The Bochner Eye Institute regularly sends out emails we call Grand Rounds – interesting cases that we encounter in our daily practice. We like to share this information so that eye care practitioners may have some insight into rare conditions or interesting solutions to eye care problems that we encounter on a more regular basis.
Below are the cases that we have made available so far. Click on any of the Grand Rounds titles and you’ll be taken to the case we’ve posted. We hope you find this information both educational and valuable.
#1: False Ectasia
A thorough diagnosis reveals a condition epithelial basement membrane dystrophy (EBMD) that could have been interpreted as keratoconus.
#2: Radial Keratotomy
& Cataract Surgery
A custom piggyback lens was inserted in the sulcus on top of the original implant to improve uncorrected acuity for this patient who had previously had RK and a monofocal IOL.
#3: Implantable Contact Lens
A young patient with high refractive error treated with the EVO ICL to provide clear vision without glasses or contact lenses.
#4: Hyperopia & Refractive
Lens Exchange
Refractive Lens Exchange provided the best solution for this 55 year-old patient looking for both distance and near vision.
#5: Advanced Macular Degeneration
& Cataract Surgery
Given the presence of AMD, either an extended-depth-of-focus or an advanced monofocal IOL can be used to achieve the desired visual outcome.
#6: Keratoconus Treatment:
16 Years Later
Corneal cross-linking combined with topography-guided PRK was performed with an improvement in best-corrected vision with glasses to 20/25.
#7: Cataract Surgery &
Light Adjustable Lens
The Light Adjustable Lens (LAL) is a cutting-edge technology in cataract and refractive surgery, offering customization after implantation.
#8: Keratoconus Unilateral Disease
In Younger Patients
In cases of unilateral keratoconus in patients under 25 years of age, performing CXL in both eyes can reduce the high (90%) risk of developing keratoconus bilaterally.
#9: Intraocular Surgery &
The Femtosecond Laser
This case reviews the use of a multifocal implant, and the femtosecond laser to assist with surgery, leading to an excellent refractive outcome.
#10: Nystagmus &
Laser Vision Correction
A young male with a history of horizontal nystagmus and contact lens intolerance was treated with PRK to decrease the potential of flap slippage and the need for surgical repositioning.
#11: Keratoconus &
Follow-Up Examinations
Folow-up examinations of a young male was with unilateral keratoconus that was treated with corneal crosslinking (CXL) in his right eye reveals the development of keratoconus in his left eye which was then also treated with CXL.
#12: Hyperopic Toric ICL
With Rotation
A good outcome for this hyperopic patient after custom lenses from Staar Surgical were used to replace the original ICLs that had rotated post surgery.
#13: Managing Glare & Halos
Following ICL Surgery
An optometrist patient opted for ICL surgery and reported glare and haloes post-surgery. Repositioning of the ICL in the left eye resulted in a significant improvement in visual quality and resolution of the glare and haloes.
#14: PRK & Pseudodendrite
A 24-year old male patient opted for PRK due to his relatively high refractive error and thinner corneas. Post-surgery, his local eye doctor noted a corneal dendrite in both eyes and referred the patient back, where we confirmed the diagnosis.
#15: Dry Eye & Laser Vision Correction
A 38-year old female patient with mixed-mechanism dry eye (involving both meibomian gland dysfunction and aqueous tear deficiency) was able to undergo LASIK after treatment for dry eye.
#16: LASIK For Hyperopia Correction
A 31-year old patient with hyperopia achieves 20/20 vision in both eyes following LASIK treatment.
#17: Laser Vision Correction
For A Formula One Driver
A 23-year old Formula One driver achieves 20/15 vision in both eyes following LASIK.
#18: Post-LASIK Evaluation &
Management Of Microstriae
Recognition and management of chronic macrostriae, with timely surgical intervention can result in significant improvements and often restore visual quality.
#19: Personality Traits &
Successful Clinician
A review of the attributes that contribute to building an exceptional practice.
#20: LASIK For A Skier
Freedom from glasses and contacts can make sports like skiing safer and more enjoyable.
#21: LASIK For A Pro
Hockey Player
LASIK can deliver clearer vision, better peripheral vision and fewer distractions for professional and recreational hockey player.
#22: RLE After RK &
Refractive Surprise
Careful assessment and surgical planning leads to a successful outcome for this complex case.
#23: Retinal Detachment
& Cataract Surgery
This case highlights the importance of trauma assessment, careful surgical planning, and long-term monitoring in patients with retinal detachment and cataracts.
#24: LASIK For
Snowboarders
LASIK can provide clear vision for snowboarders, helping to eliminate performance issues with glasses and contact lenses by aiding comfort and improving reaction times, depth performance, and peripheral vision.
