This man suffered trauma in one eye with vision loss. He has diffuse limbal stem cell failure with central scarring. This is what it looks like… The key to diagnosing is using fluorescein…note the whorls. More information available at www.oculoplasticsurgery.com.au Need to book an appointment? Click here
Saltzmans after Pterygium I undertook pterygium removal for this young man by the perfect technique some 2 years ago. Over the last 6 months, he has noted his vision deteriorating. You will see the large saltzmanoid scar centrally in the cornea. I will arrange for keratectomy, burring and laser polishing. Why does this happen? Pterygia …
Here is another interesting case that I have seen recently. This 54 year old man has a plaque like lesion typical of limbal dysplasia, and this is what it looks like. It is completely asymptomatic and picked up on routine exam by an optometrist. I have given him 3 months of chemotherapy: the lesion has …
Entropion – 2 Types These patients presented almost one after the other with 2 types of Entropion The lady has entropion due to a shrunken phthisical eye. The gentleman has an entropion with a proptosed eye, from chronic eye rubbing, stretching the lid into a viscous catch 22 cycle. I will treat the lady by …
Epiblepharon Entropion Pannus Sometimes stuff goes sideways altogether. This 21yo F has count fingers vision. She has uncorrected epiblepharon that has become so severe that it has created an entropion that has caused inferior corneal pannus. Add to that chronic rubbing and she has keratoconus. Naturally, with poor vision and uncomfortable vision, she sits at …
Inflammatory Pseudopterygium I have been treating this man for 20 years. He suffers Wegeners granulomatosis, and this is the appearance of the inflammatory pseudopterygium. Note the white lipid at the head…that is corneal lipid crystals. This lesion has not progressed for 20 years. I have told him that under no circumstances is he to have …
Orbital dermoid What is perception? This lady had no idea that her eyes looked “different”. To her it is normal. Yet the photo shows a clear problem that no one picked up. The scan shows the answer…a huge dermoid medial to the eye, pushing the eye out and up. It is like having a second …
Stromal Transplant – 13 Year Old This young man flew in for a stromal transplant for keratoconus. Vision Right Eye was Count fingers, Left Eye was Hand movements. It had been suggested to have cross linking, because when all you have is a hammer…… I consider such a presentation an ocular emergency…this young man was …