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Older man presents with spontaneous corneal perforation
A 76-year-old man presented urgently to the New England Eye Center with decreased vision in the left eye after experiencing a “gush of fluid from the eye.” The symptoms were spontaneous in onset, without history of ocular trauma or mechanical insult. He reported no acute pain but did report continuing burning, irritation and mild foreign body sensation related to chronic dry eye syndrome. He had a history of myelodysplastic syndrome and previously had a bone marrow transplantation.At time of presentation, the patient’s best corrected visual acuity was 20/200 in the (Read more...)