Bascom Palmer Learn

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cill…

Nuclear 3rd CN Palsy with Vertical Gaze Palsy A patient with significant vasculopathy risk factors (DM, HTN, dyslipidemia), had a stroke affecting the right thalamus, midbrain, and right cerebellum due to basilar artery occlusion. He had a successful mechanical thrombectomy with a stent retriever a…

Idiopathic Intracranial Hypertension A patient with slow and progressive, painless, visual decline OD for two weeks presents to BPEI ED. She also notes moderate intensity full-day headaches and TVOs in the same time period. She saw an outside provider and was referred to BPEI ED for optic nerve hea…

Myotonic Dystrophy Associated Cataracts We present a case series of two siblings with myotonic dystrophy and cataract with different degrees of zonulopathies. Myotonic dystrophy usually presents with early onset cataracts. We showcase the challenges of doing surgery on patients with advanced myopat…

Postoperative Endophthalmitis An elderly patient with past medical history of quiescent birdshot chorioretinopathy on immunosuppressive therapy underwent uneventful cataract surgery in the right eye followed by intracameral injection of moxifloxacin at the end of the case. On postoperative day 4, t…

Elevated Intraocular Pressure After Phakic Posterior Chamber Intraocular Lens Placement A patient with a history of high myopia and contact lens intolerance underwent uncomplicated placement of phakic posterior chamber intraocular lenses in both eyes. She was started on a postoperative tapering cou…

A 6-week old patient presented with persistent fetal vasculature leading to a loss of red reflex due to a congenital cataract. UBM showed an anteriorly rotated ciliary body with a thickened retrolental membrane and a spherically shaped lens. Ultrasound showed a membrane from the optic disc with red…

Black Cataract A patient with no past ocular history presented with painless vision loss to HM in the left eye over last 6 weeks. The patient had poor, chronically declining visual acuity in that eye for years but did not have access to care. Slit lamp exam was notable for a dense, black cataract i…

Ocular Cicatricial Pemphigoid A patient with a past medical history significant for biopsy-proven ocular cicatricial pemphigoid (OCP) was referred for cataract evaluation in the right eye. At presentation, her vision in the right eye was hand motion, and she had been off systemic immunosuppression …

Iris cyst

Intraoperative Fluid Deviation Syndrome A patient underwent routine cataract surgery one month after uncomplicated cataract extraction and intraocular lens implantation of the contralateral eye. Intraoperatively, during the hydrodissection step of cataract extraction, the anterior chamber shallowed…

Post RK Hyperopia A patient with a history of 16-cut radial keratotomy presented with significant hyperopia, an epiretinal membrane, and cataract in the right eye. Corneal topography was notable for significant central flattening and irregular astigmatism in both eyes. He underwent cataract surgery…

An otherwise asymptomatic 82-year-old patient with uncorrected visual acuity of 20/25 at distance presents for a routine eye exam in clinic.

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…

A well-positioned ACIOL with superior nasal iridotomy.

Traumatic anterior dislocation of crystalline lens with Descemet’s folds in the cornea. The patient was treated with lensectomy and vitrectomy. Due to the high myopia, there was no need for secondary intraocular lens or contact lens. The final vision uncorrected visual acuity was 20/30 aphakic.