Dedication Acknowledgments About the EditorsAbout the Associate Editor
Contributing AuthorsPreface Section I: Corneal DystrophyQuestion 1: I Have
a Patient With Fuchs' Endothelial Corneal Dystrophy. Is There Anything New
to Improve Their Vision?Mark S. Gorovoy, MDQuestion 2: I Am Seeing a
64-Year-Old Woman for Cataract Evaluation. The Slit-Lamp Examination Is
Significant for Anterior Basement Membrane Dystrophy Affecting the Visual
Axis and 3+ Nuclear Sclerosis of the Lens in Both Eyes. How Should I Manage
This Patient?Sadeer B. Hannush, MDQuestion 3: I Have a Patient With
Bilateral Granular Corneal Dystrophy Who Is Struggling With Their Vision.
What Can I Do to Help Them, Short of a Penetrating Keratoplasty?Christopher
J. Rapuano, MD Section II: Corneal DegenerationQuestion 4: What Should I Do
for a Young Patient With Mild Keratoconus?Nandini Venkateswaran, MD and
Preeya K. Gupta, MDQuestion 5: I Have a Patient Who Is 25 Years Old With
Progressive Keratoconus. Would It Be More Effective to Do Cross-Linking
With the Epithelium On or Off in This Patient?Samuel Passi, MD and Sherman
W. Reeves, MD, MPHQuestion 6: I Have a 38-Year-Old Patient With Fairly
Advanced Keratoconus. Is There Anything I Can Do for Them?Martin L. Fox,
MDQuestion 7: A Patient With High Cylinder Has Sudden Onset of Pain, Blurry
Vision, and Corneal Edema. How Do I Manage This Patient?Kevin R. Tozer,
MDQuestion 8: A Patient With Eye Irritation While Wearing Soft Contact
Lenses Is Noted to Have White Elevated Nodules at the Limbus. Do They Need
Surgery?Thomas Kohnen, MD, PhD Section III: External DiseaseQuestion 9: I
Have a Patient With Significant Facial Rosacea With Chronic, Red, Irritated
Eyes. They Have Some Peripheral Corneal Neovascularization and Are
Struggling With Contact Lens Wear. How Can I Manage This Patient?Yvonne
Wang, MD and Sumitra S. Khandelwal, MDQuestion 10: An 18-Year-Old Man
Complaining of Severe Itchy Eyes and Redness Has Diffuse Eyelid Erythema
With Dry Scaly Skin, Meibomian Gland Dysfunction, 2+ Conjunctival Bulbar
and Palpebral Injection, and 3+ Papillae. Does He Need Steroid
Drops?Brandon Baartman, MDQuestion 11: How Can I Help a 47-Year-Old Woman
Who Uses Artificial Tears 6 Times Daily and Continues to Complain of Dry
Eyes?Stephen C. Pflugfelder, MDQuestion 12: A 43-Year-Old Woman Is
Complaining of Dry Eyes. The Exam Shows Punctate Keratopathy in the
Inferior Third of Her Corneas. What Is the Optimal Management?Melissa
Barnett, ODQuestion 13: I Have a Patient With Significant Dry Eye. Is There
Anything I Can Do in the Office to Help This Patient With Their Eye
Problems?Mark S. Milner, MDQuestion 14: A 51-Year-Old Man Presented With
Severe Pain in Both Eyes Upon Awakening in the Morning. He Has Seen Several
Other Ophthalmologists With No Resolution. What Could Be Going On, and How
Do I Help This Patient?Steven E. Wilson, MDQuestion 15: A 52-Year-Old Man
With Obesity Comes to the Office Complaining of Pain and Irritation in the
Right Eye. The Exam Shows Floppy Eyelids, 3+ Papillae in Upper Tarsal
Conjunctiva, and Lash Ptosis. Does He Need Eyelid Surgery?Reza Dana, MD,
MSc, MPHQuestion 16: A Patient Diagnosed With Bell's Palsy 2 Days Ago
Presents With Lagophthalmos and Moderate Superficial Punctate Keratopathy
Inferiorly on the Cornea. How Should I Treat Them?Brad H. Feldman, MD and
Natalie A. Afshari, MDQuestion 17: A 68-Year-Old Woman With Rheumatoid
Arthritis Presents With a Red, Painful Eye and Stromal Melt at the Limbus.
