The Bochner Eye Institute regularly sends out emails we call Grand Rounds – interesting cases that we encounter in our daily practice. We like to share this information so that eye care practitioners may have some insight into rare conditions or interesting solutions to eye care problems that we encounter on a more regular basis.

Below are the cases that we have made available so far. Click on any of the Grand Rounds titles and you’ll be taken to the case we’ve posted. We hope you find this information both educational and valuable. 

#1: False Ectasia

A thorough diagnosis reveals a condition epithelial basement membrane dystrophy (EBMD) that could have been interpreted as keratoconus.

#2: Radial Keratotomy
& Cataract Surgery

A custom piggyback lens was inserted in the sulcus on top of the original implant to improve uncorrected acuity for this patient who had previously had RK and a monofocal IOL.

#3: Implantable Contact Lens

A young patient with high refractive error treated with the EVO ICL to provide clear vision without glasses or contact lenses.

#4: Hyperopia & Refractive
Lens Exchange

Refractive Lens Exchange provided the best solution for this 55 year-old patient looking for both distance and near vision.

#5: Advanced Macular Degeneration
& Cataract Surgery

Given the presence of AMD, either an extended-depth-of-focus or an advanced monofocal IOL can be used to achieve the desired visual outcome.

#6: Keratoconus Treatment:
16 Years Later

Corneal cross-linking combined with topography-guided PRK  was performed with an improvement in best-corrected vision with glasses to 20/25.

#7: Cataract Surgery &
Light Adjustable Lens

The Light Adjustable Lens (LAL) is a cutting-edge technology in cataract and refractive surgery, offering customization after implantation.

#8: Keratoconus Unilateral Disease
In Younger Patients

In cases of unilateral keratoconus in patients under 25 years of age, performing CXL in both eyes can reduce the high (90%) risk of developing keratoconus bilaterally.

#9: Intraocular Surgery &
The Femtosecond Laser

This case reviews the use of a multifocal implant, and the femtosecond laser to assist with surgery, leading to an excellent refractive outcome.

#10: Nystagmus &
Laser Vision Correction

A young male with a history of horizontal nystagmus and contact lens intolerance was treated with PRK to decrease the potential of flap slippage and the need for surgical repositioning.

#11: Keratoconus &
Follow-Up Examinations

Folow-up examinations of a young male was with unilateral keratoconus that was treated with corneal crosslinking (CXL) in his right eye reveals the development of keratoconus in his left eye which was then also treated with CXL.

#12: Hyperopic Toric ICL
With Rotation

A good outcome for this hyperopic patient after custom lenses from Staar Surgical were used to replace the original ICLs that had rotated post surgery.

#13: Managing Glare & Halos
Following ICL Surgery

An optometrist patient opted for ICL surgery and reported glare and haloes post-surgery. Repositioning of the ICL in the left eye resulted in a significant improvement in visual quality and resolution of the glare and haloes.

#14: PRK & Pseudodendrite

A 24-year old male patient opted for PRK due to his relatively high refractive error and thinner corneas. Post-surgery, his local eye doctor noted a corneal dendrite in both eyes and referred the patient back, where we confirmed the diagnosis.

#15: Dry Eye & Laser Vision Correction

A 38-year old female patient with mixed-mechanism dry eye (involving both meibomian gland dysfunction and aqueous tear deficiency) was able to undergo LASIK after treatment for dry eye.

#16: LASIK For Hyperopia Correction

A 31-year old patient with hyperopia achieves 20/20 vision in both eyes following LASIK treatment.

#17: Laser Vision Correction
For A Formula One Driver

A 23-year old Formula One driver achieves 20/15 vision in both eyes following LASIK.

#18: Post-LASIK Evaluation &
Management Of Microstriae

Recognition and management of chronic macrostriae, with timely surgical intervention can result in significant improvements and often restore visual quality.