Teaching eye pathology
Unsurprisingly, the frequency of corneal graft surgery took a dip last year, when we dealt with around 350 cases rather than our more usual numbers of 500-550. Where did that reduction come from? I've just had a quick peruse of our LIMS (Laboratory Information Management System), comparing 2020 with 2018 and 2019. I initially thought… Continue reading Eye pathology cases 17
I recently received a query as to whether I've come across corneal copper deposition, as we might see in the Kayser-Fleischer ring of Wilson disease. Not sure who Kayser, Fleischer or Wilson were? Here's a little information. There's a nice picture of the clinical appearance and an overview of Wilson disease here. On checking our… Continue reading Eye pathology case 16
Cornea from a young adult with gradually worsening vision This low power image shows a full thickness cornea with a little artefactual creasing. Remember, the 5 layers are: epithelium, Bowman's layer, stroma, Descemet's membrane and endothelium. The stroma is perhaps a little thinned towards the right of centre, and there is subtle scarring in the… Continue reading Eye pathology case 15
Enucleation specimen The patient is an elderly male. The reason for surgery is a choroidal melanoma, but I'm not going to show that in this post: there's something else of note. This low power image shows the anterior segment (cornea, iris, ciliary body and lens). The feature of interest is that instead of having a… Continue reading Eye pathology case 14
