The Big Picture
Watch That SplotchHere’s what to be vigilant for in cases of iris pigmentation.
Having a MeltdownPeripheral ulcerative keratitis has potentially devastating consequences. Treatment requires aggressive systemic control combined with interventions to protect the ocular surface.
An Unexpected TwistCorneal drug deposition in the classic whorl-like pattern looks ominous. Is it?
Flood ZoneLacrimal duct obstruction leaves tears with no drainage mechanism, leading to epiphora.
The Unkindest CutA case of longstanding visual fluctuation from overzealous RK surgery decades prior.
In the Line of FireCorneal foreign bodies can cause longstanding problems if not attended to quickly.
Uncomfortably NumbNeurotrophic keratopathy complicates an already-difficult case, with stromal melt possible.
Open for a SurpriseDilation reveals a rare, ring-shaped sequela of cataract surgery.
Birds of a FeatherIf a corneal scar has diffuse, wispy borders, suspect chronic, long-term myofibroblast activity as a consequence of healing, rather than an acute process.
A Flaky PatientSigns of pseudoexfoliation should raise suspicion for glaucoma.