Relationship between preoperative aberrations and postoperative refractive error in enhancement of previous laser in situ keratomileusis with the LADARVision system.

Purpose: To identify factors leading to inaccuracy of spherical correction in wavefront-guided enhancement treatments.

Setting: Department of Ophthalmology, University of California, Irvine, California, USA.

Methods: This retrospective outcomes analysis comprised 23 eyes (20 patients) having wavefront-guided flap-lift (19 eyes) or photorefractive keratectomy (4 eyes) enhancements after conventional non-wavefront-guided laser in situ keratomileusis (LASIK) for correction of residual myopia with a minimum follow-up of 1 month.

Transitional cell carcinoma of the urinary bladder metastatic to the orbit.

We report a rare case of transitional cell carcinoma of the urinary bladder metastatic to the orbit, review the histopathology, and highlight characteristics of the few previously reported cases. A 68-year-old man with a remote history of transitional cell carcinoma of the urinary bladder presented with decreased visual acuity, afferent pupillary defect, and limited extraocular motility OS. Computed tomography scan of the orbits showed a diffuse infiltrate surrounding the left globe and optic nerve.