... Articles. Bilateral Diffuse Uveal Melanocytic Proliferation and Loss of Retinal Pigment Epith... more ... Articles. Bilateral Diffuse Uveal Melanocytic Proliferation and Loss of Retinal Pigment Epithelium. Reddy, Shantan MD, MPH*; Klancnik, Jay MD; Edelstein, Marcus S. MD, PhD; Marr, Brian MD§; Cooney, Michael J. MD, MBA. Article Outline. Collapse Box Author Information. ...
A healthy 45-year-old man had a retrobulbar hemorrhage 9 days after cosmetic upper eyelid blephar... more A healthy 45-year-old man had a retrobulbar hemorrhage 9 days after cosmetic upper eyelid blepharoplasty that resulted in permanent visual loss. After performing a left lateral canthotomy and cantholysis, intraocular pressure returned to normal and vision improved from no light perception to 20/40; however, the patient did have permanent visual field loss. To our knowledge, this is the longest period of time after blepharoplasty that a retrobulbar hemorrhage occurred. Ophthalmologists should have a heightened level of suspicion 1 to 2 weeks after surgery.
Cancer-related fatigue (CRF) is the most common symptom experienced by patients with cancer. Clin... more Cancer-related fatigue (CRF) is the most common symptom experienced by patients with cancer. Clinically important improvement in the intensity of fatigue in palliative care patients has not been well established. We reviewed the data from 3 clinical trials of fatigue in 194 patients receiving palliative care treatment. Patients completed the Functional Assessment for Chronic Illness Therapy Fatigue (FACIT-F) and Edmonton Symptom Assessment System (ESAS) at baseline and day 8 and their global perception of fatigue improvement (Global benefit score [GBS]: 1 = not beneficial, 7 = greatly important] during day 8. A GBS of 4 or more (moderate improvement, consistently beneficial) was considered a clinically significant improvement. Change scores in the ESAS and FACIT-F from baseline to day 8 were compared to the GBS greater than 4. Receiver-operating characteristic curves were also derived for ESAS and FACIT-F change scores for a GBS greater than 4, greater than 5, and greater than 6. Results showed the mean patient age was 56 (+/-12) years, and 37% were men. A reduction of approximately 10 points in FACIT-F (sensitivity = 73%, specificity = 78%, area under the curve = 0.82) and 4 points in ESAS fatigue (sensitivity = 66%, specificity = 72%, area under the curve = 0.78) score was best able to predict a clinically important improvement (GBS >/= 4). We were able to characterize the relationship between FACIT-F and ESAS scores and patients' global perception of improvement but further studies are needed to validate our findings.
We present a patient with a refractive error of -3.00 -0.25x150 in the right eye and -3.50 -1.50x... more We present a patient with a refractive error of -3.00 -0.25x150 in the right eye and -3.50 -1.50x170 in the left eye who experienced bungee-cord-related corneal lacerations in the left eye. Slitlamp examination revealed a large radial corneal laceration in the vertical meridian and several smaller lacerations in the periphery. Corneal topography showed more central flattening in the left eye than in the right eye. Posttraumatic visual acuity in the left eye was 20/20 with a -1.50 diopter corrective lens. Myopic correction was a surprising outcome of a traumatic corneal laceration that produced a radial-keratotomy-like effect.
We report two cases of macular infarction as a presenting sign of systemic lupus erythematosus (S... more We report two cases of macular infarction as a presenting sign of systemic lupus erythematosus (SLE). Ophthalmic examination and intravenous fluorescein angiography were supplemented by rheumatology consultations and imaging. Two patients presented with complaints of decreased vision in one or both eyes. Systemic manifestations included fever, rash, and arthralgias, while serologic tests revealed an elevated erythrocyte sedimentation rate and positive antinuclear antibody titers in both cases, confirming the diagnosis of SLE in each case. Ophthalmoscopic changes included cotton-wool spots, intraretinal hemorrhages, and retinal edema. Fluorescein angiography revealed macular infarction with extensive retinal capillary nonperfusion in both patients. Macular infarction is an uncommon but recognized complication of vasculitis associated with SLE. We report two additional cases of newly diagnosed SLE where vision loss secondary to macular infarction was the presenting sign of the disease. SLE should be considered in all patients who present with macular infarction. Visual prognosis is usually poor.
