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The whole corneal morphology in posterior amorphous corneal dystrophy
MAR 27, 2023
A 19-year-old male patient needed to wear glasses for 15 years due to high hyperopia and being affected by Basedow's syndrome. Upon evaluation with a slit lamp, deep stromal opacity areas interspersed with clear corneal areas are observed in both eyes (Fig A, B). Corneal top…
Image
0
9
Ciliary body cyst
MAR 27, 2023
A 35-year-old man complains of shadows in temporal side of his right eye for the last 4 months. A ultrasound biomicroscopy confirms the cystic nature of the mass.
Image
0
9
White stalk
MAR 20, 2023
A 6-month-old was investigated for leukocoria; on examination under anesthesia he was found to have persistent fetal vasculature (PFV) with total retinal detachment. PFV is a common cause of leukocoria and results from failure of degeneration of hyaloid vessels and the tunic…
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0
37
Post-Traumatic Subperiosteal Hematoma of the Lateral Orbital Wall
MAR 20, 2023
A 67-year-old female presented to the emergency department after blunt trauma to the left face. CT scan of the face without contrast revealed a fracture of the left lateral orbital wall and an underlying subperiosteal hematoma, characterized by its extraconal location and le…
Image
0
5
Incidental finding of Juvenile Retinoschisis
MAR 03, 2023
The figure shows an incidental finding of bilateral juvenile retinoschisis with a partial macula-off retinal detachment found in a non-verbal, developmentally delayed, 5-year-old male during a baseline exam under anesthesia.
Image
0
37
Bacterial orbital cellulitis
FEB 23, 2023
Bacterial orbital cellulitis with proptosis (
A
) secondary to sinusitis (
B
).
Image
0
18
Bilateral nonspecific orbital inflammation
FEB 23, 2023
Bilateral nonspecific orbital inflammation (orbital pseudotumor) in an 11-year old boy with a 1-week history of eye pain. Ocular rotation was markedly limited in all directions. CT confirmed proptosis and showed enlargement of all extraocular muscles. Laboratory workup was…
Image
0
13
Congenital nevocellular nevus
FEB 23, 2023
Congenital nevocellular nevus of the eyelid, present since birth.
Image
0
15
Dystopia canthorum
FEB 23, 2023
Dystopia canthorum in a patient with Waardenburg syndrome. Notice that the vertical lines drawn through the puncta intersect the cornea.
Image
0
44
Laceration of the globe
FEB 07, 2023
Laceration or rupture of the globe is one of the most serious ocular injuries. A ruptured or lacerated globe must be identified early and managed appropriately to protect the eye from further damage. Remember that vision may remain excellent despite a full-thickness globe la…
Image
0
61
Congenital pseudocoloboma of lens
FEB 02, 2023
Identify the defective structure-lens or zonules? Lens colobomas develop due to defective zonules in any segment, leading to a lack of tension on the lens capsule in this region and corresponding flattening of lens equator. The term lens coloboma is thus a misnomer as it is…
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0
45
Teller Acuity Cards
JAN 23, 2023
Teller Acuity Cards can be used to measure visual acuity in a preverbal child. If the pattern is visible to the child, the child looks toward the grating; otherwise, the stripes blend into the gray background and the child shows no preference for looking toward the side of t…
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0
7
Recognition visual acuity testing
JAN 23, 2023
Recognition visual acuity testing. A, LEA optotypes; screenshot of an American Association for Pediatric Ophthalmology and Strabismus iPad application for visual acuity screening. B, Crowding bars around a single-letter optotype displayed on a clinic monitor for distance vis…
Image
0
8
Near-fixation targets
JAN 23, 2023
Small toys, pictures, and eye charts are used as accommodative near-fixation targets.
Image
0
1
Iris racemose hemangioma
JAN 23, 2023
Fluorescein angiography of a 66 year-old patient presenting with an iris racemose hemangioma.
Image
0
37
Dendriform keratic precipitates
JAN 23, 2023
Smart phone image capture of slit lamp appearance of dendriform keratic precipitates in an acute case presentation of herpetic anterior uveitis. The background also shows a few cells against a dark pupil and a brown iris, providing a contrast.
Image
0
102
Trachomatous meibomian gland dysfunction
JAN 23, 2023
All meibomian orifices open onto the palpebral conjunctiva with anteriorization of the mucocutaneous junction.
Image
0
13
Thygeson superficial punctate keratitis
JAN 16, 2023
Thygeson superficial punctate keratitis; at higher magnification, each lesion is seen to consist of several minute dots.
