Clinic photos

 

A raging case of vernal keratoconjunctivitis (VKC). I see this on a daily basis (although not usually to this extent). VKC is also known as "Spring catarrh" because of its seasonal incidence. And we have just started Spring here in the Southern Hemisphere. I post this photo because of the striking Horner-Trantas dots (white "spots" at limbus) and also to illustrate that VKC can be a potentially blinding disease, as the central cornea can become involved.

 

Symblepharon in a patient who is on HAART. Nevirapine (a non-nucleoside reverse transcriptase inhibitor) is the most common culprit and has been associated with Stevens-Johnson syndrome. This patient had bilateral chronic conjunctivitis, dry eye, and symblepharon.

What Dr. Fetherston and I surmised is a keratoacanthoma of the conjunctiva, which is very rare. This is an HIV negative person in his thirties (therefore not likely squamous cell carcinoma) and this lesion came on very quickly. Of course, formal diagnosis can only be made on pathology.

I have no idea what this is, but appeared allergic to me. The periorbital skin was affected bilaterally. The vision was fine and there were no "urgent" ocular findings, so I told the mom to use artificial tears and cool compresses and come see me again in a week if it didn't resolve. They never came back, so it must've resolved?!
 



Me working at St. Theresa's with a cute little patient who found a comfortable seat on my lap.