Autosomal Recessive RPE65-Deficient Leber Congenital Amaurosis
Include in Catalogue?: No
Presenter(s): Jose J. Echegaray, MD
Faculty Discussant(s): Janet L. Davis, MD; Ninel Z. Gregori, MD; Byron L. Lam, MD
Abstract A 17-year-old male with a biallelic RPE65 mutation resulting in autosomal recessive Leber Congenital Amaurosis is referred for evaluation for subretinal gene therapy with voretigene neparvovec-rzyl. Baseline evaluation was remarkable for severe nyctalopia and limited peripheral vision with…
Basal Cell Carcinoma
Include in Catalogue?: No
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): Sara Tullis Wester, MD, FACS
Abstract A 73-year-old female presented to clinic with a large ulcerated lesion involving the forehead, glabella, upper eyelids and extending towards the medial canthi bilaterally. The lesion had been present and growing for over 19 years, but the patient was reluctant to seek medical care. Incisio…
Bilateral Ischemic Optic Neuropathy Following Buttock Augmentation in an IIH Suspect
Include in Catalogue?: No
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Byron L. Lam, MD
Abstract A 51-year-old female was transferred from an outside facility 5 days after buttock augmentation surgery in the prone position. On examination, there was no light perception in the right eye and hand motion vision in the left eye. The nerves were pale and edematous in both eyes. Exam was ot…
Bilateral Limbal Stem Cell Deficiency
Include in Catalogue?: No
Presenter(s): Jaime D. Martinez Martinez, MD
Faculty Discussant(s): Guillermo Amescua, MD
Abstract A 32-year-old female patient with bilateral chemical ocular burn. On ocular examination revealed 20/300 and 20.400 vision, with bilateral limbal ischemia and corneal epithelial defect, treated with saline solution irrigation and multiple amniotic membranes. Patient developed total limbal s…
Bilateral Papillitis
Include in Catalogue?: No
Presenter(s): Jesse D. Sengillo, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD
Abstract A 66-year-old man presented to Bascom Palmer with complaints of blurry vision in both eyes for three days which he described as painless. Vision was 20/350 in the right and 20/200 in the left eye with evident papillitis in both eyes on exam. An MRI revealed no retrobulbar optic neuritis an…
Bilateral Retinoblastoma
Include in Catalogue?: No
Presenter(s): Jose J. Echegaray, MD
Faculty Discussant(s): J. William Harbour, MD
Abstract A 7-month-old girl with a white pupil in the right eye is diagnosed with group D retinoblastoma in the right eye and group B retinoblastoma in the left eye. Her right eye is treated with intra-arterial chemotherapy with melphalan, carboplatin, and topotecan. Her left eye was treated with l…
Bosch-Boonstra-Schaaf Syndrome
Include in Catalogue?: No
Presenter(s): Apostolos Anagnostopoulos, MD
Faculty Discussant(s): Carlos E. Mendoza Santiesteban, MD; Carla J. Osigian Probst, MD
Abstract The following case review presents a 3-year-old, born full term, with developmental delay which was referred by an outside physician for further evaluation. Further testing was required for a final diagnosis which included an MRI of the brain and genetic testing. Results: The patient prese…
Central Areolar Choroidal Dystrophy
Include in Catalogue?: No
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Ninel Z. Gregori, MD
Abstract A 56-year-old male that presents as a follow up for Dry Age-Related Macular Degeneration and complaining of nyctalopia. VA 20/20 both eyes on initial presentation. DFE revealed hypopigmented areas in the macula of both eyes. Fluoresencin angiogrpahy revealed speckled hyperfluoresence areas…
Central Serous Retinopathy
Include in Catalogue?: No
Presenter(s): Alexandra E. Levitt, MD, MPH
Faculty Discussant(s): Jayanth Sridhar, MD
Abstract A 48-year-old female presents with a history of chronically decreased vision in her right eye. Multimodal imaging reveals serous macular detachment, thickened choroid, and focal areas of late leakage on fluorescein angiography. The left eye has pigmentary changes in the peripheral macula w…
Choroidal Change Post Internal Carotid Stenting
Include in Catalogue?: No
Presenter(s): Omer Trivizki, MD, MBA
Faculty Discussant(s): Philip J. Rosenfeld, MD, PhD
