How to knot bury and not break the suture: the 3-1-bury-1 knotSuturing of a wound is typically performed for incisions that fail to seal after stromal hydration or after other anterior segment procedures, such as penetrating keratoplasty.1–4 On tying a suture of appropriate tension, rotation and burying of the knot is important to prevent foreign body sensation and irritation to the palpebral conjunctiva.3–6 However, the knot can break or slip during rotation and burying of the knot.
Rhodotorula endophthalmitis associated with Baerveldt shunt implantationEndophthalmitis is an uncommon complication of glaucoma drainage device surgery.1 Most cases are secondary to Gram-positive bacteria: Staphylococcus, Streptococcus, and Haemophilis.2 Cases caused by fungal pathogens are very rare. Rhodotorula is a common environmental yeast that has recently been recognized as a human pathogen. Infections are most commonly linked to frequent intensive care unit procedures such as central venous catheters.3 There is a paucity of literature describing Rhodotorula infections of the eye.
Heavy metal––not just hard on the ears: siderosis following retained intraocular foreign bodyOcular siderosis results from the toxic effects of iron released from retained metallic intraocular foreign bodies (IOFBs).1 Over time, intraocular iron dissociates and deposits in epithelial structures, including the lens, iris, ciliary body, and retina, resulting in degeneration of ocular tissues.2
Quizzical optical coherence tomographyWe often question our diagnoses, but how often does your diagnosis question you? A patient was referred for surgical management of an epiretinal membrane. During the encounter, she asked many intelligent questions. Amazingly, the optical coherence tomography of her macula seemed to reflect her quizzical nature and was found to have a question (mark) of its own! (Fig. 1)
Multiple parallel-line endotheliitis: case report and literature review of an emerging entityAlthough rare in the nontransplant setting, several forms of corneal endotheliitis have been described.1 Viral replication (HSV, VZV, CMZ, and mumps) within the endothelium is a proposed etiology although response to antivirals and topical corticosteroids has been variable.2–8 Multiple parallel-line endotheliitis (MPLE) is a rare form of endothelial inflammation characterized by horizontal lines of endothelial dots, stromal edema, and minimal anterior chamber reaction.9–11 We present a case of MPLE and discuss the current literature on this emerging clinical entity.
Eye love youValentine’s Day is a time to say “I love you”; however, the term “eye love you” is rarely, if ever, used. In this article, we present rare cases of ocular pathology that have adopted a heart-shaped appearance. Cupid’s cornea (Fig. 1A) demonstrates a heart-shaped endothelial fungal plaque associated with metallic foreign body. Aphrodite’s atrophy (Fig. 1B) represents a fundus autofluorescence image of geographic atrophy that demonstrated a heart-shaped hypoautofluorescence. Finally, lover’s laser (Fig.
Spontaneous resolution of optic disc pit maculopathy after posterior vitreous detachmentWe report the case of a 57-year-old male with optic pit maculopathy that spontaneously resolved after posterior vitreous detachment (PVD). Progressive improvements in visual acuity, clinical examination, and spectral-domain optical coherence tomography (SD-OCT) occurred over 3 months. The pathophysiology of optic pit maculopathy has yet to be completely elucidated. This case report lends additional support to the theory that the vitreous and its attachments at the optic nerve head play a critical role in the development of optic disc pit (OPD) maculopathy (ODP-M), and that the PVD may play a critical role in its treatment.
A case of multiple focal choroidal excavationsFocal choroidal excavation was first described by Jampol et al.1 in 2006 under the name choroidal excavation. Since that time, a total of 16 cases have been reported, most recently under the label of focal choroidal excavation (FCE).1-4 In all instances, optical coherence tomography (OCT) has demonstrated 1 or more focal areas of choroidal depression without any evidence of scleral ectasia or staphyloma. The retina is found either to conform to the path of the choroid or to maintain its normal course and remain separated from the choroid by a hyporeflective area.