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... RETINA®, The Journal of Retinal and ...
Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye
A 42-year-old man with a history of human immunodeficiency virus and previous immune reconstituti... more A 42-year-old man with a history of human immunodeficiency virus and previous immune reconstitution after initiating a highly active antiretroviral therapy regimen was referred to rule out cytomegalo-virus retinitis. He had an unusual juxtapapillary collection of white superficial material and multiple preretinal collections resting on a peripheral ground glass opacification of the retina. These lesions quickly resolved after initiating treatment for syphilitic retinitis. The patient appeared to have developed an exaggerated response to the ocular syphilitic infection that may be related to the augmentation of his impaired immune system by highly active antiretroviral therapy.
We report two cases in which ultra wide field fluorescein angiography was used to direct targeted... more We report two cases in which ultra wide field fluorescein angiography was used to direct targeted retinal photocoagulation (TRP) to areas of retinal capillary non-perfusion in an attempt to cause regression of diabetic neovascularization. By providing up to a 200 degree field of view, accurate delineation of retinal capillary non-perfusion and precise application of photocoagulation was possible. The application of TRP successfully led to the regression of the retinal neovascularization in our patients. Complications of conventional panretinal photocoagulation (PRP) such as visual field loss and macular edema may have been avoided. When TRP is used in conjunction with ultra wide field fluorescein angiography, preservation of functional retina may be possible while minimizing the amount of laser treatment that is applied to the retina.
The purpose of this study was to assess the prognostic value of a new grading system for retinal ... more The purpose of this study was to assess the prognostic value of a new grading system for retinal pigment epithelium (RPE) tears that developed after antivascular endo-thelial growth factor (VEGF) therapy for exudative age-related macular degeneration. The authors performed a retrospective review of consecutive eyes that developed an RPE tear after intravitreal injection of an anti-VEGF agent (pegaptanib, bevacizumab, or ranibizumab) within a 4.5-year period (January 2005 to January 2009) at a single center. Fundus photography, fluorescein angiography, and optical coherence topography were studied for each case of RPE tear, and using fluorescein angiography analysis, a measurement of greatest linear diameter (millimeter) was obtained and a grading scale devised. The grade of RPE tear was correlated with visual and anatomical outcomes and response to continued anti-VEGF therapy. Twenty-one eyes from 20 patients were evaluated in this study. Retinal pigment epithelium tears were graded from one to four based on the greatest length in the vector direction of the tear and involvement of the fovea. Nineteen percent (n = 4) of eyes had Grade 1 tears (diameter smaller than 200 microm), 14% (n = 3) had Grade 2 tears (diameter between 200 microm and 1-disk diameter), 19% (n = 4) had Grade 3 tears (diameter greater than 1-disk diameter), and 48% (n = 10) had Grade 4 tears (Grade 3 tears that involved the foveal center). Lower grade tears were more likely to have better visual acuity and better response to continued anti-VEGF therapy and less likely to develop a disciform scar but were at risk of progressing to a higher grade tear over time. The grading of RPE tears according to greatest linear diameter may have prognostic value in predicting visual acuity and anatomical outcome with or without continued anti-VEGF therapy. Lower grade tears have better visual acuity and response to anti-VEGF therapy. Grade 4 tears have a very poor prognosis with or without anti-VEGF therapy.
To describe a case of choroidal infarction as illustrated by the &amp... more To describe a case of choroidal infarction as illustrated by the "triangular sign of Amalric" after cocaine inhalation. Observational case report. A 52-year-old male presented with an acute loss of vision in his left eye immediately after cocaine inhalation. Color photography and fluorescein angiography revealed triangular areas of choroidal ischemia following the distribution of the posterior ciliary arteries. Cocaine-induced vasospasm, specifically of the distal short posterior ciliary arteries, may explain the triangular wedge-shaped choroidal infarcts in our patient. A thorough drug history may circumvent unnecessary and costly investigations in such cases.
