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Consensus Diagnoses Twenty-fourth Annual Midwest Ocular Angiography Conference (MOAC) Fairmont Le Chateau Frontenac Quebec City, Canada August 1-4, 2012 Thursday, August 1, 2012 Case 01. 02. 03. 04. 05. 06 Presenter Mieler Sarraf Shields J Yannuzzi Maguire Freund Case 1 1 AA 1 1 1 07. Goldbaum 1 08. 09. 10. 11. 12. 13. 14. Gao Agarwal Folk Chow Schwartz S Abrams Shields C IL 1 1 RH 1 1 1 15. 16. 17. 18. 19. 20. 21. Jampol Malinowski Daily Abramson Dhaliwal Mein Miller J 1 SM 1 1 1 1 1 22. Bhavsar WC 23. 24. Eagle Ryan 1 1 25. 26. Rodriguez Berger B 1 1 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. Shah Benevento Dev Schefler Ferrara Cherney Berger A Nielsen Anderson-Nelson Mittra Brown Cunha de Souza 1 1 MK 1 1 SC 1 1 1 1 JH, BH 1 Diagnosis Varix of vortex vein ampulla Argyrosis VHL (with endolymphatic sac tumor) Ophthalmomyiasis Topiramate-induced serous detachment Neurofibromatosis I with choroidal abnormalities Geographic atrophy from iron toxicity versus deferrioxamine Occult macular dystrophy Tuberculous serpiginous choroiditis Chronic myelogenous leukemia (CML) Nodular posterior scleritis Alport Syndrome Ocular syphilis Pheochromocytoma, Purtscher retinopathy, tuberous sclerosis (3 cases) possible heat shock protein 90 toxicity Scalp rash s/p bevacizumab injection Vogt Koyanagi Harada (VKH) syndrome Mesothelioma/uveal melanoma (BAP1) Williams Syndrome Retinal folds after RD repair (PPV) Unilateral acute idiopathic maculopathy (UAIM) Paraneoplastic syndrome versus autoimmune retinopathy Endogenous Nocardia endophthalmitis Vogt Koyanagi Harada (VKH) disease versus central serous choroidopathy versus posterior scleritis Polypoidal choroidal vasculopathy Myelinated nerve fiber layer associated vascular abnormalities Waldenstrom macroglobinemia Polymorphous vitelliform maculopathy ? Virus related inflammation Unilateral BDUMP versus uveal effusion Peripapillary choroidal cavitation ? Poppers toxicity (alkyl nitrite inhalation) Hydroxychloroquine maculopathy Retinal dark without pressure Hydroxychloroquine maculopathy Acute macular neuroretinopathy (AMN) Stargardt’s disease Multiple evanescent white dot syndrome (MEWDS) Friday, August 2, 2012 Case Presenter 39 Wong 40. Leiderman Case EM 1 41. 42. Tang Wu 1 1 43. 44. 45. Crofts Kimura Bennett SM 1 1 46. 47. 48. 49. 50. 51. 52. 53. Kertes Arend Batlle Pearlman Dugel Gieser R Lange Mason 1 1 1 VC 1 1 1 1 54. 55. 56. 57 58. Li Harris Schubert Robinson Weidenthal TN MHT 1 1 1 59. 60. Arun Choudhry 1 1 61. 62. 63. 64. 65 66. 67. 68. Gallagher Abdelsalam Freund Abramson Brown Sarraf Yannuzzi Mittra 1 1 2 2 AG 2 2 2 69. 70. Miller J Cherney 2 3 71. 72. 73. 74. 75. Chacko Wong Goldbaum Rodriguez Abrams 1 SH 2 2 2 76. Daily 2 Diagnosis Central serous choroidopathy and PDT Duchenne muscular dystrophy with severe proliferative retinopathy Topiramate toxicity Possible Paulinia cupana toxicity versus idiopathic unilateral retinal hemorrhage Cotton wool spot-(? Lyme disease) Uveal melanoma (genetic profiling) Uveal melanoma in phakomatosis pigmentovascularis IIa Juvenile X-linked retinoschisis (JXR) X-linked retinoschsis with X-inactivation Coats