Overdone cosmetic surgery What happens when cosmetic surgery is overdone? This 50 yo lady called me in distress. This patient has been diagnosed with dry eye, but nothing works. Her problems started after being talked into having surgery known as lower eyelid “blepharoplasty” whilst overseas. She has had 3 surgical opinions here, and everyone has …
This younger patient presents with contact dermatitis and a watery eye. I have tried to exclude everything in her history, stopped all topical treatment, and the problem persists. Turns out, she rubs this eye with her finger furiously, as she has watery eye! Threatened amputation and the suggestion of DCR surgery will help remove the …
This is an image of a resuture of a stromal transplant for keratoconus. Note the interrupted sutures in the inferior cornea. Why would this zone need resuturing, many years after successful transplantation for keratoconus with minimal postoperative cylinder? BECAUSE THE PATIENT CONTINUED TO RUB, AND MOST RUBBING COMPRESSES THE INFERIOR CORNEA What this means is …
This is an image of corneal scarring after surface laser vision correction. It is beautifully demarcated within the optical zone. I treated a lot of this in the 1990s when it was rife: laser surgery had come in and everyone fired their laser. It is much less common, but can still occur today. It causes …
Welcome to our comprehensive guide on eye pain, covering everything from its causes and symptoms to diagnosis and effective treatments. Eye pain can be a distressing experience, but with the right knowledge and guidance, you can better understand and manage it. What is Eye Pain? Eye pain, also known as ophthalmalgia, refers to the discomfort, …
Following on from a query about hydrops recently, Dr Anthony Maloof saw this patient soon after. She had a small central hydrops and this is what the resolution looks like. There is a central scar AND a split in descemets. She is diligent and wants something done. Rectifying a small Hydrops I have agreed to …
The eye depends on everything around it, and everything around the eye affects the eye. Cornea and Oculoplastic Surgery is directed as much to the tissues around the eye as the eye itself. As seen on this operating list, that means reconstructive surgery to the front of the eye (stromal transplant), orbital surgery (stereotactic decompression), …
An absolute SHOCKER, you read right, eye complications of torture! This patient came to see me for Fuchs Dystrophy prior to cataract surgery. He told me a harrowing story that I will share. Whatever problems you may have, some people have it a whole lot worse. He was a certified paediatrician in Iraq, taken hostage …
This amazingly fit, spritely mid 80 year old came in with vision issues. And yes, he has age related blepharoptosis, which is pretty significant.He is the primary carer of his ailing wife and needs help! Whilst his left side is worse, both are bad, which is easily seen by lifting the right eyelid. Note the …
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 …
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 …