We report two cases of macular infarction as a presenting sign of systemic lupus erythematosus (S... more We report two cases of macular infarction as a presenting sign of systemic lupus erythematosus (SLE). Ophthalmic examination and intravenous fluorescein angiography were supplemented by rheumatology consultations and imaging. Two patients presented with complaints of decreased vision in one or both eyes. Systemic manifestations included fever, rash, and arthralgias, while serologic tests revealed an elevated erythrocyte sedimentation rate and positive antinuclear antibody titers in both cases, confirming the diagnosis of SLE in each case. Ophthalmoscopic changes included cotton-wool spots, intraretinal hemorrhages, and retinal edema. Fluorescein angiography revealed macular infarction with extensive retinal capillary nonperfusion in both patients. Macular infarction is an uncommon but recognized complication of vasculitis associated with SLE. We report two additional cases of newly diagnosed SLE where vision loss secondary to macular infarction was the presenting sign of the disease. SLE should be considered in all patients who present with macular infarction. Visual prognosis is usually poor.
Optic disk pits are a congenital optic disk anomaly frequently associated with serous macular det... more Optic disk pits are a congenital optic disk anomaly frequently associated with serous macular detachment. A case of optic disk pits associated with serous maculopathy in a patient with incontinentia pigmenti is presented. The patient was treated with oral acetazolamide. Over the course of 1 year, treatment with oral acetazolamide resulted in the complete resolution of subretinal fluid and improvement in vision. An association between optic disk pits and incontinentia pigmenti is presented. The case demonstrates the utility of oral acetazolamide in the treatment of serous maculopathy associated with optic disk pits.
Vitrectomy systems are now available with 20-, 23-, and 25-gauge vitreous cutters and are designe... more Vitrectomy systems are now available with 20-, 23-, and 25-gauge vitreous cutters and are designed to be used with conventional or new generation pneumatic actuation technology. Five vitreous cutters using pneumatic actuation technology were studied. Flow rates were evaluated using porcine vitreous. A high-speed camera timed the cutting phases (open, closing, closed, and opening), and duty cycle was calculated. The cutting port surface area and internal shaft surface areas were calculated. Increasing cut rate decreased the average open phase duration without affecting other cutting phases. The opening and closing phases of vitreous cutters using new generation pneumatic actuation technology were longer than those for other vitreous cutters. Flow rate was correlated to internal shaft surface area. In addition to confirming the importance of duty cycle at high cut rates, this study demonstrated that the transition phases should also be considered when one is evaluating the efficiency of a vitreous cutter.
The authors retrospectively identified 2 cases of gyrate atrophy, 3 cases of choroideremia, and 1... more The authors retrospectively identified 2 cases of gyrate atrophy, 3 cases of choroideremia, and 1 case of the carrier state of choroideremia who underwent ultra-wide-field fundus photography and fluorescein angiography. The findings were studied and compared to standard fundus photography and fluorescein angiography. Gyrate atrophy demonstrated a diffuse confluent extent of chorioretinal atrophy extending from the anterior to the posterior pole to the periphery. Choroideremia demonstrated a patchy irregular pattern of chorioretinal atrophy extending from the posterior pole to the periphery. Peripheral reticular degeneration without chorioretinal atrophy was appreciated in the carrier state. Ultra-wide-field imaging of these choroidal dystrophies demonstrated distinctive patterns that may aid in their identification and diagnosis.
... Ultrawide Angle Angiography for the Detection and Management of Diabetic Retinopathy. Kaines,... more ... Ultrawide Angle Angiography for the Detection and Management of Diabetic Retinopathy. Kaines, Andrew MD; Oliver, Scott MD; Reddy, Shantan MD; Schwartz, Steven D. MD. ... Niki T, Muraoka K, Shimizu K. Distribution of capillary nonperfusion in early-stage diabetic retinopathy. ...
Graefe's Archive for Clinical and Experimental Ophthalmology, 2006
This study was conducted to investigate a case of reactive lymphoid hyperplasia following laser a... more This study was conducted to investigate a case of reactive lymphoid hyperplasia following laser assisted in situ keratomileusis (LASIK). A 31-year-old man who underwent LASIK presented 1 month later with a fleshy conjunctival (plical) tumor in the left eye. An excision biopsy of the tumor was performed. Histopathology of the excised tumor revealed reactive lymphoid hyperplasia. Conjunctival lymphomas can masquerade as chronic conjunctivitis and can be preceded by reactive lymphoid hyperplasia. It is important to identify and differentiate these tumors. This report describes the unusual occurrence of a lymphoid conjunctival tumor after LASIK eye surgery.
