Ophthalmic Plastic

Courses tagged with "Ophthalmic Plastic"

Granular Cell Tumor

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Charissa Tan, BS
Faculty Discussant(s): Sander R. Dubovy, MD; David T. Tse, MD
Presenter/Faculty: Dubovy, Tan, Tse
Granular Cell Tumor A patient was referred by an outside ophthalmologist for evaluation. The patient reported having headaches, double vision, and eye bulging for 3 months. Her exam was notable for restricted extraocular movements in her left eye on abduction and adduction. Her slit lamp exam was n…

Giant Fornix Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline M. Borie, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Anat Galor, MD, MSPH; Carol L. Karp, MD
Presenter/Faculty: Borie, Dubovy, Galor, Karp
Giant Fornix Syndrome A patient with a past medical history of hematologic abnormalities undergoing workup for malignancy presented with chronic conjunctival hyperemia and a conjunctival lesion in the left eye. Slit lamp exam was notable for mild injection and irregular, bumpy conjunctiva. He under…

Silent Brain Syndrome

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Nathan Pirakitikulr, MD, PhD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Pirakitikulr, Tse
Silent Brain Syndrome A 34-year-old male presents for corneal evaluation with progressive decline in vision in both eyes associated with pain, redness and discharge. The patient’s past medical history is notable for a cerebellar cyst that was removed at age 21 and placement of a ventricular-atria…

Neurotrophic Keratitis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Elli Park, MD
Faculty Discussant(s): Andrew J. Rong, MD
Presenter/Faculty: Park, Rong
Neurotrophic Keratitis A patient presented to the Bascom Palmer Eye Institute’s emergency room with acute on chronic left eye pain. The history was notable for a left petroclival chondrosarcoma that had been resected with post-operative, left-sided cranial nerve 5, 6, 7 and 8 palsies. The patient…

Neurotrophic Corneal Ulcer

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Paula W. Feng, MD; Rahul Singh Tonk, MD
Presenter/Faculty: Feng, Tonk

The patient presented with a neurotrophic corneal ulcer and descemetocele. A lamellar keratectomy, corneal patch graft, amniotic membrane were applied. Preop and post-op-month 1, with amniotic membrane dissolved.

Lamellar Keratectomy, Corneal Patch Graft, Sutured Amniotic Membrane for Neurotrophic Corneal Ulcer with Descemetocele

Type: Surgical Videos
Include in Catalogue?: Yes
Original Contributor(s): Paula W. Feng, MD; Rahul Singh Tonk, MD
Presenter/Faculty: Feng, Tonk

Infectious Scleritis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Hannah Muniz Castro, MD
Faculty Discussant(s): Guillermo Amescua, MD; Carol L. Karp, MD; David T. Tse, MD
Presenter/Faculty: Amescua, Castro, Karp, Tse
Infectious Scleritis An elderly patient presented to BPEI with 7 days of decreased vision and pain in the left eye. Visual acuity was hand motion and exam revealed a localized area of scleral necrosis and suppuration. B scan showed a very small and shallow ciliochoroidal detachment. Cultures of the…

Corneal Neurotization

Type: Surgical Videos
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Elli Park, MD; Andrew J. Rong, MD
Presenter/Faculty: Amescua, Park, Rong

Conjunctival Amyloidosis

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Neel D. Pasricha, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Dubovy, Karp, Pasricha
Conjunctival Amyloidosis A 48-year-old male with no PMH or POH presented to clinic with painless ptosis OD>OS noticed by his wife for several months. Visual acuity was 20/25 in each eye with unremarkable ocular vitals. Large, yellow-pink, fleshy lesions were noted on the superior bulbar conjunct…

Cicatricial Conjunctivitis, Steven Johnson Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Victor H. Banda, MD
Presenter/Faculty: Amescua, Banda

A patient with bilateral cicatricial conjunctivitis changes secondary to Steven Johnson Syndrome. Slit lamp photo of both eyes with madarosis, distichiasis, trichiasis, lid margin keratinization. Right eye with partial ankyloblepharon with corneal exposure. Left eye with complete ankyloblepharon.

