Corneal and External Diseases

Fusarium Keratitis A patient with no pertinent ocular history presented with 3 months of pain, redness, and blurred vision in the right eye. Visual acuity was HM and slit lamp exam was remarkable for a central infiltrate with feathery irregular margins, significant injection, and a small hypopyon. …

Keratoconus A patient presented with advanced keratoconus who is not tolerating contact lenses to improve BCVA of 20/100. Given absence of scarring and young age, corneal transplant such as DALK or PKP were not our first option. Instead, we treated the patient with corneal tissue addition keratopla…

Secondary Corneal Amyloidosis A patient with a past ocular history of HSV keratitis and chalazia s/p biopsy presented with severe light sensitivity and intermittent ocular redness and discomfort in OS with symptoms present for ~ 10-15 years. The slit lamp exam was notable for an elevated, gelatinou…

Central corneal scar.

Diabetes Managed with Anterior Chamber Islet Cell Transplant A patient with past medical history of uncontrolled diabetes and open globe injury of the right eye presents with blurred vision in her left eye. She had LP vision in her right eye. Her examination demonstrated changes consistent with pri…

Slit lamp photograph and Anterior Segment OCT in the peripheral and central cornea in a patient with Keratoconus after undergoing corneal tissue addition keratoplasty.

Ocular Surface Neoplasia A patient presented to the clinic with progressive white corneal opacity, otherwise no past medical history. Ant seg OCT performed and lesion identified as ocular surface neoplasm. The patient was treated with cycles of topical 5FU with near total response. Advancements in …

Radial Keratotomy Associated Corneal Ulcer A middle-aged patient with a history of radial keratotomy in both eyes presented with 3 days of pain, redness, and blurred vision in the right eye. Visual acuity was 20/80 and slit lamp exam was remarkable for a stromal infiltrate with overlying epithelial…

Corneal Edema and Secondary Angle Closure Glaucoma Due to Cosmetic Iris Implants Cosmetic iris implants have gained significant popularity in the media in the past 20 years. Despite their appeal to thousands of individuals across the globe, these implants have vision-threatening consequences. This …

A patient with Fuchs' Endothelial corneal dystrophy. Slit lamp photos with retroillumination demonstrate corneal guttate.

A patient with no past medical history and a past ocular history of five prior pterygium removal surgeries presented to the Bascom Palmer Emergency Room for pain and irritation in his right eye for 1 week. He endorsed working construction just prior to symptom onset, but denied any trauma to the ey…

Nocardia Bacterial Keratitis A patient presented to the Bascom Palmer Emergency Room with 2 weeks of red painful eye. On exam, he was found to have a patchy white stromal infiltrate suspicious for bacterial or fungal keratitis. Fortified antibiotics were started, and a culture was drawn. Ultimately…

Primary Localized Conjunctival Amyloidosis A patient with a few years of intermittent left eye redness and left eyelid drooping. He has no significant past ocular or past medical history. Exam reveals intact visual acuity, normal pupils, intraocular pressure, extraocular motility, and confrontation…

Infectious Necrotizing Scleritis A patient with no past medical history and a past ocular history of five prior pterygium removal surgeries (three in the right eye and two in the left eye, most recently seven years ago in the right eye), presented to the Bascom Palmer Emergency Room for pain and ir…

Conjunctival Melanoma Treated with Systemic Checkpoint Inhibitors A patient with past medical history of basal cell carcinoma and metastatic scalp melanoma presents with an enlarging pigmented lesion of his left conjunctiva. His vision was intact in both eyes with normal intraocular pressures. Exam…

Pseudophakic bullous keratopathy.

Pseudophakic Bullous Keratopathy, Corneal Edema A patient with a history of penetrating keratoplasty of both eyes, Fuchs endothelial cell dystrophy in both eyes and herpes simplex keratitis of the left eye presented with decreased vision in the right eye over the past several months. Slit lamp exam…