Automated Pupillometry as an Adjunct to Clinical Examination in Patients With Acute Vision Loss.

Background: Despite automated pupillometry's (AP) improved detection of relative afferent pupillary defects (RAPDs) compared with the Swinging Flashlight Test (SFT), AP remains uncommon in clinical practice. This study examined barriers to routine use of AP in evaluation of acute vision loss.

Methods: (1) Ophthalmologists and optometrists' perceptions of AP were captured via electronic survey.

Severe bilateral descemetoceles in Alpha-1 antitrypsin deficiency.

Purpose: To report a case of severe bilateral descemetoceles in a patient with alpha-1 antitrypsin (A1AT) deficiency during intensive care unit hospitalization.

Observations: A 42-year-old male presented with sub-acute bilateral vision loss during an intensive care unit hospitalization following liver and kidney transplantations. On exam, this patient's best-corrected visual acuity was 20/80 in both eyes.

Use of Topical Besifloxacin in the Treatment of Mycobacterium chelonae Ocular Surface Infections.

Purpose: To present the clinical outcome of 3 cases of ocular surface infections by Mycobacterium chelonae treated with besifloxacin (0.6%, Besivance; Bausch & Lomb, Tampa, FL).

Methods: In this retrospective review of a small case series, we reviewed the medical records of 3 clinical patients with M.