Scarred common canaliculus

Most people never get to see pathology of the common canaliculus, yet it is the cause of many presentations of watery eye. The common canaliculus is a well defined structure, and has a very special role, acting like a valve.It is the opening into the tear sac, but if it is narrowed, one can flush …

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Losing vision in keratoconus - Dr Anthony Maloof, Sydney Australia

This story is about losing vision in Keratoconus with the use of Intacs. Keratoconus: A condition that impacts vision and quality of life. Keratoconus is a relatively uncommon yet significant eye disorder that can dramatically affect an individual’s vision and quality of life. At its core, keratoconus is a progressive eye disorder that causes the …

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This side wall of this man’s eyeball melted after treated for pterygium with radiation. We repaired the right eye in 2014 and he has 20/20 vision. This side wall of this man’s eyeball melted after treated for pterygium with radiation. We repaired the right eye in 2014 and he has 20/20 vision. He came back …

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Fluctuating topography of eye with keratoconus

We place a lot of reliance on our “technology”, but how much variability is there in our technology, and our body? It is an important consideration to accurately interpret tests and make recommendations on treatment. This young man presented with early “keratoconus”, and counselled on eye rubbing Over a year, sequential topography maps showed fluctuation, …

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Epiphora zero and 5 minutes

Assessing epiphora can be tricky because patients usually complain of DRYNESS. This lady complained of dryness, yet at one minute and 5 minutes, the right eye shows retained tears, whilst the left side is clearing. Epiphora The trick here is to be judicious in how much fluorescein you instill…don’t overdo it, just enough. Use a …

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Advanced Keratoconus

This man came in requesting surgery to correct a drooping left upper eyelid, and it turns out he has advanced keratoconus on this side with a history of eye rubbing. The maps show a normal corneal profile on the right, and advanced keratoconus on the left. Keratoconus is not the only disease that happens from …

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Spheroid degeneration of conjunctiva

Spheroid degeneration of conjunctiva