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Sheet form of epithelial downgrowth.

Slit lamp photo post LASIK surgery 2 months prior showing patches of cellular material in the the cornea, worse inferiorly. The anterior segment OCT demonstrates the level of the ingrowth is in the interface of the flap.

Erdheim Chester Disease A 37-year-old male presented to clinic with bilateral conjunctival lesions for 7 months. Patient has a history of lytic bone lesions, 50-pound weight loss, and fevers. Examination revealed 20/20 vision in both eyes, mobile, discrete conjunctival lesions in bilateral bulbar c…

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. …

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…

The patient presented with corneal edema and descemet's folds. The patient noted that she was gardening, and the offending contact was likely euphorbia cyparissias plant sap.

FLACS - AK Associated Infectious Keratitis A 62-year-old female 6 weeks after FLACS - AK presented to BPEI- ED for ocular irritation, decreased vision, and photophobia. Her examination disclosed vision = 20/30, focal conjunctival hyperemia and a corneal stromal infiltrate located beneath a mid-peri…

Fuchs Endothelial Dystrophy A patient presents for cataract surgery evaluation with bilateral guttata and specular microscopy consistent with Fuchs endothelial dystrophy. Preoperative vision was 20/40 in the right eye with pachymetry of 595. Cataract surgery was uncomplicated, however postoperative…

Fungal Keratitis A 59-year-old female presented to the Bascom Palmer Eye Institute emergency room with a 7-day history of a red and painful eye, and loss of vision. The right eye exam demonstrated HM vision with a diffuse limbal-to-limbal cornea ulcer within a previous penetrating keratoplasty graf…

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…

Post penetrating keratoplasty for candida keratitis, this patient developed another foci of infection within the graft tissue. Stromal vascularization and edema can be seen indication failure of the graft.

Giant Fornix Syndrome A patient with a past medical history of hematologic abnormalities undergoing workup for malignancy presented with chronic conjunctival hyperemia and a conjunctival lesion in the left eye. Slit lamp exam was notable for mild injection and irregular, bumpy conjunctiva. He under…

Gonococcal Preseptal Cellulitis, Gonococcal Conjunctivitis A 21-year-old female presented to the hospital with 5 days of right eye redness, swelling, discharge and pain. Exam revealed VA OD 20/70, painful EOM and severe conjunctival chemosis and discharge, and eyelid swelling. CT scan revealed righ…

Case of granular dystrophy treated with penetrating keratoplasty.

Granular Corneal Dystrophy Type II A patient presented to the Bascom Palmer Cornea Clinic with progressively blurry vision in both eyes as well as worsening pain and irritation in both eyes. She had a family history of corneal problems. Her visual acuity was 20/100 in the right eye and 5/200 in the…

Granular Corneal Dystrophy Type II A patient presented to the Bascom Palmer General Eye Care Clinic with a progressive decline in her vision in both eyes. The patient was found to have bilateral corneal opacities extending throughout the deep stroma. She underwent genetic testing which confirmed th…

Granulomatosis with Polyangiitis This presentation describes a case of granulomatosis with polyangiitis in which ocular disease (scleritis) led to the diagnosis. The patient subsequently developed scleral melt with uveal show, requiring a multidisciplinary approach with Rheumatology to escalate imm…

High Myopia A patient presented to BPEI for laser vision correction. Manifest refraction revealed high myopia with spherical equivalent -9.75 diopters in both eyes. Anterior and posterior segment exam were normal. Tomography imaging showed minimal astigmatism, pachymetry of 557 OD and 566 OS, and n…