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Long Anterior Zonules and Pigment Dispersion Syndrome-Variant A patient was referred for cataract evaluation with decreased vision in the right eye. The patient had a past ocular history of cataracts of both eyes, corneal scar of the right eye, and intermittent subretinal fluid in the right eye not…

A patient who had been previously treated with retinal photocoagulation for severe retinopathy of prematurity. Ultrasound biomicroscopy revealed nearly spherical, thickened lens with complete angle closure. Fundus photography with diffuse chorioretinal scars consistent with previous photocoagulatio…

Phacomorphic Glaucoma and Anterior Lens Capsule Rupture After Laser Peripheral Iridotomy Patient with a history of multiple retinal detachments status post repair and brunescent cataract was seen at outside eye clinic with elevated intraocular pressure, eye pain and decreased vision. Vision was rep…

Pachyphakia, Microcornea, and Angle Closure A patient presented for right eyelid drooping and redness. The patient had a remote history of retinopathy of prematurity (ROP) which had been treated with extensive retinal laser ablation as a neonate. The patient was found to have pachyphakia, microcorn…

Elevated Intraocular Pressure After Phakic Posterior Chamber Intraocular Lens Placement A patient with a history of high myopia and contact lens intolerance underwent uncomplicated placement of phakic posterior chamber intraocular lenses in both eyes. She was started on a postoperative tapering cou…

Iris cyst

A patient with a history of pseudophakia OS presented with 5 years of low vision and 9 days of pain OD and was found to have light perception only vision and an IOP of 44mmHg OD. She had a granular appearing hypopyon in the anterior chamber corneal edema and a mature cataract. Immunohistological an…

Proliferative Sickle Retinopathy A 3-year-old female was referred to BPEI for treatment of congenital cataracts. After bilateral lensectomy and vitrectomy, the patient was noted to have elevated intraocular pressure. She underwent placement of BGI and was incidentally found to have vitreous hemorrh…

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 …

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…

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. …

A patient with bilateral corneal edema and elevated intraocular pressure due to cosmetic iris implants. Slit lamp photos showing left worse than right corneal edema, with distortion of native iris behind the implant. High resolution ultrasound biomicroscopy showing iris implant resting in the angle…

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…

Iridocorneal Endothelial (ICE) Syndrome, Cogan-Reese/Iris Nevus Syndrome Subtype with Secondary Angle Closure Glaucoma A patient presented with a 3-day history of unilateral worsening eye pain, blurry vision and irregular pupil in the right eye. Found to have elevated IOP at an outside facility and…

Slit lamp examination discloses corneal endothelial irregularity, trace MCCE, iridocorneal touch with high PAS at 1:00, 3:00, 6:00 and 9:30, pigmented nodules, and correctopia in the right eye.

Cosmetic Iris Implant A patient presented for bilateral blurred vision and eye pain of 3 days duration. The patient had previously undergone bilateral LASIK and cosmetic iris implantation. He was found to have decreased vision of 20/800 on the right eye and could see the 20/200 E when held at his f…

Corneal Decompensation Corneal decompensation in the setting of glaucoma surgery is a complex entity that is poorly understood. Endothelial cell loss occurs from both the glaucoma itself and from the placement of intraocular glaucoma devices. This decline in endothelial cells occurs via direct and …