Most viewed - Anterior Segment
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Giant Papillary Conjunctivitis1052 viewsPatient wears soft contact lenses complained of irritation when the SCL would move. Inverted eyelid in both eyes and there was papillary +2 underneath the eyelid.
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Ghost Cell Glaucoma1051 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Gonioscopy; Scattered Peripheral Anterior Synechiae1037 viewsPatient comes in for evaluation for glaucoma. Patient also has a history of Uveitis. Last flare up was back in 1990. Patient's VA was 20/30, Right eye and 20/40-1, Left eye. Slit Lamp Gonioscopy reveals iris bow with scattered PAS around the angles of the anterior chamber. You can also see pigmentation in the trabecular meshwork. Patient will follow up in 3-months.
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Sectoral Heterochromia Iridum - 3 year old boy1002 views3-year-old child was seen in the office on September 14, 2011. Since he was an infant a white spot was noticed on the iris in the right eye, it seems to be growing and he comes in because of that.
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Band Keratopathy/Neurotrophic Ulcer1002 viewsPatient comes in with blind painful left eye. Slit lamp photos shows corneal diffuse scarring, descemets folds, corneal striae, band keratopathy, left eye. Proceed with Jupiter contact lens fitting on the left eye.
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Severe Pseudoexfoliation Ring, Left Eye1001 viewsPatient comes in for blurred vision. VA is 20/30 both eyes. Mostly at near which was corrected with refraction. Slit lamp photos show severe pseudoexfoliation in the left eye. Patient will be followed up for glaucoma eval in a few weeks.
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Foreign Body "Rust Ring" 996 viewsPatient complained of redness and tearing with white discharge. Patient was working with a grinding wheel on a vehicle. Slit lamp exam shows a rust ring barley off center. FBS was removed with Algiers Brush.
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TID (Trans Illumination Defect) Christmas Tree Effect994 viewsPatient who is followed up for glaucoma. Retro Illumination reveals the Christmas Tree Effect.
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Flower Cataract987 viewsPatient with ahmed tube and flower cataract
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Neovascularization, Rubiosis980 viewsPatient comes in for GPCL fitting. VA is 20/50 w/GPCL. Slit lamp photography shows neovascularization on the iris in the right eye. Also iris atrophy, superiorly in the right eye.
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Corneal Foreign Body976 viewsPatient comes in to the ER with foreign body sensation in his left eye. Patient was referred to Ophthalmology. Slit lamp shows metallic foreign body with rust ring nasally to the limbus in the left eye. Foreign body was removed with no complications..
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Pyogenic Granuloma, Elevated Concretion, LUL973 viewsPatient comes in with unresolved chalazia in the left upper eyelid. Slit lamp photo shows pyogenic granuloma. Performed in office procedure to remove them.
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Endophthalmitis963 views
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Corneal Abrasion with Foreign Body Present 957 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Cilia and Cement Intraocular Foreign Body941 viewsConstruction worker jack-hammering 3 months prior to pictures. Asymptomatic. 20/20 OU. Corneal wound seen superiorly (not in pictures)
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Conjunctival Vascular Anomaly941 viewsPatient presents a vascular pattern of blood vessels @ 10 o'clock of the superior-temporal quadrant of the right eye. Patient has had flare ups with anterior scleritis in the past which is controlled by Methotrexate. Patient's VA is currently 20/40 with PH 20/30, right eye.
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Post Lasik Epithelial Ingrowth925 views58-year-old man had a vitrectomy for a macular pucker in the right eye almost two years ago. His vision was good after his cornea surgeon removed the cells from his flap but then recently the cells have regrown and his vision has declined again.
OD is 20/100.
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Gonioscopy, Blood in the Anterior Chamber from Hyphema920 viewsPatient comes in with blunt trauma to the right eye due to a BB gun incident. Patient was present with a hyphema at 8-o'clock about 1mm thick. Gonioscopy photos were then taken to show blood from the hyphema entered into the anterior chamber. Patient had no angle recession in the right eye.
