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Pseudophakic bullous keratopathy.

Pseudophakic Bullous Keratopathy with Prior Descemet Membrane Tears due to Forceps Trauma A patient with a history of forceps trauma at birth and amblyopia of the left eye who presents with persistent corneal edema 1 year after uncomplicated cataract surgery. Initial visual acuity was 20/200, intra…

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…

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…

A patient presented with complaint of red eyes and was diagnosed with viral conjunctivitis. He was treated symptomatically and returned with decreased visual acuity and diffuse subepithelial infiltrates in the previously-infected eye (see photo and OCT). After successful treatment with topical cort…

Residual Ametropia, Symptomatic Higher Order Aberration A patient who presents for refractive surgery evaluation. They were noted to have no ocular pathology and was deemed a good refractive surgical candidate. Patient underwent uncomplicated bilateral laser in situ keratomileusis, however the pati…

Smooth Muscle Hamartoma Our patient presented due to a one-year history of a slowly growing conjunctival lesion. A large, red, non-tender lesion of the right bulbar conjunctiva was identified on examination. It did not improve after several weeks of medical management with steroids. He had no previ…

Stickler Syndrome This presentation describes a teenage patient who presented with bilateral retinal detachments. He has a strong family history of Stickler Syndrome. Additionally, there is a family history of multiple types of cancers, specifically GI cancers. The patient underwent an exam under a…

Patient with history of multiple retinal detachments with a phthisis eye. The crystalline lens is noted to have migrated external to the sclera and subconjunctivally.

Subconjunctival Dirofilariasis A patient presents with one week of left eye redness and irritation. There was no inciting event or trauma. At presentation, his vision was 20/20 in both eyes, intraocular pressure within normal limits, and pupils equal and reactive bilaterally without afferent pupill…

Subepithelial Infiltrates Secondary Due to Epidemic Keratoconjunctivitis An adult patient presented to the Bascom Palmer Emergency Room with complaint of red eyes and was diagnosed with viral conjunctivitis. He was treated symptomatically and returned with decreased visual acuity and diffuse subepi…

Systemic Lupus Erythematous Associated Anterior Scleritis and Uveitis A patient with a past medical history of ITP presented with recurrent episodes of red, painful eyes. Slit lamp exam was notable for sectoral injection without nodules that was tender to palpation and did not completely blanch wit…

Terrien Marginal Degeneration Our patient presented with progressive decreased vision in the left eye and was found to have significant thinning of the inferior cornea associated with corneal neovascularization and lipid deposition, which was worse in the left than the right eye. Inflammatory lab w…

A patient presented with blurred vision in the left eye. Examination showed corneal neovascularization and lipid deposition inferiorly. Anterior segment OCT revealed significant corneal stromal thinning with descemetocele. Treatment was with a with an optical penetrating keratoplasty with corrected…

Traumatic Iris Tear A patient presented to the ER with traumatic cataract, blown pupil, and hyphema. During follow up, noted to have a cyclodialysis cleft with subsequent closure and elevation in intra-ocular pressure. The patient failed medical management of the elevated pressure. The patient requ…