SCC Upper eyelid – Requiring Mohs SCC upper eyelid – This man came in this week, with a history of a lesion on his right upper eyelid that had recently grown rapidly. This is a squamous cell carcinoma, and it is a very dangerous lesion. It can spread along nerves into the orbit and brain, …
Can wearing a contact lens cause vision loss? Contact lens wear can indeed lead to vision loss. This man had acanthomeba keratitis which Dr Anthony Maloof diagnosed early and treated. When the eye settled, he wore his contact lens and developed fungal keratitis. Lightning strikes twice. Dr Maloof confirmed the fungus in the office using …
Snow Blindness Snow blindness. This is something that is rarely seen in Australia. This man is from Northern Europe, and presents with corneal scarring. He was having trouble at work, on the tools. I did a left stromal transplant, and he came in the other day so grateful…he can return to study, and has changed …
Pseudomonas slough This is necrotic debris (pseudomonas slough) in the base of a resolving pseudomonas keratitis abscess. The necrosis delays healing so I debrided it today. The ulcer is sterile. The key here is to make sure it is sterile, then start steroids. Once it heals, scar maturation will take at least 6 months. Dr …
Failed Ectropion This man presents with 2 previous failed ectropion procedures to the left side. He reports having a skin graft, and the ectropion recurred after 6 months. The key here is that ectropion is not a lid problem, but a facial one. This man has a very heavy face. Next time your patient presents …