The issue of keratoconus will never go away as long as patients keep rubbing their eyes. This is another presentation that is often missed, and I have seen it on occasion. Keratoconus in the older population (define old, if you can). I was taught (dogma) that keratoconus is a “young mans disease”…define young, define man, …
I don’t think we need to prove gravity exists, as it is obvious, and we deal with it every day. Gravity is an axiom. So is rubbing with keratoconus. However, some people doubt the connection, and fortunately, others have spent time collecting data to prove the obvious. The article says it all. DON’T RUB!!! I …
Scars develop everywhere on the body as a healing response. With the cornea, they develop in all layers, even internally, appearing as a retrocorneal membrane. On the surface, they are most prominent subepithelially…you know them as SALTZMANS nodules. Here is scarring subepithelial on an old full transplant….it isn’t so visible under direct illumination, but obvious …
The word corectopia refers to the observation of a pupil that is deviated from its normal position. This lady has corectopia, and is complaining bitterly about symptoms related to photophobia. She has had lens surgery, and dysphotopsias are not insignificant as a result. The cause is damage to the iris from SHINGLES, and note how …