Image
0
51
Primary acquired melanosis
JAN 16, 2023
Primary acquired melanosis (PAM)/conjunctival melanocytic intraepithelial neoplasia (C‑MIN). A, Mild PAM, involving 1 clock-hour of conjunctiva; unlikely to harbor atypia and may be observed. B, Histology of PAM (C-MIN) without atypia. H&E stain (top) shows melanocytic proli…
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0
37
Cysticercosis
JAN 03, 2023
Multipart image showing multiple cysticercosis in brain, orbital muscles, orbital fat, optic nerve sheath.
Image
0
34
Magnifiers
DEC 16, 2022
Handheld and stand magnifiers.
Image
0
7
Surgical microscope
DEC 16, 2022
Difficulty of “getting comfortable” at the operating microscope. Beware that the distance from the bottom of the operating table to the microscope eyepieces may exceed the distance from the top of the thighs to the surgeon’s eyes. To make up for the missing height, a shorter…
Image
0
7
Multifocal interocular lens
DEC 16, 2022
Multifocal IOLs. A, Hoffer split bifocal IOL (left) and an early photograph of a lens implanted in a patient (right). B, Three-zone multifocal design. C, Diffractive multifocal IOL; the cross-section of the central portion is magnified. (The depth of the grooves is exaggerat…
Image
0
8
Manual keratometer
DEC 16, 2022
Manual keratometer.
Image
0
19
Pantoscopic tilt
DEC 16, 2022
In order to optimize image quality for both straight-ahead viewing and downgaze (as for reading), eyeglass frames typically rotate the plane of the lenses downward, a correction known as pantoscopic tilt. Values of about 7° are typical.
Image
0
95
Prevalence of and high myopia
DEC 16, 2022
Line graph showing the historial and predicted prevalence of myopia and high myopia for each decade from 2000 through 2050.
Image
0
4
Refraction by a single curved surface
DEC 16, 2022
Refraction by a single curved surface. The incident ray emanating from an object (o) located at a given distance (u) undergoes refraction by a single curved surface (eg, a simple plus lens of negligible thickness). The refracted ray is directed toward an image point (i), whi…
Image
0
0
"Practice Eye"
DEC 16, 2022
Commercial model eye for retinoscopy practice.
Image
0
3
Occluding the left side of the phoropter
DEC 16, 2022
Occluding the left side of the phoropter:
A,
Opaque occluder (
arrow
).
B, +1.50 D “R” accessory lens (
arrow
). Notice the settings of the accessory wheel for the right eye, at the top left of the photos.
C, Accessory wheel.
Image
0
0
Cylindrical lenses
DEC 16, 2022
Cylindrical lenses, with curvature in only 1 direction.
A,
Convex (plus cylinder) and concave (minus cylinder) glass lenses.
B,
Refraction through a convex cylinder.
Image
0
0
Vergence of an object
DEC 16, 2022
Diagram of the vergence of an object at 50 cm and with a +4.00 D lens, compared to a +3.00 D lens combination (+4.00 D and −1.00 D).
Image
0
0
Scan: nonmetallic IOFB
DEC 14, 2022
CT scan demonstrating a nonmetallic IOFB.
