Case Study: November 2012


  • 55 year old male, with a history of pupil-block glaucoma and a recent cataract operation, undergoes corneal decompensation
  • The eye is enucleated
  • A PK is performed
  • Figures 1, 2 and 3 show the key pathologies


  1. What is the arrow in Fig 1 pointing to?
  2. Collectively, what is indicated by Figures 2 and 3
  3. What is the overall diagnosis?
Click to show answers


  • This is an uncomplicated LASIK scar
  • Loss of endothelial cells attributable to a the conspiring effects of the recent cataract extraction and retrocorneal fibrosis, most likely secondary to the previous pupil-block
  • Pseudopkakic bullous keratopathy with a previous LASIK procedure