The European Dry Eye Society (EuDES), within the framework of the EuDES Meeting in Munich on June 2-3, 2023, organised a photo contest open to all EuDES members.
We are happy to share the best pictures that were presented during the EuDES Meeting in Munich.
"Hang On" - Gonçalo TARDAO
A 5-year-old female presented to the ophthalmology department with complains of ocular pruritus for the past month. Slit-lamp biomicroscopy revealed translucent egg-shaped nits (black arrow) and adult lices (white arrowhead) attached to the eyelashes. Microbiological examination identified Pthirus pubis. These infestations may spread through close contact with an infected individual and sexual abuse must be excluded as this can be a sexually transmitted disease. She was referred to the dermatology and paediatric departments to treat associated infestations and rule out other sexually transmitted diseases.
"A Resting Demodex" - Goktug DEMIRCI
After epilation of an eye lash, we put it on a microscope slide with immersion oil. Surprisingly oil and the backlight formed this magnificient view of a demodex.
"Mixture of Corneal Dystrophies on Ocular Surface" - ANNA NOWIŃSKA
Coexisting Epithelial Membrane Corneal Dystrophy and Fuchs Endothelial Corneal Dystrophy. The photo was taken after fluorescein installation with blue-yellow filters.
Discover the other pictures of the contest:
Click to show the captions
Interpalpebral staining and tear film break-up in dry eye disease associated with systemic aromatase inhibitor therapy
Fluorescein staining of the ocular surface and tear film break-up in a patient with aromatase inhibitor therapy for breast cancer, captured using a Zeiss Clarus 700 broad line fundus camera in autofluorescence mode.
Valley of Tears
Lower tear meniscus delineated through anterior segment optical coherence tomography (superior panel), pooled in a triangle between the lower lid and the corneoscleral limbus. Height and area can be measured with callipers (inferior panel), through which the software generates a volumetric reconstruction. These quantitive measurements correlate with symptoms and other tear function tests, providing valuable information in dry eye management.
Corneal abscess complicating a late stage of severe dry eye
After evolution of Sjogren's syndrome for ten years, occurrence of infectious complications in a 62-year-old monophthalm woman in her unique left eye. The photography is showing: conjonctival secretion, blepharitis, redness, corneal neovascularization,
Fluorescein Corneography of corneal superficial erosion due toxicity of topical ocular prostaglandin analogs: a novel diagnostic tool
A 60-year-old man on therapy for glaucoma comes to our attention complaining of blurred vision. He reports that he has been on prostaglandin therapy for glaucoma for 6 years. BCVA: 10/20, IOP: 17 mmHg. Slit-lamp examination revealed a positive corneal surface erosion with fluorescein staining. Fluorescein Corneography (OCT, Heidelberg Spectralis II OCT, Heidelberg, Germany) showed a large area of corneal surface erosion. According to the history and clinic, the patient had ocular surface toxicity due to prostaglandin eye drops.
Possible caption: This photo refers to a 59-year-old female patient with iatrogenic ipsilateral seventh nerve palsy secondary to a paraganglioma surgical resection 10 years before. The patient presented with central band-shaped keratopathy and is currently undergoing treatment.
Corneal nerves alterations mimicking Sjögren syndrome (SS): the importance of in-vivo confocal microscopy (IVCM)
A 48 y.o. female patient was referred to our Ocular Surface service with the clinical suspect of SS, after spontaneous corneal perforation in her right eye at waking up. While the clinical parameters (TMH: 0.15, TBUT: 2 sec, ocular staining score:7, Schirmer test I: 1 mm/5min) supported this hypothesis, the IVCM showed reduction of density of the nervous plexa and beadings, with a surprisingly low presence of activated immune cells; Cochet-Bonnet esthesiometry was 45/60. These findings helped in addressing the diagnosis, unveiling a potential small fiber systemic disorder. In this case it was important to consider that the alteration of corneal sensory nerves have an impact in the maintanance of the tear volume and its composition. SS was finally excluded by specific diagnostic work-up.
Filamentous keratitis, dry eye disease associated with systemic scleroderma
"Photo of staining of the eye surface with fluorescein (slit-lamp biomicroscopy with a blue light filter). Multiple staining of the epithelium of the cornea and conjunctiva in the form of threads and dots. Diagnosis of systemic scleroderma
was established for the first time when a patient complainted to an ophthalmologist."
Back to the fluobasics
38-years old female with a crescent-shaped juxtalimbal corneal lesion consistent with peripheral ulcerative keratitis, before (left image) and after (right image) treatment with and oral topical corticosteroids. The patient was referred to rheumatological evaluation to exclude systemic sclerosis after clinical history and positive anti CENP-A and CENP-B antibodies.