This patient has markedly asymmetric pigment dispersion syndrome. There is no known cause for the asymmetry. He has no history of trauma and his refractive errors (-3.35 D) are symmetric. The left eye has a larger cup and has required trabeculectomy while the right eye has been easy to control.
This patient was discovered to have a mass on routine examination. It is noted that the mass is very closely intertwined with the haptic of her intraocular lens. A fine needle aspiration biopsy was performed that demonstrated a probable adenoma of the non-pigmented ciliary epithelium.
A 44-year-old woman diagnosed with posterior polymorphous corneal dystrophy as a child. She is from a large family of individuals with PPMD.
A 27-year-old Asian man found to have ocular hypertension at age 26 with intraocular pressures of 30 mmHg OD and 26 mmHg OS.
This 58-year-old woman had a trabeculectomy in her left eye in March 2011. In December 2011, she was found to have a cyst in her inferior anterior chamber and a year later this had grown so she was referred to see us. The cyst was drained and the contents were consistent with an epithelial inclusion cyst. This is interesting in that one can see cellular debris moving within the cyst in convection currents.
This 61-year-old man had a large iris pigment epithelial cyst that protruded into his pupil. It was so large that it compromised the inferior 180° of his iridocorneal angle. The cyst was lasered where it was very thin in the pupil and his angle opened markedly.
This 66-year-old woman had an intraocular pressure to 70 mmHg in her left eye. After undergoing laser iridotomy she was found to have persistently narrow angles. Her eyes were found to be quite short (22 mm) and her lens is very thick (5.3 mm).