Vessels Sound the Alarm

These painful eyes need steroids—and immunosuppressives when they fall short.

Early Adopter, Chronic Sufferer

A 1990s LASIK patient’s troubled course continues nearly 30 years later.

Last Line of Defense

A descemetocele leaves nothing but a thin membrane to protect the eye from perforation.

A Knotty Problem

Sutures pose a challenge for contact lens fitting, necessitating an elevation-specific design.

A Dark Diagnosis

Iris melanoma patients face tough choices—and more so when the other eye is impaired, too.

Spread Too Thin

Patients with Terrien’s marginal degeneration should keep their safety glasses handy.

Ring Around the Cornea

Peripheral edema occurring many years post-op, signifying Brown-McLean syndrome, may be initially alarming, but it’s nothing to worry about.

Singing the Blues

A patient’s complicated ocular history results in an anterior staphyloma, leaving him few treatment options.

A Bump in the Road

Superficial granuloma need not contraindicate scleral lens wear—just design around it.

Shape Shifter

If you see a ‘squiggle’ on the endothelium, what’s your first suspicion?