Karpecki’s Corner #1: Diagnosing Ocular Cicatricial Pemphigoid (OCP) This patient presented with complaints of trichiasis and foreign body body sensation.  Most times I think we would simply have epilated the turned in lashes.  However, it’s always wise to pull down the lower lid in cases such as this.  As you see there is a very [...]

Epiphora is one of those conditions that is difficult for the doctor and the patient.  I think part of the issue is that doctors don’t have a game plan when they go into a patient exam.  A simple game plan to managing epiphora requires looking for 4 primary causes (this formula will diagnose about 98% [...]