How Should I Treat Her?Jesse M. Vislisel, MDQuestion 18: A Patient With a
Filtering Bleb Complains of Discomfort in the Eye. The Bleb Is Prolapsing
Onto the Cornea and an Area of Stromal Thinning and Epithelial Staining
With Fluorescein Is Adjacent to the Bleb. What Is the Optimal
Management?Sonia H. Yoo, MD and Mohamed Abou Shousha, MD, PhDQuestion 19: A
53-Year-Old Woman Came to My Office With Sectoral Redness and Pain in One
Eye. How Should I Manage Her Eye?C. Stephen Foster, MDQuestion 20: A
72-Year-Old Woman Has Conjunctival Injection in Both Eyes and Symblepharon
and Trichiasis in the Right Eye. The Right Cornea Has Moderate Punctate
Staining. Should I Just Pull Out the Lashes or Do a Wedge Re Section of the
Lower Lid to Tighten It Up?David D. Verdier, MDQuestion 21: A Patient Who
Suffered a Chemical Burn in the Left Eye 2 Years Ago Complains of
Persistent Blurry Vision and Photophobia. There Is Corneal
Neovascularization and Conjunctivalization Extending 5 mm From the Limbus.
Do They Need Limbal Stem Cell Transplantation?Manachai Nonpassopon, MD;
Muanploy Niparugs, MD; and Ali R. Djalilian, MDQuestion 22: A 47-Year-Old
Man Has a Growth in the Nasal Corner of His Right Eye. Should His Pterygium
Be Removed Surgically?Kyle Jones, MD and Jessica Chow, MDQuestion 23: A
67-Year-Old Woman Complains of Constant Eye Irritation. The Exam Shows
Conjunctivochalasis of the Lower Bulbar Conjunctiva. Should I Excise the
Redundant Conjunctiva?Benjamin B. Bert, MDQuestion 24: I Have a Patient
With a Papillomatous, Waxy, Conjunctival and Corneal Lesion. Should I Be
Concerned About Conjunctival Intraepithelial Neoplasia?Brian D. Alder,
MDQuestion 25: A 13-Year-Old Adolescent Girl Is Complaining of an Enlarging
Brown Spot on Her Eye. The Exam Shows a Flat Conjunctival Pigmented Nevus
That Is 3 mm in Diameter, Surrounded by Mild Conjunctival Injection. Should
I Be Worried About Malignancy?Frederick (Rick) W. Fraunfelder, MDQuestion
26: A Patient Has Irritation in Their Nonseeing, Blind Eye. The Exam Shows
Mildly Inflamed Conjunctiva and Diffuse Corneal Epithelial and Stromal
Edema With Large Bullae. What Should I Recommend?Jill S. Melicher,
MDQuestion 27: A Patient Had LASIK 2 Months Ago and Has Persistent Pain in
the Eyes That Does Not Seem to Be Related to Surface Issues or Other
Anatomical Abnormalities. How Do I Diagnose and Manage This?Wendy Liu, MD
and Konstantinos D. Sarantopoulos, MD, PhD Section IV InfectionQuestion 28:
A Patient Presents With Corneal Ulcer. What Workup and Treatment Would You
Recommend?Prashant Garg, MD; Celine E. Satija, MD; and David R. Hardten,
MDQuestion 29: A 22-Year-Old Woman Complaining of Blurry Vision in One Eye
Has Deep Sectoral Corneal Stromal Neovascularization With Stromal
Infiltrate and Lipid Deposits in the Center of the Cornea. How Should I
Manage This Patient?Cullen D. Ryburn, MD and Derek W. DelMonte, MDQuestion
30: A Corneal Infiltrate Is Unresponsive to Topical Fluoroquinolones. Could
This Be Acanthamoeba?Elmer Y. Tu, MDQuestion 31: A Corneal Infiltrate of a
Farmer Hit by a Tree Branch Is Not Clearing on Topical Fluoroquinolone
Drops. What Should I Do Next?Erik Letko, MDQuestion 32: I Have a Patient
With Shingles Over the Right Side of Their Face and Around the Eye Treated
With Oral Antivirals for 10 Days. Does This Protect Them From Eye
Involvement?Celine E. Satija, MD and David R. Hardten, MDQuestion 33: I
Have a Patient With Herpes Simplex Dendrites. What Is the Best Plan to
Minimize Both the Recurrences and Possible Scarring?Penny Asbell, MD, MBA;
Michael Wallace, MD; and Daniel Brocks, MDQuestion 34: I Have a Patient
With Diabetes Who Had Infectious Keratitis With a Bacterial Etiology, But
Now After the Infection Has Cleared, I Can't Get the Epithelium to Heal.