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Ghost Cell Glaucoma920 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Sectoral Heterochromia Iridum - 3 year old boy918 views3-year-old child was seen in the office on September 14, 2011. Since he was an infant a white spot was noticed on the iris in the right eye, it seems to be growing and he comes in because of that.
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Sectoral Heterochromia Iridum - 3 year old boy914 views3-year-old child was seen in the office on September 14, 2011. Since he was an infant a white spot was noticed on the iris in the right eye, it seems to be growing and he comes in because of that.
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Ghost Cell Glaucoma901 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Band Keratopathy900 views78 yrs old female presents with decrease vision in ? AMD OD secondary to Corneal dystrophy OU.
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Ghost Cell Glaucoma895 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Polychromatic "Christmas Tree" Cataract893 viewsPatient comes in for annual eye exam. Eval on cataracts. VA is 20/20, right eye, 20/40, left eye. Slit Lamp exam shows polychromatic christmas tree cataract in the left eye.
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Conjunctival Vascular Anomaly888 viewsPatient presents a vascular pattern of blood vessels @ 10 o'clock of the superior-temporal quadrant of the right eye. Patient has had flare ups with anterior scleritis in the past which is controlled by Methotrexate. Patient's VA is currently 20/40 with PH 20/30, right eye.
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Foreign Body "Rust Ring" 888 viewsPatient complained of redness and tearing with white discharge. Patient was working with a grinding wheel on a vehicle. Slit lamp exam shows a rust ring barley off center. FBS was removed with Algiers Brush.
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Glaucoma, Pseudoexfoliation Ring887 viewsSlit Lamp photography shows prominent pseudoexfoliation ring on the lens of the left eye. Patient will be followed up in 6-months...
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Accordioning Crystalline Lens with loss of Posterior Capsule886 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Ghost Cell Glaucoma884 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Cornea Ulcer scar874 views
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Free Floating Dislocated Lens in Vitreous869 viewsPatient comes in aphakic with dislocated lens floating to the back of the eye when laying down. Lens is laying up against the endothelium of the cornea when patient is right side up..
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Polychromatic Cataract (Christmas Tree Cataract)867 viewsPatient comes in with cataract evaluation. Blurred vision in the left eye. Patient will think about surgery and call back to schedule.
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Lid Verruca Vulgaris858 views
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Accordioning Crystalline Lens with loss of Posterior Capsule855 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Leucoma vascolarizzato848 views67 female failed PKP outcome
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4-up of Cornea Ulcer with Iris Prolaps847 views
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Conjunctival Vascular Anomaly846 viewsPatient presents a vascular pattern of blood vessels @ 10 o'clock of the superior-temporal quadrant of the right eye. Patient has had flare ups with anterior scleritis in the past which is controlled by Methotrexate. Patient's VA is currently 20/40 with PH 20/30, right eye.
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Tick on Lower Lid845 viewsPt. came in for cataract surgery and a tick was found on the lower lid. Pt. had no idea the tick was attached and did not know how long it had been there. Tick was photographed and then removed by physician.
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Silicone Oil in the Anterior Chamber843 viewsPatient comes in for second opinion for retinal detachment in the left eye. VA is hand motion in the left eye. Poor view to look into the retina. Small silicone bubble at 12 o'clock superior in the anterior chamber. Surgery was not recommended due to the silicone oil in the left eye.
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Pseudoexfoliation Material Peeling.838 viewsPatient comes in for regular eye exam. Last exam was 8-years ago. Complains of decrease in VA. VA was 20/30, right eye and 20/40, left eye. Slit lamp photography shows pseudoexfoliation peeling of the lens within 360-degrees. Pseudoexfoliation ring is present centrally. IOP was normal. Will revisit in 3-months for follow up.
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Blood Strand through Anterior Chamber823 views
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Conjunctival Melanoma818 viewsPatient comes in with a conjunctival melanoma in the left eye. Patient states that melanoma grew rather quickly in just a few weeks. Will proceed with biopsy to confirm findings.
