Nodular episcleritis in a young patient

To report a case of nodular episcleritis at the limbus associated with corenal deposits in a young patient. Observational case report. A 16-year-old Saudi girl developed a pinkish-white, soft, well-demarcated mass, 6 x 5 mm in size and 1mm in height, in the superonasal limal area of the right eye. It was associated with yellowish deposits in the adjacent cornea. histopathological evaluation of the excised lesion revealed chronic inflammation in the deep layer of the episclera with infiltration by lymphocytes and epithelioid cells, in addition to capillary proliferation. subsequently, the patient didn't develop any systemic manifistation or recurrence during the one-year follow-up period. Although nodular episcleritis tends to occure in an older age group, it can also present in young patients. Surgical excision can result in an excellent clinical outcome

fixed and dilated pupil [Urrets-Zavalia Syndrome] after penetrating keratoplasty for keratoconus

A fixed and dilated pupil [Urrets-Zavalia Syndrome] is an uncommon postoperative complication after penetrating keratoplasty [PKP] and other intraocular procedures. Although the clinical features have been well described, precise etiology of this syndrome is unknown. We describe a case of fixed dilated pupil [Urrets-Zavalia Syndrome] following PKP for keratoconus encountered at the King Khaled Eye Specialist Hospital in Riyadh, Saudi Arabia