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Post LASIK infectious keratitis and pressure-induced stromal keratopathy.

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…

Persistent Pupillary Membrane, Complete Coloboma A pediatric patient was referred for iris abnormalities. Initial BCVA was 20/60 and 20/70 and exam showed dense central pupillary membranes and complete colobomas. Given obscuration of the visual axis and amblyopia, optical iridectomy and pupillary m…

Sheet form of epithelial downgrowth.

Epithelial Downgrowth A patient with ocular history of ruptured globe presented with a new pupillary membrane. Argon laser photocoagulation showed blanching of the iris epithelium concerning for epithelial downgrowth. A biopsy of this membrane was positive for epithelial downgrowth. It was observed…

Mycobacterium Abscessus Keratitis A patient was referred for management of a corneal ulcer in their right eye. Initial exam revealed VA OD CF with diffuse corneal epithelial defect, infiltrate, and endothelial plaque and anterior inflammation with a hypopyon. Corneal cultures were positive for Myco…

Lisch Corneal Dystrophy A patient presented with blurry vision in the left eye and was found to have a pigmented superficial corneal lesion which showed hyperreflectivity without thickening on the AS-OCT. The lesion was biopsied and confirmed to be Lisch corneal dystrophy on pathology. The lesion r…

Slit lamp photo of biopsy proven Lisch Corneal dystrophy.

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…

Photograph of a peripheral iridotomy.

Mixed Mechanism Angle Closure Glaucoma A patient presented with eye pain and decreased vision in the left eye and treated for HSV keratouveitis. A few months later, he presented with halos and high IOP. He was placed on topical glaucoma drops and continued to have episodes. A laser peripheral iride…

Extra-Parenchymal Neurocysticercosis (NCC) A patient presented with blurry vision and headaches for 6 months. He was found to have grade 5 papilledema with hemorrhages. MRI brain/orbits showed bilateral flattening of the posterior sclera with intraocular protrusion of the optic nerve head and promi…

Orbital Metastatic Breast Cancer A patient presented to the ER with redness of the right eye for months. Initial exam revealed VA 20/50 and was noted to have right sided ptosis and ophthalmoplegia. MRI of the orbits was performed which showed an ill-defined right orbital mass. The patient underwent…

Susac Syndrome A patient with a history of a central retinal artery occlusion presented with acute vision loss in his right eye and was found to have a branch retinal artery occlusion. A fluorescein angiogram showed retinal vasculitis of both eyes and the patient was diagnosed with Susac Syndrome. …