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Subluxated Crystalline IOL with Pseudoexfoliation815 views82-year old male comes in with blurriness on the bottom half of his vision. Patient's VA was 20/25. Slit lamp examination shows subluxated crystalline lens inferiorily. Pseudoexfoliation debris superiorly at 10 o'clock with no vitreous present in the anterior chamber. Patient scheduled for surgery for CE IOL in the right eye.
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Giant Papillary Conjunctivitis, Left Upper Eyelid813 viewsContact lens wearer, comes in for exam. Has rough feeling underneath both eyelids. Patient thought it was through SCL wear. Patient VA was 20/20. right eye, 20/30, left eye. Underneath the left upper eyelid, you can see papillary inflammation and redness.
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Giant Papillary Conjunctivitis, Left Upper Eyelid803 viewsContact lens wearer, comes in for exam. Has rough feeling underneath both eyelids. Patient thought it was through SCL wear. Patient VA was 20/20. right eye, 20/30, left eye. Underneath the left upper eyelid, you can see papillary inflammation and redness.
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Blood Strand through Anterior Chamber801 views
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Rubeosis Iridis795 viewsPatient presents with Rubeosis Iridis in the right eye due to neovascular glaucoma. VA is 20/40 in the right eye. Will follow up in 3-months.
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Ahmed Tube Placement790 viewsPatient with severe glaucoma is seen post op for ahmed tube placement. VA is 20/70 and IOP is 8 in the left eye. Patient is stable.
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Conjunctival Melanoma786 viewsRight conjunctival melanoma extending into anterior orbit, right eye. Temporally and nasally with pigmented masses/nodules. VA was 20/30 without correction in the right eye. Follow up to proceed with proton beam therapy.
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Band Keratopathy/Neurotrophic Ulcer783 viewsPatient comes in with blind painful left eye. Slit lamp photos shows corneal diffuse scarring, descemets folds, corneal striae, band keratopathy, left eye. Proceed with Jupiter contact lens fitting on the left eye.
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Ghost Cell Glaucoma782 viewsPost cataract surgery, patient presents with ghost cell in the anterior chamber after hemorrhage cleared. A small hyphema still is visible in the anterior chamber with a whitish ball appearance.
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Subluxated Crystalline IOL with Pseudoexfoliation777 views82-year old male comes in with blurriness on the bottom half of his vision. Patient's VA was 20/25. Slit lamp examination shows subluxated crystalline lens inferiorily. Pseudoexfoliation debris superiorly at 10 o'clock with no vitreous present in the anterior chamber. Patient scheduled for surgery for CE IOL in the right eye.
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Subluxated Crystalline IOL with Pseudoexfoliation773 views82-year old male comes in with blurriness on the bottom half of his vision. Patient's VA was 20/25. Slit lamp examination shows subluxated crystalline lens inferiorily. Pseudoexfoliation debris superiorly at 10 o'clock with no vitreous present in the anterior chamber. Patient scheduled for surgery for CE IOL in the right eye.
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Trans-Illumination Defects771 views74-year old patient who VA 20/70 OD, 20/50 OS. Complaints of blurred vision. Iris atrophy, both eyes. ERM, right eye, Patient to have cataract surgery to improve distance vision.
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Foreign Body "Rust Ring" 771 viewsPatient complained of redness and tearing with white discharge. Patient was working with a grinding wheel on a vehicle. Slit lamp exam shows a rust ring barley off center. FBS was removed with Algiers Brush.
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Displaced Scleral Buckle768 viewsDisplaced Scleral Buckle in OD of a 75 yr old male
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Juvenile Xanthogranuloma763 viewsPresented with hyphaema after minor trauma
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Blood strand into the anterior chamber761 views
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Corneal Abrasion with Foreign Body Present 760 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Tick on Lower Lid759 viewsPt. came in for cataract surgery and a tick was found on the lower lid. Pt. had no idea the tick was attached and did not know how long it had been there. Tick was photographed and then removed by physician.
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Polychromatic "Christmas Tree" Cataract758 viewsPatient comes in for annual eye exam. Eval on cataracts. VA is 20/20, right eye, 20/40, left eye. Slit Lamp exam shows polychromatic christmas tree cataract in the left eye.
