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Case Reports

Preoperative photograph of the right upper eyelid showing two small lacerations to the eyelid margin.

Hidden eyelid laceration following blunt trauma

3 April 2024 | Sarah E O’Beirne, Jennifer HY Tan | EYE - Oculoplastic, EYE - Cornea, EYE - General

A paediatric case report of a hidden eyelid laceration following blunt trauma. Blunt injury to the eyelid can result in a multitude of issues, such as damage to the eyelid margin, lacrimal system and surrounding orbit [1]. These can often...

Image showing MRI head showing a well-defined sellar mass.

Photophobia: an unusual symptom of a pituitary macroadenoma

2 February 2024 | Kathryn O’Brien, Henry Z Lin, Anthony Vivian | EYE - General

Introduction Photophobia, defined as ‘an abnormal intolerance to light’, is commonly associated with a range of both ocular and neurological pathologies such as dry eye, blepharospasm, corneal pathologies, cataracts, uveitis, retinal dystrophies, optic neuritis, migraine, meningitis, and traumatic brain injury...

Right-eye (OD) fundus image showing pigmentary changes at the fovea.

A unique case of macular burn from ‘toy’ laser

2 February 2024 | Paras Agarwal, Manoj Kulshrestha | EYE - General

The first laser was created in 1960 and its name is an acronym for ‘light amplification by stimulated emission of radiation’. Laser technology has been used for medical, industrial, research and entertainment purposes in a variety of fields following extensive...

CT scan of head image.

Acute dacryoadenitis secondary to COVID-19

4 October 2023 | Kareem Waleed Alsaffarini, Han Xern Khoo, Colin Vize | EYE - General

Acute dacryoadenitis is defined as the rapid onset of discomfort and swelling of the lacrimal gland, classically giving rise to an S-shaped ptosis [1]. Dacryoadenitis is the most common cause of a painful mass in the lacrimal gland in young...

Left fundus photograph showing CRVO with blurred disc margin.

A case of ‘60-day glaucoma’

3 April 2023 | Jagruti Godhaniya, Rajan Paul | EYE - General

Neovascular glaucoma (NVG) has been called ‘90-’ or ‘100-day glaucoma’ in the past due to its typical development three months after the onset of central retinal vein occlusion (CRVO). In reality, NVG can occur anywhere between two weeks and two...

Photo showing right eye periorbital edema – anterior view.

Recurrent unilateral preseptal cellulitis secondary to herpes simplex virus infection

3 April 2023 | Shaheryar Ahmed Khan, Bridget Hemmant, Radomir Babovic, Yomi Imasogie | EYE - General

Introduction Periorbital (sometimes called preseptal cellulitis) is a common condition which on its own is not normally an ophthalmic or surgical emergency, however it has the potential to cause severe and serious morbidity in cases where the infection has crossed...

Photo showing conjunctival emphysema in the inferior temporal conjunctival fornix.

Periorbital and subconjunctival emphysema - a sign of orbital rim fracture

3 February 2023 | Hee La Lee, Ernest Lim, Christopher Leak | EYE - General

Background Orbital emphysema is a condition where air is present in orbit or periorbital tissues [1]. It is most commonly caused by trauma leading to orbit fracture, where air from paranasal sinuses is allowed to enter the orbit. The most...

Chest X-ray showing nodular lung infiltrates (white asterisks) and bilateral hilar prominence (white arrows).

Ciliary body granuloma masquerading as a melanoma

3 February 2023 | Boon Lin Teh, Paul Cauchi, Lucia Kuffová | EYE - General

Introduction Sarcoidosis is a multisystem granulomatous inflammatory condition which predominantly affects the pulmonary system and intrathoracic lymph nodes, followed by ocular involvement [1]. We present an interesting patient who developed acute anterior uveitis and subsequent ciliary body granuloma clinically mimicking...

Photo showing bilateral central corneal epithelial defects.

Bilateral eye pain after contact lens wear: an inadvertent case of chemical eye injury

1 December 2022 | Derek K-H Ho, Vinod Kumar | EYE - General

Introduction There are around 4.1 million contact lens wearers in the UK [1]. While the vast majority of them do not experience any complications, over the past years there have been cases of acanthamoeba keratitis and multiple retained contact lenses...

Image of an eye

Avoiding investigations through history taking and examinations to differentiate serious from comparably benign aetiology

1 December 2022 | Nameer K Rahman, Ishrat Rukhsana Bashir, Hiten G Sheth | EYE - General

*Joint first authors. Introduction Anisocoria can be a sign of neurological deficit, necessitating numerous investigations [1]. This case report explores how expensive and time-consuming investigations can be avoided by thorough history taking and examination to differentiate serious from comparably benign...

Fundus image of the right eye postoperatively.

A paediatric case of central retinal artery occlusion following antibiotics and decompression surgery for orbital cellulitis

3 October 2022 | Saad Mahmud Khan, Nadia Azad | EYE - Paediatrics, EYE - Strabismus, EYE - General

Orbital cellulitis is an ophthalmic emergency that warrants urgent management in the hospital setting [1]. This occurs more frequently in the paediatric population where it is often secondary to sinus infections. Delay in treatment could result in severe complications including...

CT scan showing hyper-ossification of the frontal sinus wall with reduction of expansion of the sinus.

Upper eyelid ulceration as a presenting sign of frontal sinus mucocele

3 October 2022 | Mustafa Al-Hashimi, Ranad Maswadi, Bijan Beigi | EYE - General

Introduction A sinus mucocele is an epithelium-lined sac filled with mucus and desquamated epithelium. It forms secondary to inflammatory processes that occur in a sinus with an obstructed ostium. Predisposing conditions include previous trauma, surgery, tumours, anatomical abnormalities, and chronic...

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