Grand Rounds

Courses tagged with "Grand Rounds"

Achromobacter Xylosoxidans Endophthalmitis

Type: Grand Rounds
Presenter(s): Thomas A. Lazzarini, MD
Faculty Discussant(s): Guillermo Amescua, MD; Harry W. Flynn, Jr., MD
Achromobacter Xylosoxidans Endophthalmitis A 79-year-old male with history of Fuchs endothelial dystrophy of both eyes s/p penetrating keratoplasty of both eyes (1980s), repeat penetrating keratoplasty of left eye (2018) and regmatogenous retinal detachment of left eye s/p repair with silicon oil w…

Dislocated Intraocular Lens

Type: Grand Rounds
Presenter(s): Michelle M. Falcone, MD
Faculty Discussant(s): Justin H. Townsend, MD
Dislocated Intraocular Lens A 74-year-old male presented to the BPEI ER with blurred vision in the right eye for 3 days. He underwent cataract surgery in both eyes 9 years prior in Costa Rica. He denied any other prior ocular history or trauma. Exam revealed VA 20/200+1 in the right eye. IOP was wi…

Retained Lens Fragment

Type: Grand Rounds
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Harry W. Flynn, Jr., MD
Retained Lens Fragment A 61-year-old male referred after complicated cataract extraction surgery (phacoemulsification). On exam he was found to have a large piece of retained nuclear fragment in the inferior vitreous. He underwent PPV along with lens exchange with anterior chamber IOL placement. He…

Acanthamoeba Keratitis

Type: Grand Rounds
Presenter(s): Angela J. Verkade, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Acanthamoeba Keratitis Acanthamoeba keratitis, while an uncommon form of keratitis, is important to recognize and treat aggressively. Unfortunately, due to its encysted form, acanthamoeba is not only difficult to diagnose with standards methods of culture, but it is also very resistant to treatment…

Adenoviral Conjunctivitis

Type: Grand Rounds
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Adenoviral Conjunctivitis A 31-year-old male presents with eye redness, foreign body sensation, and blurry vision in both eyes, worse in the right eye. On exam he is found to have follicular conjunctivitis in both eyes with sub epithelial infiltrates on the right cornea. His conjunctiva were cultur…

Alkaline Chemical Corneal Burn

Type: Grand Rounds
Presenter(s): Patrick Staropoli, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Alkaline Chemical Corneal Burn A 63-year-old male presented with decreased vision and pain after alkali chemical splash to both eyes at a utility plant. He presented with perilimbal ischemia in the right eye greater than the left, complete opacification of the right cornea and a large epithelial de…

Bilateral Limbal Stem Cell Deficiency

Type: Grand Rounds
Presenter(s): Jaime D. Martinez, MD
Faculty Discussant(s): Guillermo Amescua, MD
Bilateral Limbal Stem Cell Deficiency 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. Pat…

Conjunctival Squamous Cell Carcinoma With Intraorbital and Intraocular Invasion

Type: Grand Rounds
Presenter(s): Anne L. Kunkler, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Carol L. Karp, MD
Conjunctival Squamous Cell Carcinoma With Intraorbital and Intraocular Invasion 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 pres…

COVID-19 Related Conjunctivitis

Type: Grand Rounds
Presenter(s): Diana M. Laura, MD
Faculty Discussant(s): Guillermo Amescua, MD; Zubair Ansari, MD; Harry W. Flynn, Jr., MD
COVID-19 Related Conjunctivitis A 33-year-old female presented with 6 days of eye redness and tearing without vision changes. She had no significant past medical history and was not taking any medications. Of note, the patient was a Registered Nurse at University of Miami Hospital. She had multiple…

Conjunctival Keratoacanthoma

Type: Grand Rounds
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Carol L. Karp, MD; Sander R. Dubovy, MD
Conjunctival Keratoacanthoma 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 regi…

Conjunctival Melanoma

Type: Grand Rounds
Presenter(s): Cullen D. Ryburn, MD
Faculty Discussant(s): Carol L. Karp, MD
Conjunctival Melanoma 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…

