Kenneth M. Goins, MD | The University of Chicago, Chicago IL Arutun Oganesian, MD | The University of Chicago, Chicago IL Louise Sclafani, OD | The University of Chicago, Chicago IL
Vision: 20/40 OD; 20/30 OS with contact lenses OU External exam: Normal Pupils: Reactive to light, no APD OU Motility: Full OU Slit lamp examination: See figures 1-3 Endothelial Specular Microscopy: See figures 4-6 Intraocular pressure: 14 mm Hg OD, 14 mm Hg OS Fundi: Normal OU
Figure 1
Figures 1-3. There is peripheral concentric corneal edema extending 2.5-3.5 mm FROM the limbus. The patient has a peripheral iridectomy and is aphakic OD. The left eye had a similar appearance.
Figure 2
Figure 3
Figure 4
Figures 4-6. Specular microscopy of the center of the cornea is essentially normal(left), Specular microscopy of the peripheral cornea (center and right) shows polymegathism and decreased numbers of corneal endothelial cells
