Scleral thinning after I-BRITE procedure treated with amniotic membrane graftA 39-year-old female was referred for punctal plug insertion for dry eye complaints and a nonhealing conjunctival defect in both eyes. She had a history of right eye pterygium and left eye pingecula removal with the I-BRITE (Boxer Wachler Vision Institute, Beverly Hills, Calif.) procedure 2 years previously. The I-BRITE procedure is advertized for the treatment of conjunctiva hyperemia, pterygium, and pinguecula.1 Postoperatively, she recounted using, in both eyes, topical antibiotics 4 times daily, preservative-free artificial tears, testosterone 10% ointment to the eyelids, mitomycin C (MMC) drops of unknown concentration 4 times daily, and a tapering course of topical steroids.
Pagetoid spread of sebaceous cell carcinoma to the corneaSebaceous cell carcinoma (SebCC) is a malignancy that most commonly presents in the eyelid.1 Pagetoid spread to the conjunctiva has been well documented,1-3 but spread to the cornea is less common.4 We report a 64-year-old female who was diagnosed with pagetoid spread of SebCC to her right cornea. She initially presented with a 3-year history of red eyes and trichiasis. After multiple epilations, she was referred to the oculoplastics service for electrolysis. On examination, her visual acuity was 20/70 in the right eye and counting fingers in the left eye (the vision was limited due to a central stromal scar and a dense cataract).