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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…

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…

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…

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…

DSEK Interface Keratitis due to Candida We present a case report of a patient with a history of DSEK 14 months ago, who presented to our clinic with late onset interface keratitis. Confocal microscopy revealed spores, suggestive of Candida. Patient failed medical therapy with intrastromal injection…

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…

Pseudophakic bullous keratopathy.

Cicatrizing Conjunctivitis Secondary to Mycobacterium Tuberculosis A patient presented to the Bascom Palmer ER with chronic irritation in his right eye for 3 months. He was referred by an outside provider for possible ocular malignancy. The patient was found to have temporal symblepharon and inferi…

Pressure-Induced Stromal Keratopathy (PISK) and Corneal Scarring After Infectious Keratitis A patient presented with eye pain and decreased vision in the left eye after having LASIK in both eyes. She was found to have an interface infectious keratitis that required re-lifting of the LASIK flap twic…

Post LASIK infectious keratitis and pressure-induced stromal keratopathy.

Fungal Keratitis A patient with a history of corneal ulcer presents for a second opinion due to slow clinical improvement on topical medications. Cultures were negative, but biopsy showed numerous fungal elements. The patient was continued on topical antifungal medication and showed clinical improv…

Orthokeratology Lens Related Keratitis A myopic patient with daily orthokeratology lens use presented for eye pain and decrease in vision of both eyes for one week. Patient had no changes in his normal use of lenses. On examination, patient demonstrated findings concerning for an infectious keratit…

Nontuberculous Mycobacterial Keratitis A patient with past ocular history of uncomplicated pterygium surgery develops mycobacterial keratitis which progresses to a descemetocele. After worsening on topical antibiotics to the point of nearly perforating, the patient undergoes rose-Bengal photodynami…

Essential Iris Atrophy A patient presented to clinic as a referral due to uncontrolled elevated intraocular pressure in the right eye. The patient was on brimonidine, timolol/dorzolamide, and latanoprost in the right eye only. The patient denied a history of previous trauma or intraocular surgery. …

Iris Pigment Epithelial Cysts A patient with a history of amblyopia and coloboma presented with decreased vision in both eyes over the past 2 years. Slit lamp exam was notable for pigmented lesions prolapsing through pupil and adhering to posterior cornea in both eyes. The patient sought surgical i…

Photos of a patient with unilateral elevated intraocular pressure, iris atrophy resulting in polycoria and corectopia, "beaton bronze" corneal appearance, and peripheral anterior synechiae consistent with Essential/Progressive Iris Atrophy, one of the variants of Iridocorneal Endothelial (ICE) Synd…

Iris cyst of right and left eye.

Post-LASIK Infectious Keratitis A healthy patient with prior history of LASIK OU presents with acute-onset decreased vision and eye pain in the left eye. On presentation, patient’s exam was notable for visual acuity of 20/20 in the right eye and 20/60 in the left eye. Intraocular pressure was 11 …