This is a presentation of atypical marginal keratitis. The infiltrate is sterile, vision is count fingers. Treated with topical intensive antibiotics for 24 hours. Day 2, steroids introduced. Day 5, antibiotics tapered and steroids increased. Day 7 antibiotics stopped and steroids continued. Vision returned to 6/0 The take home here is – Catch it early …
I was asked the question about who runs Keratoconus Australia based on the post below. Keratoconus Australia and contact lenes This sounds very much like an emotive post, and I am not sure how it relates to the post from Optometry Australia. I do not know who is running Keratoconus Australia or who put up …
Epithelial bullae transplant failure I did a DMEK for this elderly gentleman back in 2012. He did not attend for follow up after 2013… He had background PXF, uncontrolled pressures and multiple procedures. He returned this week with corneal failure. This is his only eye. The image shows marked confluent epithelial microbullae. I will arrange …
Full Transplant in Lamellar This lady had a stromal transplant for granular dystrophy. Unfortunately, she developed REPEATED recurrence of granular dystrophy in the interface. So, I undertook a small central full transplant in the middle of the larger diameter stromal transplant. The recurrence of granular dystrophy is much slower in a full transplant. Small full …
Horrendous filaments after laser treatment Horrendous filaments after laser treatment This lady underwent 2 laser treatment procedures, the second with mitomycin. She has horrendous filaments that I struggle to bring under control. This is her flareup this week. She made a comment to me….”my eyes are making my life hell” Such patients never appear in …
Lentigo Maligna Repair This young man had a slowly expanding pigmented region in his face. Biopsy confirmed lentigo maligna melanoma, aka hutchinsons melanotic freckle. This can become melanomatous. I undertook staged excision in the office, to ensure complete removal. The first photo was taken after the first stage removal, and before the second. This is …