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Acanthamoeba Keratitis A patient presented to the BPEI emergency room with left eye redness and pain for 2 weeks. He had been diagnosed with HSV keratitis by an outside provider but had no improvement on valacyclovir. The vision was 20/20 in the right eye and 20/60 in the left eye, and intraocular …

White linear radial stromal haze caused by infiltration and inflammation of the corneal nerves by the amoeba.

A patient with acquired corneal subepithelial hypertrophy (ACSH) following history of penetrating keratoplasty. Slit lamp photo of the right eye is most notable for a temporal area of white, crescent-shaped, elevated corneal opacity.

Alternaria Keratitis A patient with a history of a failed DMEK who required a DSAEK, was referred to the BPEI's cornea department after a 1-month history of culture-confirmed Alternaria keratitis that developed after the DSAEK. The ulcer progressed despite topical and systemic antifungal treatment.…

The bee stinger seen in the cornea has remained stable for many years and not affected the vision or required removal.

Bilateral Limbal Stem Cell Deficiency Ocular burns are ophthalmic emergencies that can lead to severe long-lasting visual morbidity and disability. The prognosis for visual recovery is largely determined by the degree of ocular tissue damage on initial presentation, especially the extent of limbal …

Choroidal Folds Related to Multiple Myeloma Recurrence A patient with a prior diagnosis of Fuchs endothelial dystrophy and a past medical history including renal amyloidosis previously treated with chemotherapy presented to the outpatient ophthalmology clinic for routine follow-up. Examination disc…

A patient with bilateral cicatricial conjunctivitis changes secondary to Steven Johnson Syndrome. Slit lamp photo of both eyes with madarosis, distichiasis, trichiasis, lid margin keratinization. Right eye with partial ankyloblepharon with corneal exposure. Left eye with complete ankyloblepharon.

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…

Congenital Hereditary Endothelial Dystrophy A young patient presented with progressive “eye color changes” noted for at least 2 years. Her parents also noted increasing photophobia and her eyes turning inwards for extended periods of time. Her exam was notable for best corrected visual acuity o…

In this module, we will look at:




Conjunctiva


Sclera

Conjunctival Amyloidosis A 48-year-old male with no PMH or POH presented to clinic with painless ptosis OD>OS noticed by his wife for several months. Visual acuity was 20/25 in each eye with unremarkable ocular vitals. Large, yellow-pink, fleshy lesions were noted on the superior bulbar conjunct…

Conjunctival Lymphoma A patient presented to the Bascom Palmer Emergency Room with a complaint of a drooping right eyelid that had been slowly progressive over 9 months. Her vision was 20/25 OD and 20/20 OS. Intraocular pressures were 17 OD and 15 OS. External exam was notable for mild right eye pt…

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…