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
Middle-aged patient with worsening vision many years after a previous procedure This low power view shows a full thickness corneal button. We've sliced it in two and embedded both halves on our cut surface. It is not obviously inflamed or vascularised (something I specifically mention in my reports as a negative finding). However, there is… Continue reading Eye pathology case 11
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