Sabrina Khalil MD

Ophthalmology Resident Eye Nerd 👁🔪 @USFHealth @USFBulls_eye #USF #OphthoTwitter #Ophtho #MedEd

[Sabrina Khalil MD @SabrinaKhalil]

In the absence of trauma, Purtscher-Like retinopathy occurs and is associated with a TON of things but most HY are acute pancreatitis, pancreatic adenocarcinoma, renal 🫘failure, preeclampsia/HELLP Syndrome & 👶🏽 childbirth, and fat embolism syndrome, among others. #eyetwitter

[Sabrina Khalil MD @SabrinaKhalil]

Purtscher Retinopathy: A chorioretinopathy associated w indirect/nonocular trauma 🩹 (crush injury, chest compressions) characterized by decreased vision, CWS, optic disc edema, retinal heme🩸(though usually minimal), & purtscher-flecken. #eye #ophtho #meded #ophthotwitter

[Sabrina Khalil MD @SabrinaKhalil]

Prominent corkscrew 🔩conjunctival vessels in a patient progressive redness, proptosis, EOM restriction, and vision loss. Classic 👁️ manifestations of this patient’s undiagnosed carotid cavernous sinus fistula 🧠 #eye #eyetwitter #ophtho #ophthotwitter #meded #neurotwitter #neuro

[Sabrina Khalil MD @SabrinaKhalil]

Got to use the rare 🌎 earth magnet to take out a 5mm 👁️ intraocular metallic foreign body!! #ophtho #retina #eye #trauma #ophthotwitter #eyeball #eyemd #ophthalmology #globe #surgery #eyesurgeon #globecall #traumacall #meded

[Sabrina Khalil MD @SabrinaKhalil]

So proud of my sister 😭

[Sabrina Khalil MD @SabrinaKhalil]

👁️ Ocular signs:
Peau d'orange: diffuse mottling of the RPE
Angioid streaks: brownish gray lines that radiate out from the optic nerve & surround it concentrically
CNV: A major complication of angioid streaks
#meded #medtwitter #eyetwitter #eye #ophtho #ophthotwitter #eyemd

[Sabrina Khalil MD @SabrinaKhalil]

Pseudoxanthoma elasticum (PXE) is a rare genetic disease characterized by elastorrhexia, or progressive calcification & fragmentation, of elastic fibers primarily the dermis of skin, Bruch's membrane of the 👁️, & 🩸blood vessels. Rarely, can cause GI bleeds & 🧠 ischemia. #ophtho

[Sabrina Khalil MD @SabrinaKhalil]

This condition is autosomal recessive and affects the ABC6 🧬 gene, which encodes an ATP-binding cassette transporter protein localized to the mitochondria-associated membrane (MAM).

The average age of onset is 13 years and it is more common in Afrikaners.

#meded #ophtho #eyemd

[Sabrina Khalil MD @SabrinaKhalil]

It is usually unilateral and first noticed in the 👶🏽 neonatal period. It may be associated with microphthalmos, cataracts, and increased intraocular pressure.

#eyewiki #ophtho #ophthotwitter #meded #medtwitter #nicu #rop #prematurity #neonatal #ophthalmology

[Sabrina Khalil MD @SabrinaKhalil]

My attempt at showing you tunica vasculosa lentis (TVL) w a portable 🔬slit lamp in a premature baby in the NICU. TVL is the 🩸vascular network that supplies the 📸 lens during 🤰🏽 fetal development & regresses by term.
It can be persistent, especially in pre-term babies. #ophtho

[Sabrina Khalil MD @SabrinaKhalil]

The combination of Axenfeld anomaly and Reiger syndrome is known collectively as Axenfeld-Rieger syndrome. #eyes #ophthotwitter #ophthalmology #meded #medtwitter #glaucoma

[Sabrina Khalil MD @SabrinaKhalil]

Posterior Embryotoxon aka Axenfeld anomaly. This refers to displacement of Schwalbe’s line anterior to the limbus in the 👁️ cornea. #ophthalmology #ophtho #ophthotwitter #meded #medtwitter #glaucoma #eyes #optometry #yo

[Sabrina Khalil MD @SabrinaKhalil]

Rieger anomaly (congenital iris abnormalities eg iris hypoplasia, correctopia & polycoria) associated with systemic findings, such as 🦷 dental, facial 🦴bone defects including maxillary hypoplasia, umbilical abnormalities, or 🧠pituitary involvement is known as Rieger syndrome.

[Sabrina Khalil MD @SabrinaKhalil]

Early on, you can see epi defects & anterior stromal infiltrates. Later signs include the classic ringed stromal infiltrate & radial perineuritis. 🔬 Confocal imaging shows hyper-reflective double walled cysts. Treat with biguanides! #eyes #meded #ophtho #eyetwitter #IDTwitter

[Sabrina Khalil MD @SabrinaKhalil]

🚨🦠 Parasite in the Eye 👁️🚨
Acanthamoeba keratitis is a rare CL associated infection. Found in 💦 pools, 🛁hot tubs, 🚿tap & shower water, & CL solution.
Typical history is pain out of proportion to exam due to its perineuritis.
#parasite #ophtho #eyes #ophthotwitter #meded

[USFBulls_Eye @Usfbulls_eye]

Our second years at the Alcon Cataract Simulation Experience 👁️🔪
#alcon #alconlife #cataract #youngophthalmology #YO #residency #surgery #meded #medsurg

[Sabrina Khalil MD @SabrinaKhalil]

Haab striae on retro illumination. Stretching of the cornea in primary 👶🏽 congenital glaucoma = curvilinear breaks in Descemet's membrane. They are typically oriented horizontally or concentric to the limbus #ophtho #eyes #eyetwitter #ophthotwitter #ophthalmology #meded #yo #doc

[Sabrina Khalil MD @SabrinaKhalil]

It is thought to result from an imbalance of angiogenic factors. It can spontaneously regress or resolve with topical steroids. If unresponsive, can try cautery or excision 🔪. #eye #ophtho #ophthotwitter #meded #ophthoed

[Sabrina Khalil MD @SabrinaKhalil]

Conjunctival pyogenic granuloma after pterygium removal. This is a benign vascular lesion that is flesh colored & often pedunculated. It is associated with trauma (surgery), Sturge-Weber, pregnancy, & some meds 💊 (anti-retrovirals, anti-neoplastics, retinoids). #eye #eyetwitter

[Sabrina Khalil MD @SabrinaKhalil]

So grateful for the opportunity to meet and learn from so many inspirational women in ophthalmology! Can’t wait for next one! @WIO_WomenInOpht

[USFBulls_Eye @Usfbulls_eye]

Women in Ophthalmology Summer Symposium 2022!
@WIO_WomenInOpht #WIO2022