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3-D HD OCT Image of Soft Contact Lens over Cornea757 views
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Accordioning Crystalline Lens with loss of Posterior Capsule756 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Trans-Illumination Defects751 views74-year old patient who VA 20/70 OD, 20/50 OS. Complaints of blurred vision. Iris atrophy, both eyes. ERM, right eye, Patient to have cataract surgery to improve distance vision.
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Lid Verruca Vulgaris751 views
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Prominent Corneal Nerves749 viewsSlit lamp exam shows prominent corneal nerves present at 8-10-o'clock and 4-6-o'clock. Baseline work to rule out Fuch's dystrophy and recurrent corneal erosion.
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Trans-Illumination Defects745 views74-year old patient who VA 20/70 OD, 20/50 OS. Complaints of blurred vision. Iris atrophy, both eyes. ERM, right eye, Patient to have cataract surgery to improve distance vision.
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Corneal Abrasion with Foreign Body Present 741 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Lid Verruca Vulgaris738 views
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Post Lasik Epithelial Ingrowth737 views58-year-old man had a vitrectomy for a macular pucker in the right eye almost two years ago. His vision was good after his cornea surgeon removed the cells from his flap but then recently the cells have regrown and his vision has declined again.
OD is 20/100.
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Subluxated Crystalline IOL with Pseudoexfoliation737 views82-year old male comes in with blurriness on the bottom half of his vision. Patient's VA was 20/25. Slit lamp examination shows subluxated crystalline lens inferiorily. Pseudoexfoliation debris superiorly at 10 o'clock with no vitreous present in the anterior chamber. Patient scheduled for surgery for CE IOL in the right eye.
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Gonioscopy, Blood in the Anterior Chamber from Hyphema735 viewsPatient comes in with blunt trauma to the right eye due to a BB gun incident. Patient was present with a hyphema at 8-o'clock about 1mm thick. Gonioscopy photos were then taken to show blood from the hyphema entered into the anterior chamber. Patient had no angle recession in the right eye.
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Accordioning Crystalline Lens with loss of Posterior Capsule735 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Silicone Oil Bubbles in the Angle732 viewsPatient is evaluated for glaucoma associated with ocular inflammation. VA is CF in the right eye and 20/50, left eye. Gonioscopy photos shows little silicone oil bubbles in the inferior angle of the right eye. Patient to consider removal of silicone oil.
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Iris Nevus724 viewsPatient came in for cataract evaluation. VA 20/200, right eye, 20/60, left eye. Slit lamp photography shows iris nevus 3-4 mm located nasally at 9-o'clock in the left eye.
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Dislocated IOL - Astigmastism - Corrected with new prescription721 views82 year old woman with prior vitrectomy for macular hole - vision dropped from 20/32 to 20/200. Corrected with new rx: 11/2016 old RX OD +0.5 -0.75 x 63; new rx -0.50 -3.00 x 65
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Polychromatic "Christmas Tree" Cataract719 viewsPatient comes in for annual eye exam. Eval on cataracts. VA is 20/20, right eye, 20/40, left eye. Slit Lamp exam shows polychromatic christmas tree cataract in the left eye.
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Dislocated IOL - Astigmastism - Corrected with new prescription716 views82 year old woman with prior vitrectomy for macular hole - vision dropped from 20/32 to 20/200. Corrected with new rx: 11/2016 old RX OD +0.5 -0.75 x 63; new rx -0.50 -3.00 x 65
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Post Lasik Epithelial Ingrowth712 views58-year-old man had a vitrectomy for a macular pucker in the right eye almost two years ago. His vision was good after his cornea surgeon removed the cells from his flap but then recently the cells have regrown and his vision has declined again.
OD is 20/100.
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Cornea Ulcer697 views
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Gonioscopy of Blood in the Angle696 viewsYoung female who has a history of uveitis, glaucoma and juvenile rheumatoid arthritis. VA is hand motion in the left eye. Pigment changes with some blood in the anterior chamber seen here on Gonioscopy.
