Grand Rounds
  Most Recent Cases
  Dates of Case
  Type of Case
  Submit a Grand Round.
  Register with DJO to receive personalized updates.

If you're already a
member, please sign in.
77 year old woman seen in the optometry clinic for aphakic contact lenses
Digital Journal of Ophthalmology 1998
Volume 4, Number 15
February 28, 1998
Printer Friendly



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
Examination
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
top
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

Figure 2

Figure 6