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Posterior synechiae
MAR 12, 2024
A 37-year-old immunocompromised HIV1 patient presented with a tubercular granulomatous anterior unilateral uveitis. He had significant posterior synechiae over the superior half of the pupil. Management was an 8-month antituberculous treatment. For the first 2 months, the pa…
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3
Kayser-Fleischer ring
MAR 12, 2024
A 25-year-old lady presented with complaints of behavioural issues (anger outbursts, aggressiveness, irritability) for past seven years, dysarthria, slowness, recurrent falls, tremulousness in both arms, and abnormal posturing of left arm for 4 years. Examination showed Keys…
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Stretched ciliary zonules causing pigment dispersion
MAR 12, 2024
The congenital anomaly of stretched zonules causes rubbing against the iris pigment epithelium, which leads to pigment dispersion. This is visible on the posterior lens capsule as a Scheie stripe or as Zentmayer lines, even without evidence of pigmentary glaucoma.
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Granular corneal dystrophy
MAR 12, 2024
A 35-year-old man presented with dimness of vision and photophobia that he had had for 6 months in both eyes. An AS OCT was performed. There was a lesion in the epithelium and superficial stromal layer. The patient’s condition was managed conservatively, and screening of oth…
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9
Advanced Doyne honeycomb retinal dystrophy with geographic atrophy
FEB 28, 2024
A 65-year-old patient presented with blurring of vision in both eye that began 10 years previously. On examination, the right eye measured counting fingers at 10 feet and the left eye measured counting fingers at 13 feet. The fundus showed radially arranged large drusen in t…
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Neovascular glaucoma
FEB 26, 2024
Neovascular glaucoma.
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Taming the untouchables: Intraoperative ocular squamous surface neoplasia
FEB 20, 2024
Intraoperative image of an ocular squamous surface neoplasia encroaching on to the cornea. Shield's "no touch technique "was used after marking 4mm into the conjunctiva and 2mm into the cornea using a surgical marker.
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Blue dot cataract
FEB 14, 2024
A rare congenital cataract, characterized by small, blue or greyish dots or flecks. These dots usually do not hinder vision in most of the cases, but may cause mild blurring as is the case in this patient. It was like a galaxy twinkling within the depth of eyes.
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Dislocated 3-piece IOL with residual nuclear lens fragments
FEB 14, 2024
A 90-year-old female presented with decreased vision in the left eye and a history of complex cataract surgery 6 years prior at an outside hospital. She was found to have a dislocated 3-piece IOL with retained nuclear lens fragments and scheduled for surgery.
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Unilateral Multiple Periorbital Dermoid Cysts with Mixed Locations in a Pediatric Patient
FEB 14, 2024
A 4-year-old female presented for orbital MRI of a slowly growing painless mass in the medial left orbit. MRI showed two non-enhancing cystic lesions of the left orbit: a superficial medial lesion and an incidental deep extraconal cyst abutting the lateral rectus muscle. A,…
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56
Disc coloboma - 'curtailed' gems
FEB 06, 2024
A coloboma describes conditions where normal tissue in or around the eye is missing at birth. A coloboma can affect one or both eyes. It is believed to be genetic and can be passed along in families. A coloboma is diagnosed by a thorough eye exam by an ophthalmologist. There…
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"Sneaking into the world of peaked pupil"
FEB 05, 2024
Image of traumatic peaked pupil with presence of anterior chamber intraocular lens (ACIOL) The device used was an iPhone 7 with external torch illumination and normal autofocus with regular smartphone magnification.
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Aplastic anemia fundus photo
FEB 01, 2024
A 36-year-old female, K/C/O Aplastic Anemia, presented to the eye emergency with complaints of sudden appearance of black spots in front of her right eye. Her hemoglobin values were 2g/dL and was being transfused with blood products from the Department of Internal Medicine.…
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Angle recession showing widening of ciliary body band
FEB 01, 2024
A 32 year-old male patient presented to the eye outpatient department with blurring of vision and photophobia. He had history of left eye blunt trauma with a ball 2 previously. On examination his vision in right eye was 6/9 and his left eye was 6/60. The right eye pupil was…
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Conjoined twins: optic disc coloboma with optic disc pit
FEB 01, 2024
A 27-year old female was referred as a case of glaucoma. On examination her BCVA was 20/20, IOP was 14 in right and 16 in left eye and anterior segment was within normal limits. Posterior segment examination showed both eye optic disc coloboma and optic disc pit and was furt…
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Optic atrophy versus normal fundus
FEB 01, 2024
A 46 year-old female came with a complaint of gradual loss of vision in her right side. The right eye is NO PL and the left eye is normal. Visual acuity is 6/6 and N6.