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Band Keratopathy/Neurotrophic Ulcer691 viewsPatient comes in with blind painful left eye. Slit lamp photos shows corneal diffuse scarring, descemets folds, corneal striae, band keratopathy, left eye. Proceed with Jupiter contact lens fitting on the left eye.
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Corneal Foreign Body687 viewsPatient comes in to the ER with foreign body sensation in his left eye. Patient was referred to Ophthalmology. Slit lamp shows metallic foreign body with rust ring nasally to the limbus in the left eye. Foreign body was removed with no complications..
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Pyogenic Granuloma, Elevated Concretion, LUL686 viewsPatient comes in with unresolved chalazia in the left upper eyelid. Slit lamp photo shows pyogenic granuloma. Performed in office procedure to remove them.
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Cornea Ulcer685 views
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Rubeosis Iridis685 viewsPatient presents with Rubeosis Iridis in the right eye due to neovascular glaucoma. VA is 20/40 in the right eye. Will follow up in 3-months.
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Cornea Ulcer681 views
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Silicone Oil Bubbles in the Angle679 viewsPatient is evaluated for glaucoma associated with ocular inflammation. VA is CF in the right eye and 20/50, left eye. Gonioscopy photos shows little silicone oil bubbles in the inferior angle of the right eye. Patient to consider removal of silicone oil.
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Band Keratopathy/Neurotrophic Ulcer678 viewsPatient comes in with blind painful left eye. Slit lamp photos shows corneal diffuse scarring, descemets folds, corneal striae, band keratopathy, left eye. Proceed with Jupiter contact lens fitting on the left eye.
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Gonioscopy, Blood in the Anterior Chamber from Hyphema675 viewsPatient comes in with blunt trauma to the right eye due to a BB gun incident. Patient was present with a hyphema at 8-o'clock about 1mm thick. Gonioscopy photos were then taken to show blood from the hyphema entered into the anterior chamber. Patient had no angle recession in the right eye.
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Conjunctival Melanoma672 viewsPatient comes in with a conjunctival melanoma in the left eye. Patient states that melanoma grew rather quickly in just a few weeks. Will proceed with biopsy to confirm findings.
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Accordioning Crystalline Lens with loss of Posterior Capsule671 views71-year old male complains of blurred vision in the left eye. VA 20/40, right eye and 20/400, left eye without correction. Slit lamp exam shows Crystalline lens, both eyes. Right eye IOL is aligned and centered. Left eye shows an accordion of the crystalline lens. Retro Illumination shows the IOL bent inward in the left eye. There was a 6-diopter difference of astigmatism between the right and left eye. Patient will have surgery to correct the issue.
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Corneal Foreign Body670 viewsPatient comes in to the ER with foreign body sensation in his left eye. Patient was referred to Ophthalmology. Slit lamp shows metallic foreign body with rust ring nasally to the limbus in the left eye. Foreign body was removed with no complications..
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Peripheral Iridotomy667 viewsSlit lamp photo of peripheral iridotomy for narrow angles. A hole was place at 10-o'clock superior temporally.
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Subluxated Crystalline IOL with Pseudoexfoliation664 views82-year old male comes in with blurriness on the bottom half of his vision. Patient's VA was 20/25. Slit lamp examination shows subluxated crystalline lens inferiorily. Pseudoexfoliation debris superiorly at 10 o'clock with no vitreous present in the anterior chamber. Patient scheduled for surgery for CE IOL in the right eye.
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Corneal Abrasion with Foreign Body Present 664 viewsER patient comes in with corneal abrasion in the left eye which was getting worst. VA 20/25. Slit lamp exam showed corneal abrasion superiorly at 2-o'clock. Flipped eyelid and foreign body appeared on the upper tarsal plate. Foreign body was removed.
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Dusted Pigment, Iris Nevus662 views
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Band Keratopathy/Neurotrophic Ulcer661 viewsPatient comes in with blind painful left eye. Slit lamp photos shows corneal diffuse scarring, descemets folds, corneal striae, band keratopathy, left eye. Proceed with Jupiter contact lens fitting on the left eye.
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Cornea Ulcer660 views
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