... Articles. Bilateral Diffuse Uveal Melanocytic Proliferation and Loss of Retinal Pigment Epith... more ... Articles. Bilateral Diffuse Uveal Melanocytic Proliferation and Loss of Retinal Pigment Epithelium. Reddy, Shantan MD, MPH*; Klancnik, Jay MD; Edelstein, Marcus S. MD, PhD; Marr, Brian MD§; Cooney, Michael J. MD, MBA. Article Outline. Collapse Box Author Information. ...
A healthy 45-year-old man had a retrobulbar hemorrhage 9 days after cosmetic upper eyelid blephar... more A healthy 45-year-old man had a retrobulbar hemorrhage 9 days after cosmetic upper eyelid blepharoplasty that resulted in permanent visual loss. After performing a left lateral canthotomy and cantholysis, intraocular pressure returned to normal and vision improved from no light perception to 20/40; however, the patient did have permanent visual field loss. To our knowledge, this is the longest period of time after blepharoplasty that a retrobulbar hemorrhage occurred. Ophthalmologists should have a heightened level of suspicion 1 to 2 weeks after surgery.
Cancer-related fatigue (CRF) is the most common symptom experienced by patients with cancer. Clin... more Cancer-related fatigue (CRF) is the most common symptom experienced by patients with cancer. Clinically important improvement in the intensity of fatigue in palliative care patients has not been well established. We reviewed the data from 3 clinical trials of fatigue in 194 patients receiving palliative care treatment. Patients completed the Functional Assessment for Chronic Illness Therapy Fatigue (FACIT-F) and Edmonton Symptom Assessment System (ESAS) at baseline and day 8 and their global perception of fatigue improvement (Global benefit score [GBS]: 1 = not beneficial, 7 = greatly important] during day 8. A GBS of 4 or more (moderate improvement, consistently beneficial) was considered a clinically significant improvement. Change scores in the ESAS and FACIT-F from baseline to day 8 were compared to the GBS greater than 4. Receiver-operating characteristic curves were also derived for ESAS and FACIT-F change scores for a GBS greater than 4, greater than 5, and greater than 6. Results showed the mean patient age was 56 (+/-12) years, and 37% were men. A reduction of approximately 10 points in FACIT-F (sensitivity = 73%, specificity = 78%, area under the curve = 0.82) and 4 points in ESAS fatigue (sensitivity = 66%, specificity = 72%, area under the curve = 0.78) score was best able to predict a clinically important improvement (GBS >/= 4). We were able to characterize the relationship between FACIT-F and ESAS scores and patients' global perception of improvement but further studies are needed to validate our findings.
We present a patient with a refractive error of -3.00 -0.25x150 in the right eye and -3.50 -1.50x... more We present a patient with a refractive error of -3.00 -0.25x150 in the right eye and -3.50 -1.50x170 in the left eye who experienced bungee-cord-related corneal lacerations in the left eye. Slitlamp examination revealed a large radial corneal laceration in the vertical meridian and several smaller lacerations in the periphery. Corneal topography showed more central flattening in the left eye than in the right eye. Posttraumatic visual acuity in the left eye was 20/20 with a -1.50 diopter corrective lens. Myopic correction was a surprising outcome of a traumatic corneal laceration that produced a radial-keratotomy-like effect.
We report two cases of macular infarction as a presenting sign of systemic lupus erythematosus (S... more We report two cases of macular infarction as a presenting sign of systemic lupus erythematosus (SLE). Ophthalmic examination and intravenous fluorescein angiography were supplemented by rheumatology consultations and imaging. Two patients presented with complaints of decreased vision in one or both eyes. Systemic manifestations included fever, rash, and arthralgias, while serologic tests revealed an elevated erythrocyte sedimentation rate and positive antinuclear antibody titers in both cases, confirming the diagnosis of SLE in each case. Ophthalmoscopic changes included cotton-wool spots, intraretinal hemorrhages, and retinal edema. Fluorescein angiography revealed macular infarction with extensive retinal capillary nonperfusion in both patients. Macular infarction is an uncommon but recognized complication of vasculitis associated with SLE. We report two additional cases of newly diagnosed SLE where vision loss secondary to macular infarction was the presenting sign of the disease. SLE should be considered in all patients who present with macular infarction. Visual prognosis is usually poor.
