Group, I can not take credit for the photos. My coworker Katie Lachut took the
nice photos of this guy.
Dave
________________________________
On: 17 October 2018 08:41,
"Bennett, Timothy"
<tbennett1@xxxxxxxxxxxxxxxxxxxxxxx<mailto:tbennett1@xxxxxxxxxxxxxxxxxxxxxxx>>
wrote:
It definitely meets the definition of a “fascinoma”! Nice photos. You should
consider writing it up as a case report for the JOP with or without a confirmed
dx.
tim
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On ;
Behalf Of Katie Lachut
Sent: Wednesday, October 17, 2018 8:14 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Help Needed - What is diagnosis?
Judging by the medications he's on, it seems like he's had a kidney transplant.
Could be conjunctival and corneal calcification due to chronic renal failure?
Katie Lachut | (315)806-9733 |
https://www.flickr.com/photos/katielachut<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.flickr.com_photos_katielachut&d=DwMGaQ&c=pOo6bKNCxsIK6eGC4MYY4A&r=xJ4AiUI9a6xJS8e4jFnwAVSrtTMjIIt0HQ2NpF-cjYo&m=0dE2SIYq8F2k-l9blu9-G3Mb5m4LRlJkIiLwnCR_Olk&s=-Sd56d4ZlEdm6pesoCL23vxv2cI6C_epWUfGKC4ow30&e=>
Ophthalmic Photographer with VCU Health System | RIT 2013
On Wed, Oct 17, 2018 at 1:52 AM Paula Morris
<paula.morris@xxxxxxxxxxxx<mailto:paula.morris@xxxxxxxxxxxx>> wrote:
Those are pretty significant deposits. Looks like copper but the Kaiser
Fleischer looks a little atypical. Does the patient have any of the systemic
symptoms of Wilson's? Poor liver function, jaundice, leaden gait?
Mike had a great idea about this being presented in the Rare Case symposium
next year. Where's a cornea specialist when you need them?
p
________________________________
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>
[optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>] on behalf
of Warren, Kathleen
[Kathleen_Warren@xxxxxxxxxxxxxxxx<mailto:Kathleen_Warren@xxxxxxxxxxxxxxxx>]
Sent: Tuesday, October 16, 2018 9:11 AM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Help Needed - What is diagnosis?
Wilson’s Disease is a good diagnosis – it causes the buildup in the Descemet's
Membrane too – but you said it was part of Bowmans?
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>] On
Behalf Of Warren, Kathleen
Sent: Tuesday, October 16, 2018 10:46 AM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Help Needed - What is diagnosis?
I didn’t see the copper ring before - hmmmm
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx]<mailto:[mailto:optimal-bounce@xxxxxxxxxxxxx]>
On Behalf Of Katie Lachut
Sent: Tuesday, October 16, 2018 10:33 AM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Help Needed - What is diagnosis?
External Email - Use Caution
Here's more images if it helps.
Katie Lachut | (315)806-9733 |
https://www.flickr.com/photos/katielachut<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.flickr.com_photos_katielachut&d=DwMGaQ&c=pOo6bKNCxsIK6eGC4MYY4A&r=xJ4AiUI9a6xJS8e4jFnwAVSrtTMjIIt0HQ2NpF-cjYo&m=0dE2SIYq8F2k-l9blu9-G3Mb5m4LRlJkIiLwnCR_Olk&s=-Sd56d4ZlEdm6pesoCL23vxv2cI6C_epWUfGKC4ow30&e=>
Ophthalmic Photographer with VCU Health System | RIT 2013
On Tue, Oct 16, 2018 at 10:15 AM Dennis THAYER
<dmarc-noreply@xxxxxxxxxxxxx<mailto:dmarc-noreply@xxxxxxxxxxxxx>> wrote:
Perhaps Wilson’s disease? That had a deposition of copper in a ring around
whole cornea OU.
Dennis
On Oct 16, 2018, at 8:59 AM, Warren, Kathleen
<Kathleen_Warren@xxxxxxxxxxxxxxxx<mailto:Kathleen_Warren@xxxxxxxxxxxxxxxx>>
wrote:
My guess – and by no means do I even know – but maybe a build up from the
Ursodial – bile, could be causing formation ? I used to work for a veterinarian
clinic, and the images remind me of urinary crystals that can form and block
the passing of urinary fluids. Thus, why I am thinking of the side effects of
this particular drug on the list that is to break up stones that could be
forming could be congregating there –
Good luck and keep us posted - Kat
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of David Bennett
Sent: Tuesday, October 16, 2018 9:31 AM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Help Needed - What is diagnosis?
External Email - Use Caution
Group,
30 YO Male with bilateral corneal deposition of golden oil like deposits in
Bowman’s layer. Any idea’s?
Dave
David B. Bennett
VCU Health System
Department of Ophthalmology
Ophthalmic Diagnostic Imaging
Richmond, VA 23298
804-828-8335
david.bennett@xxxxxxxxxxxxx<mailto:david.bennett@xxxxxxxxxxxxx>
Mass. Eye and Ear Confidentiality Notice: This e-mail and any files transmitted
with it are confidential and are intended solely for the use of the
individual(s) addressed in the message above. This communication may contain
sensitive or confidential information. If you are not an intended recipient,
dissemination, forwarding, printing, or copying of this e-mail is strictly
prohibited. If you believe you have received this e-mail in error and the email
contains patient information, please contact the Mass. Eye and Ear Compliance
Line at (800) 856-1983. If the e-mail was sent to you in error but does not
contain patient information, please contact the sender and delete the e-mail.