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Proliferative vitreoretinopathy (PVR) and funnel-shaped rhegmatogenous retinal detachment
FEB 01, 2024
A 24-year-old male complained of sudden, painless loss of vision and had no known history of trauma. Proliferative vitreoretinopathy and funnel-shaped rhegmatogenous retinal detachment is shown and an indirect ophthalmoscope was not used. Instead, this image was taken by us…
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Conjunctival Inclusion Cyst
FEB 01, 2024
A young female patient presented to OPD with left eye foreign body sensation since 2 years. A clinical diagnosis of conjunctival inclusion cyst was made on slit-lamp examination. Patient refused any surgical intervention for the same and was kept on observation.
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Singular anophthalmia: unique case of right eye anophthalmia with pre-auricular tag
JAN 25, 2024
Anophthalmia is defined as the absence of ocular tissue in the orbit and it can be unilateral or bilateral. Photograph of a 6-year-old boy with anophthalmia . It is a rare birth defect and is due to the failure of neuroectoderm of the primary optic vesicle to develop properl…
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Iridocorneal endothelial syndrome
JAN 24, 2024
Polycoria and areas of iris atrophy. A 45-year-old female with no previous medical history comes to the clinic because she presented with photophobia and a "weird" appearance of her pupil.
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Retinitis pigmentosa
JAN 22, 2024
Focus matters without indirect ophthalmoscope. This image is taken through a mobile phone and +20 D lens. Retinitis pigmentosa (RP) is a rare, inherited degenerative eye disease that causes severe vision impairment and is considered legally blind. The classic triad of RP is…
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Capsular phimosis with posterior capsular opacification
JAN 22, 2024
Locked in a transparent embrace. Capsular phimosis with posterior capsular opacification (PCO) following phacoemulsification with a tilted PCIOL hindering patient's vision.
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Island of microbes
JAN 19, 2024
Microsporidial keratitis in contact lens user. Patient presented with pain and watering following regular contact lens usage associated with redness not resolving after local treatment.
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Beaten metal
JAN 19, 2024
Beaten metal appearance in endothelial dystrophy. Otherwise normal patient presented for routine checkup showed unhealthy endothelial layer.
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Patchy disturbance
JAN 19, 2024
Patchy defect in Pseudoexfoliation Syndrome (PXF). PFX of anterior lens capsule might cause trouble during capsulorhexis in cataract surgery, along with weak zonules needing CTR.
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Pigmented basal cell carcinoma
JAN 17, 2024
A 68-year-old woman presented with a pigmented ulcerated nodule of the right lower eyelid and disrupted lid margin.
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Conjunctival granuloma
JAN 17, 2024
Conjunctival granuloma following bilamellar tarsal rotation for trachomatous entropion.
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Positive regurge test
JAN 17, 2024
Regurgitation of mucopurulent material on pressure over the lacrimal sac.
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Lid lag
JAN 17, 2024
Left eyelid lag in downgaze in a 20-year-old girl with Graves' disease.
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23
Pilomatricoma
JAN 17, 2024
A 5-year-old girl presented with a nontender, reddish purple subcutaneous mass in the right sub-brow area.
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Morning glory syndrome: funnel in the eye
JAN 10, 2024
"Morning Glory Syndrome: Unveiling Nature's Eye Funnel." During a routine eye checkup in view of diminished vision in a 3 year-old female patient, a dilated fundus examination revealed the presence of Morning Glory Syndrome in the right eye.
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Grade 4 HTN retinopathy with vitreous hemorrhage
JAN 09, 2024
Vitreous hemorrhage in advanced hypertensive retinopathy: a Grade 4 presentation." Vision loss in a 50-year-old female with long-standing systemic hypertension not on regular medication
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Ciliary Nexus: Unveiling the Eye's Hidden Stalactit
JAN 05, 2024
"Unexpected Revelation: Traumatic Iridodialysis Unveiling the Ciliary Body". The patient suffered a traumatic injury while playing football, leading to traumatic iridodialysis. This condition unexpectedly unveiled the ciliary body during a subsequent gonioscopy examination.
