Bascom Palmer Learn

A patient with a history of lymphoma presents to clinic one month after encephalitis. On fundus examination scattered lineal chorioretinal scars are noted.

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…

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A 6-week old patient presented with persistent fetal vasculature leading to a loss of red reflex due to a congenital cataract. UBM showed an anteriorly rotated ciliary body with a thickened retrolental membrane and a spherically shaped lens. Ultrasound showed a membrane from the optic disc with red…

Iris cyst

An otherwise asymptomatic 82-year-old patient with uncorrected visual acuity of 20/25 at distance presents for a routine eye exam in clinic.

A well-positioned ACIOL with superior nasal iridotomy.

Traumatic anterior dislocation of crystalline lens with Descemet’s folds in the cornea. The patient was treated with lensectomy and vitrectomy. Due to the high myopia, there was no need for secondary intraocular lens or contact lens. The final vision uncorrected visual acuity was 20/30 aphakic.

The multicolored appearance is due to needle shaped polychromatic peptide crystals in the cortex or nucleus of the lens. These are not generally visually significant.

B-scan ultrasound shows a well circumscribed mass inferiorly with focal hyper-densities. This can mimic a tumor, but the patient has a history of trauma and the object in question is a dislocated crystalline lens.

The large staple was able to be surgically removed and was performed with phacoemulsification of the lens.

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…

A patient with history of cataract surgery at 19 years old who started noting blurry vision in the right eye found to have a Soemmering ring in the anterior chamber. The ring was removed from the posterior chamber using a scleral tunnel. Surprisingly, a dislocated 3-piece IOL was found. The IOL was…

Silicone oil droplets on a silicone intraocular lens

Post LASIK infectious keratitis and pressure-induced stromal keratopathy.

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…

Iris cyst of right and left eye.

Sheet form of epithelial downgrowth.

A patient with severe limbal stem cell defiency due to extensive tumor excision undergoes ocular surface reconstruction and SLET.

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…