#25: RLE For Alumni Maple Leaf
Goaltender Mike Palmateer
Advances in multifocal intraocular lens technology delivers an excellent result for an active individual looking for both distance and near vision.
#26: LASIK For Eye Doctors
An ophthamologist learns first-hand about the professional and clinical benefits that LASIK can bring to his everyday practice and interactions with patients.
#27: Cataract Surgery &
Rebound Inflammation
Early recognition and treatment of rebound inflammation after surgery is key to success.
#28: Growing Your Practice
With Refractive Surgery
Ongoing referrals from satisfied refractive surgery patients can help build your practice.
#29: LASIK For Golfers
LASIK allows both recreational and professional golfers to focus more on their game and enjoy a better overall experience.
#30: LASIK For An
Operating Room Nurse
LASIK can improve efficiency, comfort and safety for people in demanding professions like his operating room nurse.
#31: Trauma Following
Toric Implants
Toric ICLs provide safe, stable, and effective long-term vision correction but trauma can compromise results – making patient education and protective strategies essential for preserving visual outcomes.
#32: Intraoperative
Floppy Iris Syndrome
This case underscores the importance of comprehensive preoperative assessment, including medication history, especially in male patients with BPH.
#33: LASIK For Runners
For runners and other physically active individuals, LASIK offers distinct advantages, significantly improving both performance and quality of life.
#34: LASIK For
Busy Parents
For parents juggling the demands of young children and busy schedules, LASIK offers convenience,confidence, and improved quality of life.
#35: Amiodorane Keratopathy With
Irregular Astigmatism & Cataract
This case illustrates the careful decision-making required when managing cataract surgery in the setting of amiodarone keratopathy.
#36: LASIK For
A Police Officer
LASIK offers a significant advantage for police officers by improving vision, enhancing job performance, and increasing safety.
#37: LASIK Versus ICL
For High Myopia
This case highlights several important considerations in the management of high myopia with combination refractive surgery.
#38: Firecracker-Related
Ocular Trauma
This case highlights the potentially devastating ocular consequences of firecracker-related injuries.
#39: LASIK For A Political Leader
LASIK monovision proves to be an excellent solution for this active professional, providing a high level of satisfaction and improved quality of life.
#40: LASIK For A
Professional Baseball Player
Improved vision with LASIK can improve hand-eye coordination, reaction time, comfort and overall performance, a benefit for any professional or recreational athlete.
#41: LASIK For A
Competitive Tennis Player
LASIK not only restores visual acuity but can also enhance overall athletic performance for both competitive and recreational tennis players.
#42: Corneal Laser For
Advanced Macular Degeneration
A Bochner exclusive: revolutionary corneal laser used to restore vision for this 81-year old patient with advanced macular degeneration.
#43: LASIK Benefits For Drivers
How LASIK can make the daily commute and long drives safer, more comfortable and enjoyable.
#44: LASIK For A
Long Distance Swimmer
Glasses and contact lenses can present challenges for people engaged in long distance swimmming. Fortunately, LASIK can overcome those difficulties and make this sport more enjoyable.
#45: LASIK For A
Pickleball Player
A growing sport, pickleball players will benefit from LASIK – offering sharp, stable, and glasses-free vision that enhances both confidence and competitiveness on the court
#46: LASIK And
Diffuse Lamellar Keratitus
A typical presentation of bilateral moderate DLK that resolved fully with timely steroid escalation and close monitoring, resulting in an excellent visual outcome of 20/20 in both eyes.
#47: LASIK For A
Summer Lifeguard
Exploring the value of LASIK – freedom from glasses and contacts – in. role where clear vision and instant reactions can be the difference between life and death.
#48: LASIK For A
Professional Soccer Player
Clear vision without glasses or contacts helps this pro athlete compete more safely, react quickly to passes and plays and track the movement of the ball all over the field.
#49: Pseudoexfoloiation
& Cataract Surgery
This case report covers the challenges and success factors related to performing catatract surgery on a patient with pseudoexfo;iation syndrome (PXF).
#50: Contact Lenses
vs. LASIK
A comparison of contact lens wear to laser vision correction and why LASIK may be a better choice for many patients.
#51: Laser Vision Correction
For a Professional Actress
Freedom from glasses and contact lenses helps this actress with greater confidence and stage presence, while allowing her to expand the scope of her performance.
#52: Laser Vision Correction
For A Competitive Cyclist
LASIK delivers clear, stable vision that helps all riders, competitive or recreational with improved peripheral vision and freedom from the restrictions of glasses or contact lenses.