BACKGROUND Periphpral ulcerative keratitis (PUK) is a disorder consisting of a crescent-shaped destructive inflammation of the perilimbal corneal stroma. CASE We present a case of PUK following acute bacterial conjunctivitis in a 60-year-old lady with a history of on-and-off joint pain for two years. After admission to the hospital, she underwent conjunctival resection and was given topical a...

Clinical Picture A 66-year-old lady with known MM presented with red painful right eye and reduced vision, with no ocular discharge. At the point of presentation, she had been diagnosed with MM for 2 months. She did not suffer from auto-immune diseases. Systemic examination was unremarkable. Blood test for rheumatoid factor, pANCA, cANCA, ANA and dsDNA were negative. Inflammatory markers were n...

Six human biopsy samples of normal, bulbar conjunctiva from the area adjacent to the limbus were studied with the electron microscope. Cell types were identified as polyhedral cells and goblet cells in the superficial stratum and as columnar cells, melanocytes, and polyhedral cells in the basal stratum of the epithelium. Their fine structural characteristics and intercellular relationships are ...

A 15-year-old Asian male, with a history of skin allergy and asthma, presented complaints itching, photophobia, redness in both eyes for the last 10 years. His right eye showed upper lid papillae, perilimbal conjunctival pigmentation, gelatinous limbal hyperplasia temporal quadrant (Fig A), pseudogerontoxon involving nasal cornea B). The superior limbus multiple raised, circumscribed, transpare...

OBJECTIVE To examine whether amniotic membrane transplantation (AMT), in preparing the perilimbal stroma, enhances the success of allograft limbal transplantation (ALT). METHODS Thirty-one eyes of 26 consecutive patients had cytologically proven limbal deficiency resulting from chemical burns (14 eyes); Stevens-Johnson syndrome, toxic epidermal necrolysis, or pseudopemphigoid (5 eyes); contac...

Post-PK glaucoma is an important cause for irreversible visual loss and graft failure after penetrating keratoplasty. The etiology for this disorder is multifactorial and with the use of new diagnostic equipment it is now possible to elucidate the exact pathophysiology of this condition. A clear understanding of the various mechanisms which operate during different time frames following keratop...

A 65-year old, farm worker female with a six weeks right eye (RE) discomfort, tearing and progressive eyelid swelling was referred to our clinic. Past ophthalmic and systemic history was uneventful. She presented painless, considerable RE superior eyelid edema, bilateral best-corrected visual acuity of 0.9, normal ocular movement and pupil reflex. Slit lamp examination revealed conjunctival hyp...