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... RETINA®, The Journal of Retinal and ...
Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye
A 42-year-old man with a history of human immunodeficiency virus and previous immune reconstituti... more A 42-year-old man with a history of human immunodeficiency virus and previous immune reconstitution after initiating a highly active antiretroviral therapy regimen was referred to rule out cytomegalo-virus retinitis. He had an unusual juxtapapillary collection of white superficial material and multiple preretinal collections resting on a peripheral ground glass opacification of the retina. These lesions quickly resolved after initiating treatment for syphilitic retinitis. The patient appeared to have developed an exaggerated response to the ocular syphilitic infection that may be related to the augmentation of his impaired immune system by highly active antiretroviral therapy.
We report two cases in which ultra wide field fluorescein angiography was used to direct targeted... more We report two cases in which ultra wide field fluorescein angiography was used to direct targeted retinal photocoagulation (TRP) to areas of retinal capillary non-perfusion in an attempt to cause regression of diabetic neovascularization. By providing up to a 200 degree field of view, accurate delineation of retinal capillary non-perfusion and precise application of photocoagulation was possible. The application of TRP successfully led to the regression of the retinal neovascularization in our patients. Complications of conventional panretinal photocoagulation (PRP) such as visual field loss and macular edema may have been avoided. When TRP is used in conjunction with ultra wide field fluorescein angiography, preservation of functional retina may be possible while minimizing the amount of laser treatment that is applied to the retina.
The purpose of this study was to assess the prognostic value of a new grading system for retinal ... more The purpose of this study was to assess the prognostic value of a new grading system for retinal pigment epithelium (RPE) tears that developed after antivascular endo-thelial growth factor (VEGF) therapy for exudative age-related macular degeneration. The authors performed a retrospective review of consecutive eyes that developed an RPE tear after intravitreal injection of an anti-VEGF agent (pegaptanib, bevacizumab, or ranibizumab) within a 4.5-year period (January 2005 to January 2009) at a single center. Fundus photography, fluorescein angiography, and optical coherence topography were studied for each case of RPE tear, and using fluorescein angiography analysis, a measurement of greatest linear diameter (millimeter) was obtained and a grading scale devised. The grade of RPE tear was correlated with visual and anatomical outcomes and response to continued anti-VEGF therapy. Twenty-one eyes from 20 patients were evaluated in this study. Retinal pigment epithelium tears were graded from one to four based on the greatest length in the vector direction of the tear and involvement of the fovea. Nineteen percent (n = 4) of eyes had Grade 1 tears (diameter smaller than 200 microm), 14% (n = 3) had Grade 2 tears (diameter between 200 microm and 1-disk diameter), 19% (n = 4) had Grade 3 tears (diameter greater than 1-disk diameter), and 48% (n = 10) had Grade 4 tears (Grade 3 tears that involved the foveal center). Lower grade tears were more likely to have better visual acuity and better response to continued anti-VEGF therapy and less likely to develop a disciform scar but were at risk of progressing to a higher grade tear over time. The grading of RPE tears according to greatest linear diameter may have prognostic value in predicting visual acuity and anatomical outcome with or without continued anti-VEGF therapy. Lower grade tears have better visual acuity and response to anti-VEGF therapy. Grade 4 tears have a very poor prognosis with or without anti-VEGF therapy.
To describe a case of choroidal infarction as illustrated by the &amp... more To describe a case of choroidal infarction as illustrated by the "triangular sign of Amalric" after cocaine inhalation. Observational case report. A 52-year-old male presented with an acute loss of vision in his left eye immediately after cocaine inhalation. Color photography and fluorescein angiography revealed triangular areas of choroidal ischemia following the distribution of the posterior ciliary arteries. Cocaine-induced vasospasm, specifically of the distal short posterior ciliary arteries, may explain the triangular wedge-shaped choroidal infarcts in our patient. A thorough drug history may circumvent unnecessary and costly investigations in such cases.
