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 …
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, …
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 …
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 …
Spheroid degeneration of conjunctiva
This is a rare case that few people get to see. This gentleman was sent in for consideration of a transplant because his vision apparently dropped to 6l19, and the patient thought he needed laser vision correction. The referrer wasn’t sure about the cornea. Image: Congenital stromal dystrophy. Turns out he has congenital stromal dystrophy, …
Epithelization of the anterior segment This is something most people never get to see. Unfortunately, I have seen and had to treat many. It happened again recently. This unusual appearance is epithelium growing on the inside of an eye, on the back of a full corneal transplant. It is NOT a pleasant sight, and if …
Disease tells you a lot of what you don’t know and understand about a tissue. This is an image of granular dystrophy in a 20 year old female and her mother, a 50 year old who suffers recurrent granular dystrophy in the transplant. Image: Granular dystrophy mum and daughter. It is fascinating to think about …
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 …