We are reporting the LASIK cases and the results done by two different surgeons. Patients were selected based on a thorough history taking and complete ophthalmologic examination. The variability was decreased by only reporting the cases done by the co-authors since the operative technique followed by the two were virtually similar. Pre-operative corneal topography, videokeratography, and pachymetry were taken together with a thorough routine ophthalmologic history and examination. All patients who were screened were included in the study. The Schwind Microkeratome was used to create the corneal flap, the stromal ablation was then performed using the Schwind Microkeratome-F by Coherent with the Lambda Physik COMPex Excimer Laser. Pre-operative visual acuity was compared from the post-operative results. Likewise, intra-operative and post-operative complications were reported. Regular follow-up was done at 1 day, 1 week, 1 month and 6 months post-op. Visual acuity and refraction were closely monitored during the follow-up. (Author)
Human ; Male ; Female ; Middle Aged ; Adult ; Young Adult ; OPHTHALMOLOGY ; CORNEA

Objective: To describe a case of adult-onset foveomacular vitelliform dystrophy (AOFVD). Method: This is a case report. Results: A 22-year-old female presented with painless blurring of vision and metamorphopsia 3 days prior to consultation. There were 2 similar episodes in the past that spontaneously resolved after 2 to 4 weeks. Visual acuity (VA) was 20/50 in the right eye (OD) and 20/40 in the left (OS), both best corrected to 20/25. Dilated-fundus examination revealed a discrete area of mixed hypoand hyperpigmentation 1 disc diameter over the fovea in OD and a solitary round hypopigmented lesion with a hyperpigmented border 3 to 4 disc diameters on the fovea in OS. Fluorescein angiography (FA) revealed an area of hyperfluorescence surrounded by a rim of hypoflourescence in OD and an area of blocked fluorescence with subtle hyperfluorescence superior to the lesion in OS, both of which did not increase in size and intensity toward the late phases. Optical coherence tomography (OCT) revealed neurosensory detachment in both eyes. Electrooculogram (EOG) was normal with Arden ratio of 0.91. VA returned to 20/25 in both eyes, and repeat fundus photography showed no change in the characteristics of the lesions. Conclusion Differential diagnosis of a hypopigmented macular lesion in the young with self-limited blurring of vision should include AOFVD. FA, OCT, and EOG can help distinguish AOFVD from Best’s disease or other similar macular conditions.
Vitelliform Macular Dystrophy ; Bestrophins ; Peripherins

Objective: To describe a case of serpiginous choroidopathy. Methods: This is a case report. Results: A 61-year-old female with a 22-year history of gradual blurring of vision in the left eye sought consultation. Ten months prior, her left vision worsened, described as central scotoma that progressed inferiorly. Best-corrected vision was 20/20 (right) and counting fingers at 1 foot (left). Inferior hemifield scotoma was documented on Amsler grid testing of the left eye. Anteriorsegment findings were unremarkable. Retinal examination through a clear media revealed multiple contiguous hypopigmented patches radiating from the peripapillary area extending to the periphery in both eyes with extension to the superior fovea on the left. Fluorescein angiogram showed progressive faint hypofluorescence of the hypopigmented patches in both eyes with involvement of the superior fovea on the left. No active vessel leakage was noted. No treatment was given and regular Amsler monitoring was advised. Follow-up 3 and 6 months after revealed stable visual acuity and fluorescein angiogram (FA) findings. Conclusions This is a case of serpiginous choroidopathy with inactive pattern. There was unilateral decrease in central vision, scotoma, and retinal pigment epithelial atrophy in a serpentine pattern originating from the disc with macular involvement in one eye. FA aids in the diagnosis and monitoring of inflammatory activity as the presence of active leakage on the borders. Goals of management include monitoring, prevention of recurrences and progression, and rapid control of sequela with potential use of immunosuppressive therapy.
White Dot Syndromes ; White Dot Syndromes ; Uveitis