We report two cases of macular infarction as a presenting sign of systemic lupus erythematosus (S... more We report two cases of macular infarction as a presenting sign of systemic lupus erythematosus (SLE). Ophthalmic examination and intravenous fluorescein angiography were supplemented by rheumatology consultations and imaging. Two patients presented with complaints of decreased vision in one or both eyes. Systemic manifestations included fever, rash, and arthralgias, while serologic tests revealed an elevated erythrocyte sedimentation rate and positive antinuclear antibody titers in both cases, confirming the diagnosis of SLE in each case. Ophthalmoscopic changes included cotton-wool spots, intraretinal hemorrhages, and retinal edema. Fluorescein angiography revealed macular infarction with extensive retinal capillary nonperfusion in both patients. Macular infarction is an uncommon but recognized complication of vasculitis associated with SLE. We report two additional cases of newly diagnosed SLE where vision loss secondary to macular infarction was the presenting sign of the disease. SLE should be considered in all patients who present with macular infarction. Visual prognosis is usually poor.
Optic disk pits are a congenital optic disk anomaly frequently associated with serous macular det... more Optic disk pits are a congenital optic disk anomaly frequently associated with serous macular detachment. A case of optic disk pits associated with serous maculopathy in a patient with incontinentia pigmenti is presented. The patient was treated with oral acetazolamide. Over the course of 1 year, treatment with oral acetazolamide resulted in the complete resolution of subretinal fluid and improvement in vision. An association between optic disk pits and incontinentia pigmenti is presented. The case demonstrates the utility of oral acetazolamide in the treatment of serous maculopathy associated with optic disk pits.
Vitrectomy systems are now available with 20-, 23-, and 25-gauge vitreous cutters and are designe... more Vitrectomy systems are now available with 20-, 23-, and 25-gauge vitreous cutters and are designed to be used with conventional or new generation pneumatic actuation technology. Five vitreous cutters using pneumatic actuation technology were studied. Flow rates were evaluated using porcine vitreous. A high-speed camera timed the cutting phases (open, closing, closed, and opening), and duty cycle was calculated. The cutting port surface area and internal shaft surface areas were calculated. Increasing cut rate decreased the average open phase duration without affecting other cutting phases. The opening and closing phases of vitreous cutters using new generation pneumatic actuation technology were longer than those for other vitreous cutters. Flow rate was correlated to internal shaft surface area. In addition to confirming the importance of duty cycle at high cut rates, this study demonstrated that the transition phases should also be considered when one is evaluating the efficiency of a vitreous cutter.
The authors retrospectively identified 2 cases of gyrate atrophy, 3 cases of choroideremia, and 1... more The authors retrospectively identified 2 cases of gyrate atrophy, 3 cases of choroideremia, and 1 case of the carrier state of choroideremia who underwent ultra-wide-field fundus photography and fluorescein angiography. The findings were studied and compared to standard fundus photography and fluorescein angiography. Gyrate atrophy demonstrated a diffuse confluent extent of chorioretinal atrophy extending from the anterior to the posterior pole to the periphery. Choroideremia demonstrated a patchy irregular pattern of chorioretinal atrophy extending from the posterior pole to the periphery. Peripheral reticular degeneration without chorioretinal atrophy was appreciated in the carrier state. Ultra-wide-field imaging of these choroidal dystrophies demonstrated distinctive patterns that may aid in their identification and diagnosis.
... Ultrawide Angle Angiography for the Detection and Management of Diabetic Retinopathy. Kaines,... more ... Ultrawide Angle Angiography for the Detection and Management of Diabetic Retinopathy. Kaines, Andrew MD; Oliver, Scott MD; Reddy, Shantan MD; Schwartz, Steven D. MD. ... Niki T, Muraoka K, Shimizu K. Distribution of capillary nonperfusion in early-stage diabetic retinopathy. ...
Graefe's Archive for Clinical and Experimental Ophthalmology, 2006
This study was conducted to investigate a case of reactive lymphoid hyperplasia following laser a... more This study was conducted to investigate a case of reactive lymphoid hyperplasia following laser assisted in situ keratomileusis (LASIK). A 31-year-old man who underwent LASIK presented 1 month later with a fleshy conjunctival (plical) tumor in the left eye. An excision biopsy of the tumor was performed. Histopathology of the excised tumor revealed reactive lymphoid hyperplasia. Conjunctival lymphomas can masquerade as chronic conjunctivitis and can be preceded by reactive lymphoid hyperplasia. It is important to identify and differentiate these tumors. This report describes the unusual occurrence of a lymphoid conjunctival tumor after LASIK eye surgery.
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Papers by Shantan Reddy