FLACS - AK Associated Infectious Keratitis

Type: Grand Rounds
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…

Fungal Keratitis

Type: Grand Rounds
Presenter(s): Ann V. Quan, MD
Faculty Discussant(s): Rahul Singh Tonk, MD
Fungal Keratitis A 59-year-old female presented to the Bascom Palmer Eye Institute emergency room with a 7-day history of a red and painful eye, and loss of vision. The right eye exam demonstrated HM vision with a diffuse limbal-to-limbal cornea ulcer within a previous penetrating keratoplasty graf…

Infectious Sclerokeratitis

Type: Grand Rounds
Presenter(s): Daniela P. Reyes-Capo, MD
Faculty Discussant(s): Guillermo Amescua, MD
Infectious Sclerokeratitis A 79-year-old male presented to BPEI with 4 days of decreased vision and pain in the right eye. Visual acuity was hand motion and exam revealed a large multifocal corneal infiltrate with associated corneal and scleral thinning. B scan demonstrated large choroidal and reti…

Iridocorneal Endothelial Syndrome

Type: Grand Rounds
Presenter(s): C. Maxwell Medert, MD
Faculty Discussant(s): Guillermo Amescua, MD
Iridocorneal Endothelial Syndrome (ICE) A 27-year-old woman presented for corneal evaluation with a history of secondary glaucoma. She was found to have iridocorneal endothelial syndrome (ICE). She underwent DSAEK, which failed after 13 months. Subsequent Type 1 Boston Keratoprosthesis was successf…

Nocardia Amikacinitolerans Corneal Ulcer

Type: Grand Rounds
Presenter(s): Benjamin J. Fowler, MD, PhD
Faculty Discussant(s): Anat Galor, MD, MSPH
Nocardia Amikacinitolerans Corneal Ulcer A 31-year-old male presented to the Bascom Palmer Eye Institute ER with six weeks of decreased vision in the right eye. Examination revealed 20/70 vision, a white and quiet eye, with a stromal corneal infiltrate and elevated IOP. The patient was treated with…

Nontuberculous Mycobacterium Keratitis

Type: Grand Rounds
Presenter(s): Angela Y. Zhu, MD, MBA
Faculty Discussant(s): Sonia H. Yoo, MD
Nontuberculous Mycobacterium Keratitis A 39-year-old Hispanic male presented to the Emergency Room with worsening blurry vision and pain in the left eye for 1 month after feeling something “fly into his eye” while cutting wood. Visual acuity was 20/40 on presentation with a small 1 x 1 mm multi…

Ocular Cicatricial Pemphigoid

Type: Grand Rounds
Presenter(s): Shruti Aggarwal, MBBS
Faculty Discussant(s): Guillermo Amescua, MD
Ocular Cicatricial Pemphigoid An 83-year-old monocular male presented to the Cornea division, Bascom Palmer Eye Institute with bilateral decreased vision, pain redness and burning for many years getting progressively worse. Examination revealed hand motion vision, ankyloblepharon and chronic cicatr…

Ocular Graft Versus Host Disease

Type: Grand Rounds
Presenter(s): David Wade Redick, MD
Faculty Discussant(s): Anat Galor, MD, MSPH
Ocular Graft Versus Host Disease A 39-year-old female with 6 months of eye itchiness and yellow discharge for 6 months. Pt has a history of acute lymphoblastic leukemia treated with allogenic bone marrow transplant. Pt diagnosed with ocular graft versus host disease. Pt had some improvement with lu…

Ocular Surface Squamous Neoplasia

Type: Grand Rounds
Presenter(s): Humberto Salazar, III, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH; Carol L. Karp, MD
Ocular Surface Squamous Neoplasia A 65-year-old male with history of suspected glaucoma, diabetes, hypertension, and hyperlipidemia presented for a routine eye exam. Patient reported spending a lot of time in the sun. Visual acuity was 20/20 and intraocular pressure was normal in both eyes. Exam re…