Bilateral Limbal Stem Cell Deficiency

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Piero Carletti, BS
Faculty Discussant(s): Guillermo Amescua, MD
Discussant(s): Victor L. Perez, MD
Presenter/Faculty: Amescua, Carletti, Perez
Bilateral Limbal Stem Cell Deficiency Ocular burns are ophthalmic emergencies that can lead to severe long-lasting visual morbidity and disability. The prognosis for visual recovery is largely determined by the degree of ocular tissue damage on initial presentation, especially the extent of limbal …

Subperiosteal Orbital Hematoma

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Benyam Kinde, MD, PhD
Faculty Discussant(s): Brian C. Tse, MD
Presenter/Faculty: Kinde, Tse
Subperiosteal Orbital Hematoma A patient with a history of chronic pansinusitis and absence of midline nasal cavity structures due to chronic inhalational cocaine usage, presents with acute onset left-sided proptosis. She was found to have a non-traumatic, spontaneous subperiosteal orbital hematoma…

Thyroid Associated Ophthalmopathy with Compressive Optic Neuropathy

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Naomi E. Gutkind, MD
Faculty Discussant(s): Thomas E. Johnson, MD; Byron L. Lam, MD
Presenter/Faculty: Gutkind, Johnson, Lam
Thyroid Associated Ophthalmopathy with Compressive Optic Neuropathy A patient presented for a second opinion after experiencing pain, proptosis, vision loss, and injection of his left eye for 2 years, with intermittent improvement on systemic steroids. Prior to presentation at our institution, the …

Carotid Cavernous Fistula with Ocular Ischemic Syndrome

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong
Slit lamp photo with dilated epi-scleral veins. Fundus photo with retinal hemorrhages. FA with severe non perfusion, leakage from the disc, and laser scars. MRI/MRA demonstrates left distal precavernous/proximal cavernous ICA fistula into the cavernous sinus with arterialized flow. There is resulta…

Grade 5 Papilledema From Idiopathic Intracranial Hypertension

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Presenter/Faculty: Patel, Rong

Increased intracranial pressure leading to bilateral optic nerve edema. Grade 5 is considered when all vessels are partially obscured by edema.

Idiopathic Intracranial Hypertension

Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Michelle M. Maeng, MD
Faculty Discussant(s): David T. Tse, MD
Presenter/Faculty: Maeng, Tse
Idiopathic Intracranial Hypertension A 39-year-old male presented to the BPEI ER with blurry vision in his right eye for 2 weeks. Examination revealed CF OD, 20/60 OS vision, right APD, and bilateral disc edema. OCT showed diffusely elevated RNFL thickness and HVF 30-2 was not able to be performed …

Squamous Cell Carcinoma of the Lacrimal Sac

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Juan S. Guerrero Rey, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Andrew J. Rong, MD
Presenter/Faculty: Dubovy, Rey, Rong
Squamous Cell Carcinoma of the Lacrimal Sac A patient presented to the emergency department for a history of tearing on the right eye and medial canthal mass. He had a history of chronic sinus pain for months, initial examination was notable for increased tear lake on the right eye, along with an i…

Acute Myeloid Leukemia

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Caroline M. Borie, MD
Faculty Discussant(s): Chris R. Alabiad, MD; Sander R. Dubovy, MD
Presenter/Faculty: Alabiad, Borie, Dubovy
Acute Myeloid Leukemia A previously healthy child presented with bilateral periorbital edema, right greater than left proptosis, with generalized facial swelling and copious nasal discharge, not improved on antibiotics. Imaging revealed multiple extraconal soft tissue masses in the orbits bilateral…

Kaposi Sarcoma of the Eyelid

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Benjamin Meyer, MD; Andrew J. Rong, MD
Presenter/Faculty: Meyer, Rong
This patient presented with 1 month of left eyelid swelling. MRI showed infiltration in the periorbital soft tissues. Absolute CD4 count was 27 and the diagnosis was made with immunohistochemistry positive for HHV8. The patient was started on HAART therapy, the local lesions were treated with nitro…

Orbital Rhabdomyosarcoma - Recurrence

Specialty: Ocular Oncology
Type: Online Grand Rounds
Include in Catalogue?: Yes
Presenter(s): Spencer C. Barrett, MD
Faculty Discussant(s): Sander R. Dubovy, MD; Thomas E. Johnson, MD
Presenter/Faculty: Barrett, Dubovy, Johnson
Orbital Rhabdomyosarcoma - Recurrence A young patient with notable past ocular history of orbital rhabdomyosarcoma, s/p chemotherapy with vincristine, dactinomycin, and cyclophosphamide, and proton beam radiation presented to Bascom Palmer ED with 2 days of blurry vision and “seeing everything gr…