The patient is a 49-year-old male that presented to the emergency department with complaints of bilaterally decreased vision, particularly in dim illumination, and eye pain.
His previous medical history was remarkable for hemodialysis due to renal vascular disease and chronic hepatitis due to severe alcoholism; there was also a history of long-standing poor visual acuity in the OD due to a central retinal vein occlusion (CRVO) many years ago.
The patient is a 22 year old male that presented as an outpatient to our clinic with complaints of low visual acuity of his left eye.
The patient has a long-standing history of atopy with some bouts of seasonal allergic conjunctivitis.
He also suffers from Keratoconus. Assessment of his right eye showed progression to stage 3 in the Amsler-Krumeich classification. He had progressively become intolerant to contact-lens use and presently uses spectacle correction.