Browse articles on EyeWorld.org. EyeWorld is the award-winning member publication of ASCRS. The magazine provides news and updates from the Society as well as clinical features in the areas of cataract, refractive, cornea, glaucoma, and practice management. It publishes quarterly with editorial direction from its medical editorial board and staff.

Mooren’s ulcer vs. PUK: The difference can mean life or death

While Mooren's ulcer is by definition not associated with any systemic autoimmune disorder, it can be confused with corneal ulcers that are early warning signs of life-threatening diseases, said C. Stephen Foster, M.D., founder and president, Massachusetts Eye Research and Surgery Institute, Cambridge, and clinical professor of ophthalmology, Harvard Medical School, Boston.

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Distinguishing dendrites

Many epithelial lesions have a dendritic shape. Although most of these lesions are pseudodendrites, they are frequently misdiagnosed as herpes simplex virus (HSV). The shape differences between these dendrites are subtle, but do exist. EyeWorld spoke to two experts on the subject who weighed in on the telltale signs.

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Read more about the article Don’t exclude thin cornea patients from LASIK for fear of ectasia
Corneal thickness is not directly related to corneal strength. This patient had a thick cornea but was obviously weak biomechanically, which can be seen on topography as FFKC pre-op. This patient developed ectasia 27 months after LASIK Source: William B. Trattler, M.D.

Don’t exclude thin cornea patients from LASIK for fear of ectasia

The belief that LASIK shouldn't be performed on thin corneas because of the risk of sight-threatening ectasia isn't scientifically valid, according to one researcher. Abnormal corneal topography is the most important preop risk factor for the complication, said William Trattler, MD.

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