Winners
Muhammad Imran Saleem Channer, MBBS, FCPS
- consultant ophthalmologist and fellow, College of Physicians and Surgeons, Bahawalpur, Pakistan
- senior registrar, Department of Ophthalmology, Quaid-e-Azam Medical College/B.V. Hospital, Bahawalpur, Pakistan
- imransaleemchanner@yahoo.com
Julia Furtado Heringer, MD
- ophthalmology fellow, University of São Paulo, Brazil
- jfheringer@hotmail.com
Rodolpho Takaishi Ninin Matsumoto, MD
- ophthalmology resident at Clinics Hospital of the University of São Paulo, Brazil
- rodolpho.takaishi@gmail.com
Judges
Steven J. Dell, MD
- Medical Director, Dell Laser Consultants, Austin, Texas
- CRST chief medical editor
- (512) 347-0255; steven@dellmd.com
Robert J. Weinstock, MD
- director of cataract and refractive surgery, Eye Institute of West Florida, Largo, Florida
- rjweinstock@yahoo.com; Twitter @EyeInstituteWFl
- CRST chief medical editor
Corneal Ectasia
Submitted by Rodolpho Takaishi Ninin Matsumoto, MD
INTERESTING AND ARTISTIC
A 62-year-old woman stated that she had had poor visual acuity since she was 15 years old. She had no ophthalmic care and no treatment at the time, leading to this advanced corneal ectasia.
JUDGE’S COMMENTS
No topographer needed here. This case of ectasia would be obvious to even the casual observer. —Steven J. Dell, MD
Iris Vascular Malformation
Submitted by Imran Saleem Channer, MBBS, FCPS
SLIT LAMP
A 30-year-old man came to our department for a routine ophthalmic examination. The iris vascular malformation was diagnosed as an incidental finding during a routine slit-lamp examination. The patient was unaware of the lesion, and there were no associated symptoms. The patient will be examined every 6 months for any complications.
JUDGE’S COMMENTS
This is a technically excellent photograph of a striking vascular lesion, which contrasts nicely with the blue iris. —Steven J. Dell, MD
Iris Melanoma
Submitted by Muhammed Imran Saleem Channer, MBBS, FCPS
RARE AND UNUSUAL DISEASES
This 25- to 30-year-old was referred to our hospital for an enlarging mass inside the eye. The tumor started as a single nodule about 2 years before this photograph was taken. It then increased in size and transformed into a multinodular mass. A clinical diagnosis of iris melanoma was made based on the clinical appearance of the lesion.
JUDGE’S COMMENTS
Most of us will go our entire careers without seeing such a dramatic iris neoplasm. —Robert J. Weinstock, MD
Endophthalmitis With Lens Extrusion
Submitted by Julia Furtado Heringer, MD
SURGICAL COMPLICATION
A patient presented with a chief complaint of ocular pain for 7 days. An examination revealed erosion of the eyewall, extrusion of the lens, and endophthalmitis. Cataract surgery had been performed 3 months earlier, and the patient had not returned for follow-up.
JUDGE’S COMMENTS
This photograph is a reminder that cataract surgery, albeit the safest surgery in the world, can still have catastrophic complications. —Robert J. Weinstock, MD
Severe Trauma
Submitted by Rodolpho Takaishi Ninin Matsumoto, MD
TRAUMA
A 32-year-old patient was admitted to the ER with a blunt ocular trauma from a large piece of metal. A slit-lamp examination showed a great linear laceration limbus to limbus with iris herniation, hyphema, and Descemet membrane folds.
JUDGE’S COMMENTS
The eye is so resilient at times yet so vulnerable and fragile at others. —Robert J. Weinstock, MD
