Philippine Cornea Society

21/08/2025

13/03/2025

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An 85-year-old woman presented with an elevated pigmented conjunctival lesion in the inferior fornix, which was noted 6 weeks prior. She refused intervention or follow-up. She returned 2 years later with enlargement of the lesion, hemorrhage, and an inability to close her eye. Ultrasound biomicroscopy showed a 12 × 20 mm heterogenous lesion without scleral extension. After lengthy discussion, she elected for debulking and cryotherapy only. Pathology revealed conjunctival melanoma. She opted against staging or scheduled surveillance. A recurrent lesion was identified at POM2, but she declined further intervention. She passed away 9 months after the debulking surgery.



From “Giant Conjunctival Melanoma after Deferred Intervention” by Radwa Elsharawi, MD, MSc, Roma B. Pegany, MD, Afshan A. Nanji, MD, MPH. Published by Ophthalmology online on January 10, 2025.

https://www.aaojournal.org/article/S0161-6420(24)00684-5/fulltext

26/02/2025

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A 19-year-old man presented with a 10-year history of progressively enlarging bilateral conjunctival lesions. Anterior-segment examination revealed 360-degree bilateral involvement of the bulbar conjunctiva, extending from the fornix to the limbus, with the palpebral conjunctiva remaining unremarkable. Occasional hemorrhages were observed. Anterior-segment OCT exhibited hyperreflective subepithelial lesions containing hyperreflective foci bilaterally, with a normal overlying epithelial layer. Multiple large biopsies were performed. The presence of subepithelial deposits of amorphous eosinophilic material supported by “apple green birefringence” under polarized light after Congo red staining, confirmed the diagnosis of conjunctival amyloidosis. Rheumatologic evaluation excluded systemic amyloidosis.

From “Atypical Presentation of Conjunctival Amyloidosis” by Matteo Menean, MD, Lucia Bongiovanni, MD, Elisabetta Miserocchi, MD. Published by Ophthalmology online on October 21, 2024.



https://ow.ly/ASXW50UMVBe

26/02/2025

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A woman in her 50s with history of pterygium status postexcision presented with slow-growing black pigmented conjunctival lesion. The patient initially noted pain in the pterygium area. Four months later, enlarging black pigmentation was noted. A conjunctival lesion was surgically excised, and pathology revealed foreign material (glue and amniotic membrane graft) with septate fungal forms, adjacent to inflamed, eroded conjunctiva. Histopathologic examination was consistent with phaeohyphomycosis. Fascinating case of phaeohyphomycosis, a pigment-producing fungus, mimicking melanoma. The patient was healing well 40 days postoperatively after voriconazole drops.

From “Phaeohyphomycosis, a Pigment-Producing Fungus, Mimicked Melanoma on External Examinations” by Crystal W. Law, PA-C, William H. Constad, MD, Jasmine H. Francis, MD. Published by Ophthalmology online on December 21, 2024.



https://ow.ly/X4aG50UMUUU

15/07/2024

https://www.facebook.com/TheNewEnglandJournalofMedicine/posts/pfbid0grAhSbKVBqox1UL6UqLXYakJnG98morbvEbRHGc3rBTfSuPpExVnVPHTUgAjFABAl

A 26-year-old man presented to the ophthalmology clinic with a 2-month history of a painless, reddish growth on his left eye. A physical examination was notable for the presence of a sessile mass protruding just above the lower eyelid. When the eyelid was lowered, the entire mass — including its vascular fronds and episcleral feeder vessel — was visible on the surface of the inferior bulbar conjunctiva. What is the most likely diagnosis? https://nej.md/IC07112024

08/07/2024

Next up on the Philippine Cornea Society 25th anniversary webinar series: "Peripheral Ulcerative Keratitis & Rheuma".

30/05/2024

As part of its 25th anniversary activities, the Philippine Cornea Society Inc. will conduct a webinar series on ocular allergies, "Mata, Mata, Bakit Makati Ka?"

16/10/2023

https://www.facebook.com/TheNewEnglandJournalofMedicine/posts/pfbid02fW39Sv3LJC5XhCnKyH1jQEUbfjMjEnHjjdvjtuSi7A6zqV6QCBLYyMzFgMVsB92Sl

A 44-year-old man with diabetes and end-stage kidney disease presented with a 2-week history of pain and blurry vision in his left eye, fevers, and back pain. An ophthalmologic examination was notable for conjunctival injection and corneal clouding in the left eye. Visual acuity was 20/60 in the right eye and was reduced to minimal light perception in the left eye. Slit-lamp examination revealed a hazy, edematous cornea and a small hypopyon in the left eye. Cultures of vitreous fluid and blood grew methicillin-sensitive Staphylococcus aureus. Which of the following is the best next step in management in addition to systemic antimicrobial treatment? https://nej.md/46qN4t4