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Conjunctival findings in ataxia telangiectasia
JAN 03, 2024
Dilated and tortuous conjunctival vessels in the palpebral fissure of a 9-year-old child with ataxia telangiectasia. Magnified view showing a clear area between the vessels and limbus. Eventually, the entire conjunctival surface can get involved.
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Stargardt's disease - Fatty Homestead in Macula
DEC 22, 2023
"Seeing through the stars, despite the dimming lights. #StargardtsStrong". This image is taken through a mobile phone and 20 D lens. No extra equipment is used.
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Ocular surface squamous neoplasia (OSSN)/Corneal Intraepithelial Neoplasia (CIN)
DEC 21, 2023
Ocular surface squamous neoplasia (OSSN) with multiple feeder vessels and extensive papillary growth over the corneal surface. Lesion demonstrates exophytic growth with mixed pedunculated and sessile characteristics.
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Soemmering's ring
DEC 20, 2023
A 67-year-old man with bilateral eye pseudophakia and bilateral primary open-angle glaucoma presented to the ophthalmology clinic for routine follow-up. He underwent phacoemulsification surgery 6 years before. His vision acuity is 6/6 OU and intraocular pressure is normal, 1…
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1059
Congenital aniridia
DEC 20, 2023
A 7-year-old girl presented to the ophthalmology clinic with complaints of painless blurry of vision, photophobia, and glare since birth. There was no history of trauma, infection, or a significant past medical history. Her uncorrected Snellen visual acuity is 1/60 for the r…
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38
Peripapillary atrophy
DEC 20, 2023
A 51-year-old woman with no known medical illness presented to the ophthalmology clinic with complaints of bilateral eyes tearing, and without blurry vision and redness. Her visual acuity is 6/6 OU and IOL is normal (15 mmhg). Anterior segment examination noted reduced tear…
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437
Retinitis pigmentosa
DEC 20, 2023
A 52-year-old man presented with progressive, painless night vision loss for the past 10 years. Upon examination vision is 6/60 OU. Intraocular pressure is 15 mmHg OD and 16 mmgHg OS. Anterior segment examination is normal. Fundus examination shows arteriolar attenuation, bo…
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22
Pyogenic granuloma
DEC 20, 2023
A 28-year-old female presented to the ophthalmology clinic with right eye redness and pain for 1 week. Vision is 6/6 in both eyes. Anterior segment examination of the right eye shows smooth, red-purple, pedunculated lesions in the upper conjunctiva. Lens and fundus examinati…
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Seclusio pupillae
DEC 20, 2023
A 60-year-old woman presented to the ophthalmology clinic with chronic eye redness and pain in the right eye on and off for 3 months. During presentation, the right eye vision was 20/200 and the left eye vision was 20/40. Anterior segment ophthalmic examination of the right…
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410
Enucleated globe with encircling scleral buckle
DEC 19, 2023
Enucleation for blind painful eye with anterior staphyloma in a patient underwent multiple vitreoretinal surgeries.
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44
Upper eyelid amyloidosis
DEC 19, 2023
Primary amyloidosis of the upper eyelid.
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27
Periorbital lymphatico-venous malformations
DEC 15, 2023
A 28-year-old male presented with sudden increase in periorbital swelling with gross chemosis and subconjunctival hemorrhage. He has ipsilateral vascular lesions of the hard palate and buccal mucosa.
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Post-trachomatous degenerations (PTDs)
DEC 13, 2023
Chronic trachoma (PTDs, conjunctival scarring).
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Gore-Tex sling exposure
DEC 13, 2023
Infection at the suprabrow incision with Gore-Tex suture exposure following frontalis suspension procedure.
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Branch retinal vein occlusion
NOV 29, 2023
Case of right eye superotemporal branch retinal occlusion. Patient was planned for anti-vegf treatment for macula edema.
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Tarsal buckling, bilamellar tarsal rotation
NOV 29, 2023
Horizontal tarsal buckling with eyelid contour abnormality following bilamellar tarsal rotation for trachomatous entropion.
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Fraser syndrome
NOV 29, 2023
A two-month old baby having bilateral incomplete cryptophthalmos, syndactyly of the fingers, a broad nose with a depressed nasal bridge, and posteriorly located malformed ears.
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