Part A courtesy of Andrew J.W. Huang, MD; parts B and C courtesy of Tatyana Milman, MD; part D courtesy of George J. Harocopos, MD.
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Ocular Pathology/Oncology
Bacterial ulcer. A, Clinical appearance. B, H&E stain demonstrates acute necrotizing ulcerative keratitis, with numerous neutrophils infiltrating corneal stromal lamellae and necrotic cellular debris. C, Gram stain shows numerous gram-positive cocci (arrowheads). D, Keratoplasty specimen (different patient) showing a scar from healed keratitis. Note loss of Bowman layer (between arrowheads) and stromal thinning with fibrosis (arrow) and compensatory epithelial thickening.