, proptosis, elevated IOP, and fever. The patie…

Orbital Cysts

Include in Catalogue?: No
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Thomas E. Johnson, MD
Abstract An elderly patient presented with two years of chronic pain in an otherwise healthy-appearing anophthalmic socket after enucleation. CT orbits was obtained which showed two hyperdense cystic lesions superior and posterior to the orbital implant. Orbital exploration was performed, the cysts…

Orbital Cysts

Include in Catalogue?: No
Presenter(s): Shanlee M. Stevens, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Thomas E. Johnson, MD
Orbital Cysts An elderly patient presented with two years of chronic pain in an otherwise healthy-appearing anophthalmic socket after enucleation. CT orbits was obtained which showed two hyperdense cystic lesions superior and posterior to the orbital implant. Orbital exploration was performed, the …

Orbital Venous Lymphatic Malformation

Include in Catalogue?: No
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Andrew J. Rong, MD
Abstract A patient presented to the ER complaining of 2 days of increasing pain and swelling behind the left eye. Of note the patient reported that as a teenager he was previously treated for an orbital tumor. On exam he was found to have massive proptosis, hyperglobus and restricted extraocular mo…

Orbital Venous Lymphatic Malformation

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: No
Original Contributor(s): Nathan Pirakitikulr, MD, PhD; Andrew J. Rong, MD
Presenter/Faculty: Pirakitikulr, Rong
A patient with orbital venous lymphatic malformation causing massive proptosis. MRI demonstrates an enhancing, T1 hypointense, T2 hyperintense, lobulated mass with small blood-fluid levels in the left medial orbit compressing the globe and causing bony deformation of the bony orbit. Surgical specim…

Pediatric Cataracts

Include in Catalogue?: No
Presenter(s): Ta Chen Peter Chang, MD
Presenter/Faculty: Chang

Pentosan Polysulfate Maculopathy

Include in Catalogue?: No
Presenter(s): Shobha Topgi, MD
Faculty Discussant(s): Jorge Fortun, MD
Abstract A patient presented to Bascom Palmer Eye Institute complaining of slowly progressive vision loss in both eyes occurring over several years. Examination revealed 20/25, 20/30 vision, bilateral hyperpigmented mottling in the posterior pole. Fundus autofluorescence showed a well-circumscribed…

Pentosan Polysulfate Maculopathy

Include in Catalogue?: No
Presenter(s): Shobha Topgi, MD
Faculty Discussant(s): Jorge Fortun, MD
Pentosan Polysulfate Maculopathy A patient presented to Bascom Palmer Eye Institute complaining of slowly progressive vision loss in both eyes occurring over several years. Examination revealed 20/25, 20/30 vision, bilateral hyperpigmented mottling in the posterior pole. Fundus autofluorescence sho…

Peripheral Ulcerative Keratitis

Include in Catalogue?: No
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Guillermo Amescua, MD
Abstract A patient with well-controlled HIV on antiretroviral therapy presented to the emergency department with five months of left eye pain, redness, discharge, and blurry vision. Visual acuity in the left eye was found to be 20/60 and slit lamp examination was remarkable for a nasal peripheral c…