Abstract The purpose is to report the changes in choroidal thickness (CT) and the choroidal vascularity index (CVI) measurements using widefield SS-OCT imaging in a patient undergoing treatments that should alter choroidal blood flow. Patient underwent 12x12mm SS-OCT angiography scans centered on t…
Choroidal Metastasis Consistent with Renal Cell Primary
Include in Catalogue?: No
Presenter(s): Nish Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD; J. William Harbour, MD
Abstract A 57-year-old male presented to clinic with a one-week history of red line in his vision OS. The patient was noted to have a history of left nephrectomy for renal cell carcinoma that was diagnosed after a metastatic lesion was detected in the right upper lung more than three years prior. O…
Chronic External Progressive Ophthalmoplegia
Include in Catalogue?: No
Presenter(s): Heidy C. Martinez, MD
Faculty Discussant(s): Hilda Capo, MD
Abstract A 36-years-old female patient presents to pediatric ophthalmology clinic at BPEI for a second opinion regarding progressive bilateral ptosis and exotropia. The patient has a history of progressive bilateral ptosis OS>OD and limitation of ocular movements with onset during the second dec…
Closed-Globe Ocular Trauma
Include in Catalogue?: No
Presenter(s): Kenneth C. Fan, MD, MBA
Faculty Discussant(s): Justin H. Townsend, MD
Abstract An 18-year-old female presents to BPEI ER after sustaining injuries to the eye from a motor vehicle accident. The patient was diagnosed with a closed-globe injury and had subsequent traumatic angle-recession glaucoma, vitreous prolapse, and traumatic cataract. She also had a unique nearly …
Congenital Zika Syndrome
Include in Catalogue?: No
Presenter(s): Nish Patel, MD
Faculty Discussant(s): Sander R. Dubovy, MD
Abstract A 20 m/o female presented to an eye clinic in Colombia for a follow-up eye exam. Ocular examination revealed a normal anterior segment exam, but fundus photos displayed focal pigment mottling in the macula bilaterally. These ocular findings were attributed to ocular involvement of Zika vir…
Conjunctiva
Specialty: Corneal and External Diseases
Type: Medical Student Education
Include in Catalogue?: Yes
Presenter(s): Chris R. Alabiad, MD
Presenter/Faculty: Alabiad
In this module, we will look at:
Conjunctiva
Sclera
Conjunctival Amyloid
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Angela J. Verkade, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Abstract 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, mobile, rubber…
Conjunctival Keratoacanthoma
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Carol L. Karp, MD; Sander R. Dubovy, MD
Abstract Keratoacanthoma (KA) is an epithelial tumor characterized by rapid, abundant growth and a potential for spontaneous resolution. It typically occurs on the skin in sun-exposed areas such as the face, neck, and hands. Rarely it can occur on the conjunctiva and vulvar region. Since the 1950s, …
Conjunctival Melanoma
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Jane C. Cook, MD
Faculty Discussant(s): Carol L. Karp, MD
Abstract A 38-year-old healthy man presents with a pigmented lesion two years after onset and undergoes excisional biopsy which confirms conjunctival melanoma. Systemic work-up reveals metastasis, and the patient undergoes multiple cycles of radiation and chemotherapy. He later died of metastatic d…
Conjunctival Melanoma
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Cullen D. Ryburn, MD
Faculty Discussant(s): Carol L. Karp, MD
Abstract A 55-year-old male who presented to Bascom Palmer for a multi-year history of a progressively enlarging painless pigmented conjunctival lesion of the right eye. He was found to have a large non-mobile pigmented lesion of the right perilimbal conjunctiva. While initially he was hesitant, he…
Conjunctival Squamous Cell Carcinoma with Intraorbital and Intraocular Invasion
Specialty: Corneal and External Diseases
Include in Catalogue?: No
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Carol L. Karp, MD
Abstract A 64-year-old male with a history of T2DM and HTN was referred for 2 weeks of severe pain and redness in the right eye. Two months earlier, he had undergone reported pterygium removal surgery in another country. At presentation, vision in the right eye was hand motion and the intraocular p…