Eye rubbing anxiety Eye rubbing anxiety This is a very interesting presentation of keratoconus in a young man diagnosed with ADHD who is very anxious. Blurry vision noted incidentally in the left eye and had been told to have cross linking. It was a very intense consultation, and I noted he was very enophthalmic….look at …
Atypical lesion – spindle tumour. Atypical lesion – spindle tumour. When you see atypical lid lesions, be suspiciousThis 30 year old man came in with a history of progressive growth of a central lower lid tumour over 6 months. It has a very atypical appearance.It is always tempting to shave such things, but if you …
Orbital fat prolapse You will probably see a lot of Orbital fat prolapse, another presentation of fat around the eye region. This is prolapse of the retrobulbar orbital fat. It passes through a weakness TEMPORALLY, where lacrimal gland interrupts the tenons to gain access to conjunctiva. It presents in older age group, and is another …
Eyelid retraction after decompression Eyelid retraction after decompression Patients, particularly females, notice their face. This lady has severe disfigurement after thyroid eye disease. After I have fixed the orbits and adjusted her upper eyelids, she still notes the lower eyelid retraction on her right side. Have a look at the right lower eyelid…it slopes down …
Superior Limbic Keratitis (SLK) This is the appearance of superior limbic keratitis (SLK). Note the inflammation, vascularisation and filaments at the limbus. Survey of Ophthalmology has just done a review of this condition. Unfortunately, no new information.Be on the lookout for SLK as it can happen after ptosis surgery that is conducted from the back …
Watery Eye It is important to remember that watery eye symptoms and signs are rarely symmetrical in patients with bilateral symptoms. This image shows it well….tear volume seems increased symmetrically, but overflow is assymetrical. Patients have difficulty interpreting their symptoms! Once you explain it to them, they understand… If you are suffering from symptoms , …
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 …