Image
0
6
Flap retinal tear
DEC 14, 2022
Flap retinal tear. Sequence of color fundus photographs of a large, temporally located flap tear with associated small cuff of subretinal fluid and multiple small ruptured bridging retinal vessels with mild vitreous hemorrhage. A, At presentation. /B, Immediately following l…
Image
0
24
Lattice degeneration
DEC 14, 2022
Lattice degeneration. A, Wide-field color fundus photograph of lattice degeneration. Vascular sheathing is apparent where vessels cross the area of lattice. Characteristic white lattice lines are visible. B, Color fundus photograph from another patient shows lattice degenera…
Image
0
45
Bullous degenerative retinoschisis
DEC 14, 2022
Bullous degenerative retinoschisis, also referred to as reticular degenerative retinoschisis. A, Wide-field color fundus photograph of inferotemporal bullous retinoschisis with visible “snowflakes.” B, Corresponding near-infrared reflectance image from the same patient (left…
Image
0
11
Traction RD secondary to proliferative diabetic retinopathy
DEC 14, 2022
Traction RD secondary to proliferative diabetic retinopathy. A, Wide-field color fundus photograph of macula-involving traction RD. Extensive fibrotic neovascularization of the optic nerve head extending along the arcade vasculature is visible with associated severe retinal…
Image
0
3
Proliferative vitreoretinopathy
DEC 14, 2022
Proliferative vitreoretinopathy. A, Wide-field color fundus photograph of rhegmatogenous retinal detachment (RRD) with multiple early fixed retinal folds in the inferonasal quadrant. Underlying indentation of the peripheral retinal pigment epithelium is visualized because of…
Image
0
1
Retinal dialysis and macrocysts
DEC 14, 2022
Retinal dialysis and macrocysts. A, Wide-field color fundus photograph shows a long-standing macula-off RD with an inferotemporal dialysis (yellow arrow) and large nasal and inferior macrocysts (black arrows) that arise from the outer plexiform layer. B, OCT shows that the d…
Image
0
2
Submacular hemorrhage
DEC 14, 2022
Submacular hemorrhage. A, Color fundus photograph from a 74-year-old man with 2 days of vision loss and 20/400 visual acuity. Note the lighter-appearing blood in the sub–retinal pigment epithelium (sub-RPE) space in the center and temporal macula versus the darker-appearing…
Image
0
26
Traction retinal detachment
DEC 14, 2022
Traction retinal detachment in a patient with proliferative diabetic retinopathy. Fibrosis with extensive neovascularization can be seen along the superior and inferior arcades. There is vitreous and preretinal hemorrhage along with sclerotic vessels temporally.
Image
0
3
Panretinal photocoagulation
DEC 14, 2022
Illustration of the posterior extent of full panretinal photocoagulation showing sparing of the 3 and 9 o’clock meridians to avoid damage to the posterior ciliary nerves.
Image
0
2
Cotton-wool spots
DEC 14, 2022
Examples of cotton-wool spots. A, Wide-field color fundus photograph of the right eye shows multiple fluffy, ill-defined white parapapillary lesions consistent with cotton-wool spots. Their superficial location is demonstrated by the obscuration of retinal vessels by some of…
Image
0
3
Ocular ischemic syndrome
DEC 14, 2022
Retinal findings in OIS. An 80-year-old man with a history of coronary artery disease and diabetes mellitus presented with 2 weeks of aching pain and photosensitivity in his left eye. A, Fundus photograph shows dilated retinal veins without tortuosity and scattered blot (rou…
Image
0
1
Unusual temporal hemiretinal vein occlusion
NOV 18, 2022
An unusual patient with a purely temporal hemiretinal vein occlusion involved a 74-year-old man who presented with blurred vision of his left eye The patient's medical history is significant for systemic hypertension and glaucoma. On examination, his best-corrected visual ac…
Image
0
4
Prepapillary vascular loop
OCT 31, 2022
A 4 year-old girl was referred for a routine examination who had no any visual complaints. The anterior segment was unremarkable in both eyes. The fundus examination found bilateral prepapillary vascular loop without any other abnormalities. Observation is recommended for th…
Image
0
15
Retained lens cortical matter
OCT 31, 2022
A 79-year-old woman presents for a routine eye examination, complaining of blurred unaided vision for far on her left eye. She had cataract surgery performed on both eyes 10 years before at a local eye hospital. Except for the retained lens cortical matter, there were no oth…
Image
0
39
SD-OCT retinal opacification
OCT 25, 2022
Spectral-domain optical coherence tomography (SD-OCT) image of the left eye of a patient who experienced a rock injury at work. Examination revealed macular retinal whitening with visual acuity (VA) decreased to 20/100. OCT image demonstrates increased reflectivity of the pa…
Image
0
10
Commotio retinae
OCT 25, 2022
Extensive commotio retinae with sheenlike retinal whitening (
arrow
) and preretinal hemorrhage (
asterisk
) following blunt ocular trauma due to a rubber bullet.
Image
0
4
Deferoxamine toxicity
OCT 25, 2022
Deferoxamine (also called desferrioxamine) toxicity. A, Fundus photographs show pigmentary macular changes in a patient with sickle cell disease who was receiving deferoxamine for transfusional hemosiderosis. B, Corresponding FAF images highlight the classic reticular pigmen…
Image
0
11
Hydroxychloroquine toxicity
OCT 25, 2022
Peripheral retinal manifestations of hydroxychloroquine toxicity in Asian patients. A, Fundus autofluorescence (FAF) shows hyperautofluorescence along the inferior arcade in both eyes. B, OCT scan through the right fovea (left) shows disruption of the outer retina and loss o…
Image
0
2
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