Epibulbar osseous choristoma: a photo essay case report.

PURPOSE: To present the pre-, per- and postoperative features of epibulbar osseous choristoma. METHODS: Case description including intraoperative imaging and histopathology. RESULTS: A 32-year-old male patient presented with a lesion on his right eye, suggestive of an epibulbar dermolipoma. Excision of bony lesion was performed and revealed epibulbar osseous choristoma. CONCLUSIONS: Epibulbar osseous choristoma is a rare and benign condition which can present with features similar to dermolipoma.

Excision of nodular basal cell carcinoma involving the lower eyelid tarsal skin using a grey line-splitting, posterior lamella-sparing technique.

Purpose: To describe a posterior lamella-sparing technique to resect nodular basal cell carcinoma involving the inferior part of the tarsal skin of the lower eyelid. Surgical Technique: Excision of nodular basal cell carcinoma of the tarsal skin using a grey-line-splitting technique with preservation of the posterior lamella. Specimen was sent for frozen section control. Additional excision was performed in caseof irradicality. The defect was closed with a free skin graft from the ipsi- or contralateral upper eyelid. Results: We show a case series of three patients with lower eyelid basal cell carcinoma and investigated radicality on histology, aesthetic outcome and clinical recurrence during a follow-up of 18 months. Pre, intra, and postoperative photographs were obtained. In all cases radicality was reached. In all patients, the skin graft was viable, with no recurrence after 18 months. Excellent aesthetic results were obtained. Conclusion: Anterior lamellar resection of nodular basal cell carcinomas involving the tarsal lower eyelid skin using a grey line lid-splitting technique is a simple and one-step technique with good clinical outcome. It may avoid the morbidity associated with full thickness eyelid resection and might be useful for other, nonmalignant eyelid lesions.

Corynebacterium macginleyi-associated Blebitis: A Case Report.

PURPOSE: The purpose of this study was to report a rare case of posttrabeculectomy bleb-related infection associated with Corynebaterium macginleyi, a rare conjunctival pathogen. METHODS: Case description including clinical imaging and microbiology data, and literature review of Corynebacterium macginleyi-related infections. RESULTS: A 60-year-old glaucomatous female patient presented with a bleb-related infection 6 years after trabeculectomy in her right eye, suggestive of blebitis. No bleb-related endophthalmitis was reported. CONCLUSIONS: C. macginleyi is a rare conjunctival pathogen that can cause conjunctivitis and, rarely, bleb-related infections.

Unilateral Post-LASIK Ectasia and Contralateral Spontaneous Ectasia.

PURPOSE: To report a case of iatrogenic unilateral post-LASIK corneal ectasia with contralateral spontaneous ectatic evolution. METHODS: Case report with preoperative and postoperative measurements including uncorrected visual acuity, corrected distance visual acuity, refraction, slit-scanning topographic and pachymetric maps, and differential maps. RESULTS: Six months after unilateral LASIK, the operated eye progressively developed signs of post-LASIK ectasia with increased inferior corneal steepening and corneal thinning and decrease in corrected distance visual acuity. Five years later, the unoperated eye also developed signs of spontaneous ectatic evolution with increased inferior steepening and corneal thinning. CONCLUSIONS: LASIK accelerates occurrence of ectasia in ectasia-susceptible and biomechanically fragile eyes.