An 87-year old African-Caribbean lady presented with a two week history of severe right ocular pain, worse in the evenings. The patient had previously been diagnosed to have asymptomatic iridoschisis in 2007 and attended the diabetic retinopathy screening service annually. There was no known family history of eye disease.
Traditional iris implants that are commonly available are rigid, requiring large incisions with associated risks of scarring, astigmatism, infection and poor healing (Thiagalingam et al., 2008). Furthermore, they do not replicate the patient’s natural eye colour and are therefore less desirable from a cosmetic point of view. Custom made iris implants are now growingly available and provide an exciting alternative.
Conjunctival melanoma is a rare ophthalmic cancer which requires a high index of clinical suspicion in order to be managed promptly and appropriately. We present an interesting case of a 74-year-old man with conjunctival melanoma and a red-herring in the form of an ipsilateral peri-ocular benign haemangioma that delayed diagnosis
Varicella-zoster virus commonly causes shingles in the elderly population. Atypical presentations require astute knowledge of the distribution pattern of the nerve affected and a thorough history and systemic examination to allow diagnosis. We present a rare case of maxillary division shingles with ocular manifestations in a 71-year-old woman post cataract operation.