Peripheral Ulcerative Keratitis
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Nimesh A. Patel, MD; Humberto Salazar, III, MD
Presenter/Faculty: Amescua, Patel, Salazar
Peripheral crescentic ulceration and thinning along limbus from 0600 to 1200 with superior neovascularization associated with pain. Treatment was initially with lubrication, antibiotic, systemic steroids, vitamin C, and doxycycline. Ultimately, the patient needed conjunctival recession with AMT pla…
Polypoidal Choroidal Vasculopathy
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Fan, Patel
Fundus photo with a nasal peripapillary sub retinal vascular complex surrounded by exudation. OCT with pigment epithelial detachment and associated sub-retinal fluid. ICG angiography makes the diagnosis clear with a hypercyanescent polyp in the choroid.
Pseudoxanthoma Elasticum with Angioid Streaks
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Fan, Patel
External photo depicting characteristic yellow papules, or p'eau d'orange, on the neck. Fundus photos with angioid streaks (yellow arrows).
Ruptured Macroaneurysm with Sub-Macula Hemorrhage Treated with TPA and Pneumatic Displacement
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Jorge Fortun, MD; Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Fortun, Patel, Rong
The patient presented with a RAM and sub-macular hemorrhage. Treatment was with pars plana vitrectomy, sub-retinal tissue plasminogen activator injection and 26% SF6 gas. The hemorrhage resolved with some photoreceptor changes, but no fibrosis and the patient regained 20/40 vision.
Silicone Oil Droplets on a Silicone Intraocular Lens
Specialty: Cataracts and Intraocular Lenses
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Diana M. Laura, MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Laura, Patel
Silicone oil droplets on a silicone intraocular lens
Sub Internal Limiting Membrane Hemorrhage in a Patient With Leukemia
Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Brandon Sparling
Presenter/Faculty: Patel, Sparling
Large sub-ILM hemorrhage leading to sub-retinal exudative changes in a patient with leukemia.
Sub-Conjunctival Lens Migration
Specialty: Corneal and External Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ashley M. Crane, MD; Nimesh A. Patel, MD
Presenter/Faculty: Crane, Patel
Patient with history of multiple retinal detachments with a phthisis eye. The crystalline lens is noted to have migrated external to the sclera and subconjunctivally.
Susac Syndrome
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Davis, Patel, Rong
A 40-year-old female with headaches, hearing loss and a superior scotoma in the right eye. Fundus photo with multiple inferior branch retinal artery occlusions. Angiography with non-filling of the inferior arterioles and capillary dropout in the area of the infarct. MRI showed scatter FLAIR lesions…
Toxocara with Tractional Retinal Detachment
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel
The temporal toxocara lesion led to sub retinal exudation, macular fold and tractional retinal detachment. Surgery was performed with pars plana vitrectomy.
Tractional Retinal Detachment From Proliferative Diabetic Retinopathy
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD; Jonathan F. Russell, MD, PhD
Presenter/Faculty: Fan, Patel, Russell
The traction retinal detachment has taken on a napkin ring configuration.
Traumatic Choroidal Rupture
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Alison K. Bozung, OD; Nimesh A. Patel, MD
Presenter/Faculty: Bozung, Patel
The curvilinear breaks in Bruch’s membrane and found with some mild associated sub-retinal hemorrhage. Infrared image depicts the patterns of rupture.
Usher Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Brandon Sparling
Presenter/Faculty: Patel, Sparling
Fundus photo with central and peripheral retinal atrophy as well and bone spicule RPE changes. This patient also had characteristic hearing loss.
Wegner's Syndrome with Tractional Retinal Detachment
Specialty: Retina and Vitreous Diseases
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel
This patient was diagnosed with genetic testing to have the hereditary vitreoretinopathy, Wegner's Syndrome. The abnormal vitreoretinal interface leads to a focal tractional retinal detachment of the macula. Post-operative photo and OCT show resolution of the detachment after vitrectomy.
Wyburn-Mason Syndrome
Specialty: Pediatric Ophthalmology and Strabismus
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Brenda Fallas; Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Fallas, Fan, Patel
Fundus photo with retinal arteriovenous malformation emanating from the nerve. FA shows filling of the vessels without leakage. MRI is needed to assess for intracranial AVMs.
Conjunctival Amyloid
Specialty: Pediatric Ophthalmology and Strabismus
Include in Catalogue?: No
Presenter(s): Angela J. Verkade, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Conjunctival Amyloid Conjunctival amyloid is an uncommon ocular finding but important to consider in the differential of conjunctival lesions. We present a case of a patient who was referred for evaluation of a potential ‘malignant’ conjunctival tumor. On exam she was found to have a yellow, mo…
Conjunctival Amyloid
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Angela J. Verkade, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Verkade
Conjunctival Amyloid Conjunctival amyloid is an uncommon ocular finding but important to consider in the differential of conjunctival lesions. We present a case of a patient who was referred for evaluation of a potential ‘malignant’ conjunctival tumor. On exam she was found to have a yellow, mo…
Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Amina L. Chaudhry, MBBS
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane A 68-year-old female with nonexudative AMD in both eyes, presents with new visual distortion in her left eye. Clinical exam shows markedly declined visual acuity, fundus examination shows small punctate extrafoveal hemo…
Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane
Specialty: Retina and Vitreous Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Amina L. Chaudhry, MBBS
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Presenter/Faculty: Chaudhry, Rosenfeld
Exudative Age-Related Macular Degeneration, Type 3 Macular Neovascular Membrane A 68-year-old female with nonexudative AMD in both eyes, presents with new visual distortion in her left eye. Clinical exam shows markedly declined visual acuity, fundus examination shows small punctate extrafoveal hemo…
FLACS - AK Associated Infectious Keratitis
Specialty: Retina and Vitreous Diseases
Include in Catalogue?: No
Presenter(s): Leonid Zlotcavitch, MD
Faculty Discussant(s): Guillermo Amescua, MD; Terrence P. O'Brien, MD
FLACS - AK Associated Infectious Keratitis A 62-year-old female 6 weeks after FLACS - AK presented to BPEI- ED for ocular irritation, decreased vision, and photophobia. Her examination disclosed vision = 20/30, focal conjunctival hyperemia and a corneal stromal infiltrate located beneath a mid-peri…
FLACS - AK Associated Infectious Keratitis
Specialty: Corneal and External Diseases
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Leonid Zlotcavitch, MD
Faculty Discussant(s): Guillermo Amescua, MD; Terrence P. O'Brien, MD
Presenter/Faculty: Amescua, O'Brien, Zlotcavitch
FLACS - AK Associated Infectious Keratitis A 62-year-old female 6 weeks after FLACS - AK presented to BPEI- ED for ocular irritation, decreased vision, and photophobia. Her examination disclosed vision = 20/30, focal conjunctival hyperemia and a corneal stromal infiltrate located beneath a mid-peri…