Pupil Pod

Ogul Uner, MD, invites Arsham Sheybani, MD, to review a case of lens-induced glaucoma in an 82-year-old woman who presents with pain, redness, and blurry vision in her left eye. Visual acuity is hand motion, IOP is 48 mm Hg, and an examination revealed a deep anterior chamber with 3+ cells and white particles and a dense, hypermature cataract. Gonioscopy showed an open angle and intact lens capsule. Dr. Sheybani shares his thoughts on the case and describes the presentations of secondary angle-closure and open-angle glaucomas, including phacomorphic, phacoantigenic, and phacolytic glaucomas. He covers differentiating from primary angle-closure and open-angle mechanisms and how to proceed with surgical treatment.

Maura Di Nicola, MD, joins Ogul Uner, MD, to talk about white dot syndromes, a group of inflammatory chorioretinopathies. They begin with a case of a 32-year-old woman who presents with blurry vision in the right eye for 2 weeks, with new onset floaters with mild pain and photophobia. Examination showed 2+ vitreous cells and multiple yellow-white chorioretinal lesions in both eyes. Dr. Di Nicola shares what questions to ask about the patient’s history and what factors to consider when forming a differential diagnosis. Drs. Uner and Di Nicola further discuss the signs of multifocal choroiditis, distinguishing between different presentations of white dot syndrome, and what can be learned from multimodal imaging.

Ogul Uner, MD, invites Amina Malik, MD, to review a case of suspected thyroid eye disease (TED) in a 44-year-old female patient who presents with eye redness and diplopia. The patient reported no recent illnesses or medications, and external examination showed upper eyelid retraction, edema, erythema, and mild chemosis. Dr. Malik shares her initial thoughts on the case and describes the diagnostic features and most common clinical signs of TED. She also reviews treatment approaches for the acute and chronic forms of the disease.

Erick Rivera Grana, MD, meets with host Ogul Uner, MD, to review a case of a 34-year-old woman who experienced blurred vision and mild discomfort in her right eye with an IOP of 38 mm Hg. The patient also presented with conjunctival injection and posterior synechiae. Dr. Rivera Grana describes his diagnostic approach to this case and explains the management of uveitic ocular hypertension and uveitic glaucoma.

Neuro-ophthalmologist Amanda Redfern, MD, joins host Ogul Uner, MD, to review a case in which a 70-year-old woman experienced intermittent visual disturbances and headaches. Examination revealed a relative afferent pupillary defect and optic disc inflammation. Dr. Redfern explains her initial diagnosis of arteritic anterior ischemic optic neuropathy (AAION) and outlines the typical demographics of patients who present with AAION.