How Can I Best Manage This?Shelby Anderson, OD and Ahmad Fahmy, ODQuestion
35: I Have a Patient With Material in the LASIK Interface at Day 1. What Do
I Need to Look for to Diagnose and Manage This Problem?Deepinder K.
Dhaliwal, MD, L.Ac and Tarika Thareja, MDQuestion 36: A Patient With Red,
Irritated Eyes, Tearing, and Photophobia That Started Yesterday Has Mild
Conjunctival Injection and 2+ Follicles of the Palpebral Conjunctiva. When
the Patient Awoke, Their Eyelids Were Stuck Closed. Is This Acute
Conjunctivitis?Andrea Blitzer, MD and Marian Macsai, MD Section V Corneal
RefractiveQuestion 37: My Patient Underwent LASIK Previously and Now Is
Interested in Cataract Surgery. What Is the Most Appropriate Formula for
IOL Calculations? Would They Be a Good Candidate for a Multifocal IOL? What
About After Corneal Cross-Linking?Brent Kramer, MD and Mitch Ibach,
ODQuestion 38: I Have a Patient With a Phakic IOL That Now Has a Cataract.
What Special Methods Do I Need to Use to Manage This Patient?Nikolas Raufi,
MD and Terry Kim, MDQuestion 39: How Do I Manage a Patient Who Rubbed Their
Eye Just After LASIK? What Could Go Wrong?Majid Moshirfar, MD; James R.
Barnes, BS; Grant C. Hopping, MD; and Yasmyne C. Ronquillo, MD, MSc,
JDQuestion 40: My Patient Recently Had LASIK, But I Noticed New Epithelial
Cells in the Flap Interface. When Do I Lift the Flap to Treat Epithelial
Ingrowth and What Is the Best Method?Zachary Zavodni, MD Section VI
TraumaQuestion 41: A Piece of Glass Flew Into My Patient's Eye. The Exam
Shows Central Corneal Perforation < 1 mm in Diameter. The Anterior Chamber
Is Shallow But Formed. How Should I Close This Wound?Roberto Pineda, MD and
Ramon Joaquim Hallal Jr, MDQuestion 42: My Patient Was Splashed With Cement
in Both Eyes. They Have Red, Irritated Eyes and Blurry Vision. The Exam
Shows Debris on the Conjunctiva and Under the Lids, Diffuse SPK in the
Right Eye, and a Central Corneal Epithelial Defect in the Left Eye. What
Should I Watch for?Bennie H. Jeng, MDQuestion 43: What Can I Offer a
Patient Who Sustained Eye Trauma and Loss of Iris Tissue?Walter T. Parker,
MD Section VII PostoperativeQuestion 44: A Patient Who Had Been Doing Well
After DMEK Presents With New Corneal Edema. What Should I Do?Yuri McKee,
MD, MSQuestion 45: How Should I Manage an Intraocular Pressure Spike of 43
mm Hg in a Patient With DMEK Who Is Taking 1 Drop of Pred Forte 1%
Daily?Laura Voicu, MD and Krishna Surapaneni, MDQuestion 46: A Patient Is 5
Months After Corneal Transplant for a Corneal Scar and Now Has a New
Epithelial Defect That Is Part on the Graft and Part on the Host Cornea.
How Should I Manage This Patient?Gary Legault, MDQuestion 47: What Should I
Do for a Patient Who Presents With 6.0 Diopters of Astigmatism After
Undergoing Penetrating Keratoplasty 24 Months Ago?Elaine Zhou, MD and Zaina
Al-Mohtaseb, MDQuestion 48: I Have a Patient With Poor Vision After DMEK.
What Went Wrong, and How Do I Get Better Vision for Them?Bryan S. Lee, MD,
JDQuestion 49: I Have a Patient Who Had Prior Verisyse IOL Implantation 20
Years Ago, and They Now Present With Posterior Synechiae, Moderate
Cataract, a Shallow Anterior Chamber, and New Corneal Edema. How Should I
Best Help This Patient With Their Vision?Daniel Terveen, MD; Vance
Thompson, MD; and John Berdahl, MDFinancial DisclosuresIndex
