This lady came to see me for a second opinion. The diagnosis is not the issue…it is clear she has thyroid eye disease or thyroid associated orbitopathy (Tao). She has proptosis, upper lid retraction and lower eyelid retraction.The key is swelling…the most common cause of orbital swelling is thyroid immune orbitopathy. She was quite distressed, …
Contact lens overuse scar This man wears contact lens. He did not follow advice with contact lens wear and developed a nasty infection of his cornea. This caused an overuse scar. He is legally blind. We will restore vision with a corneal stromal transplant. Caring for your contact lens As we have seen above improper …
OSSN amt – This man has a HUGE tumour of the eye, unresponsive to chemotherapy, causing loss of vision, threatening invasion of the eye and risking spread to brain. I undertook excision and repair, stitching the line of placenta onto the eye. The video can be seen here https://youtu.be/FLDOCEVs70E Just be mindful that the video …
Ptosis slk – This 42yo lady presented complaining of a droopy left upper eyelid, and stated she wanted surgery to lift the lid. This is what she looks like with eyes in primary position. Turns out, she has a completely separate problem causing bilateral variable ptosis. In downgaze, the superior limbic keratitis (slk) is clearly …