disease with macular exudates Nicotinic acid maculopathy Leukocytoclastic vasculitis Peripapillary hemangioblastoma Crohn disease related vasculitis/NV Central serous choroidopathy developing in patient on ranibizumab for DME Vogt Koyanagi Harada (VKH) disease (Not presented) Retinochoroiditis juxtapapillaris (AZOOR) Juxtapapillary CNV (AMD) CME (possible Best disease) responding to oral acetazolamide) AMD/PED responding to aflibercept Central serous choroidopathy (secondary to Cushing’s syndrome) Progressive subretinal fibrosis Lightly pigmented uveal melanoma Acute macular neuroretinopathy (AMN) Metastatic ocular neuroblastoma ? Bilateral optic nerve hemangioblastoma Acute macular neuroretinopathy (AMN) Enhanced S-cone syndrome Central seros choroidopathy versus unilateral Vogt Koyanagi Harada disease Persistent placoid maculopathy Peripapillary fibrosis, ocular histoplasmosis, pseudotumor cerebri Possible optic neuropathy (Not presented) Uveal melanoma with uveal effusion Ocular toxoplasmosis related RD/CNV Sickle cell related vascular occlusion following oral acetazolamide Punctate inner choroidopathy (PIC) in patient with pituitary adenoma Saturday, August 3, 2011 Case Presenter 77. Mieler Case MS 78. Mein 2 79. 80. 81. 82. Folk Agarwal Berger A Cherney 2 2 2 2 83. Shields J 2 84. Anderson-Nelson 2 85. 86. Schwartz S Ryan 2 VN 87. 88. Shields C Cunha de Souza 2 2 89. 90. Eagle Maguire 2 2 91. Jampol 2 92. 93. Gao Bhavsar 2 FH 94. 95. 96 97. Schlefler Benevento Tang Malinowski 2 2 2 PD 98. 99. 100. Dev Berger B Nielsen DZ AG 2 101. 102 103. Ferrara Dhaliwal Chow 2 2 2 104. Yannuzzi 3 105 106 107. 108. 109. 110. Freund Sarraf Miller J Wong Mieler Lange 3 3 3 3 SD 2 Diagnosis Multifocal astrocytic hamartomas in tuberous sclerosis complex (TSC) Chronic central serous choroidopathy with CNV (treated with PDT) Herpes zoster/ retinitis Talc retinopathy in “COPD patient” Antiphospholipid syndrome Branch retinal artery occlusion (BRAO) with migrating embolus Tuberous sclerosis complex (TSC) with invasive giant cell astrocytoma Central retinal artery occlusion (CRAO) with Nettleship collaterals Angioid streaks with secondary CNV Chronic central serous choroidopathy with persistent subretinal fluid FEVR with LRP5 mutation Retinal pigment epitheliitis associated with central serous choroidopathy Giant cell ateritis/angiitis Facioscapulohumeral dystrophy (FSHD) with retinal macroaneurysm DME resolved with improved blood sugar control Adult vitelliform macular dystrophy Pseudoxanthoma elasticum with angioid streaks and macular scars ? Optic nerve hemangioblastoma Topiramate-induced choroidal effusion SUSAC syndrome Ocular and pulmonary histoplasmosis (with pulmonary histopathology) Macular telangiectasis with macular hole Retinal phlebitis, MS, optic neuritis Pigmented paravenous chorioretinal atrophy Multifocal choroiditis with PCV Unilateral placoid lesion in TB patient Peripheral non-perfusion/TRD, optic nerve hypoplasia Acute zonal occult outer retinopathy (AZOOR) Infectious endocarditis Long-term quinine toxicity Relentless placoid chorioretinitis AMD with CR scar/new heme/choroidal Malattia leventinese (dominant drusen) Management of optic nerve pit