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Glaucoma
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Pigmentary glaucoma with curvilinear dark lens opacity
MAY 26, 2023
A 47-year-old Hispanic patient presented with painless vision loss in his left eye over a period of two months. His visual acuity and intraocular pressure were normal, slit-lamp examination revealed a curvilinear dark lens opacity at the infero-nasal quadrant of the left eye…
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0
7
Myelinated retinal nerve fiber layer
MAY 16, 2023
Fundus photo of a myelinated retinal nerve fiber layer.
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0
29
Anterior chamber angle
JAN 19, 2022
Sketch of the anterior chamber angle. The labeled structures (listed alphabetically) are: A. Ch, anterior chamber; Bo., Bowman’s layer; Chor, choroid; Cil. ep., ciliary epithelium; Cil. m., ciliary muscle (longitudinal); Cil. pr., ciliary process; Cil. r. + c., ciliary body…
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0
89
Buphthalmos
JAN 11, 2022
Newborn with congenital glaucoma (right eye), buphthalmose.
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0
145
High episcleral venous pressure
DEC 10, 2021
Gonioscopy view of Blood in the Schlemm's canal.
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0
66
Rubeosis iridis
DEC 08, 2021
Rubeosis iridis (neovascularization of the iris) form diabetic retinopathy.
Image
0
78
Angle neovascularization
DEC 08, 2021
Angle neovascularization in neovascular glaucoma.
Image
0
9
Sclerostomy obstruction
AUG 16, 2021
Sclerostomy obstruction. A, Patients with iris occlusion of the trabeculectomy fistula will have elevated intraocular pressure and a flat bleb. B, Gonioscopic photo reveals iris in the fistula. C, A peaked pupil should alert the physician to this possibility.
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0
30
Malignant glaucoma after trabeculectomy
AUG 16, 2021
Malignant glaucoma after trabeculectomy. A, Early postoperative period. Note that the central chamber is flat. B-scan ultrasonography did not show any posterior abnormalities. B, The depth in the unaffected eye is shallow, which increases the risk for postoperative malignant…
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0
42
Tube erosion
AUG 16, 2021
Tube exposures increase the risk of developing endophthalmitis and should be repaired urgently.
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0
3
Medical management, hypertrichosis
AUG 12, 2021
The right (A) and left (B) eyes of a patient on unilateral treatment with a topical prostaglandin analogue for the left eye. Left- sided periorbital skin hyperpigmentation, hypertrichosis, deepening of the superior eyelid sulcus, and loss of periorbital fat are evident.
Image
0
5
Tight scleral flap sutures
AUG 12, 2021
Tight scleral flap sutures.
A,
Tight flap sutures can cause a low bleb postoperatively.
B,
A laser goniolens can be used to visualize the suture.
C,
After the suture is cut with a green laser, the bleb should elevate quickly.
Image
0
8
Cornea verticillata
AUG 12, 2021
Cornea verticillata after use of netarsudil for 3 months.
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0
10
Ultrasound biomicroscopy imaging
AUG 12, 2021
.
A,
Eye with pupillary block showing anterior bowing of the iris.
B,
Eye with plateau iris anatomy showing a large, anteriorly rotated ciliary process causing appositional angle closure.
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0
6
Evaluating the pediatric glaucoma patient
AUG 11, 2021
Photograph of a cart prepared for an examination under anesthesia (EUA) that contains all handheld instruments needed to perform a complete pediatric glaucoma examination in one place.
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0
1
Elevated IOP in a pediatric patient
AUG 11, 2021
Photograph shows severe corneal edema from elevated IOP in newborn pediatric glaucoma.
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0
4
Aniridia
AUG 11, 2021
Iris morphology in aniridia in 2 patients with documented PAX6 mutations. A, An eye with aniridia with no iris visible on slit-lamp biomicroscopy, exposing zonules and lens edge. B, An eye with aniridia in which remnants of rudimentary, hypoplastic iris tissue are present. P…
Image
0
96
Sampaolesi line
AUG 11, 2021
Goniophotograph of the anterior chamber angle in an eye with pseudoexfoliation syndrome. Note the Sampaolesi line (
black arrows). White arrows
indicate the anterior border of the pigmented trabecular meshwork.
Image
0
929
Optic nerve examination
AUG 11, 2021
Photograph of an optic nerve examination with a direct ophthalmoscope using a Koeppe lens for an improved view.
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0
0
Peters anomaly
AUG 11, 2021
Photograph of an eye with Peters anomaly exhibiting central leukoma, which can be confused for corneal edema.
Image
0
3
Sturge-Weber syndrome
AUG 11, 2021
Photograph of a patient with Sturge-Weber syndrome; the facial hemangioma involves both upper eyelids. The patient also has glaucoma.
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0
6
Measuring corneal diameter
AUG 11, 2021
Photograph of corneal diameter measurement using calipers during an EUA.
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0
71
Axenfeld--Rieger (A-R) syndrome
AUG 11, 2021
Photograph of an eye with Axenfeld-Rieger syndrome with prominent embryotoxon, iris hypoplasia, and corectopia.
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0
4
Optical coherence tomography angiograph
AUG 10, 2021
Optical coherence tomography angiography (OCTA) scans of a healthy eye and glaucomatous eyes with mild, moderate, and severe damage. The OCTA scans show a dense peripapillary vessel network in the healthy eye, illustrated in red and yellow in the color-coded map. Glaucomatou…
Image
0
2
Bruch membrane opening-minimum rim width
AUG 10, 2021
SD-OCT scan showing results for the Bruch membrane opening–minimum rim width (BMO-MRW) parameter. The B scan on the right shows how the BMO-MRW measurement is obtained. It corresponds to the minimum distance extending from the border of Bruch membrane to the internal limitin…
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0
30
Localized loss of the neuroretinal rim
AUG 10, 2021
Progressive optic disc excavation in a patient with uncontrolled open-angle glaucoma over a 3-year period. The overall size of the optic disc is small. A, The inferior overall cup size is larger than expected for a small optic disc and the inferior neuroretinal rim is thinne…
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0
46
Peripapillary atrophy
AUG 10, 2021
In b zone (black arrows), there is marked atrophy of the retinal pigment epithelium and the large choroidal vessels can be easily seen. Alpha zone (white arrows) is peripheral and adjacent to b zone and is characterized by a region of irregular hypo- and hyperpigmentation.
Image
0
342
Epithelial ingrowth
AUG 10, 2021
Epithelial ingrowth appears as a grayish, sheetlike growth on the endothelial surface of the cornea, usually originating from a surgical incision or traumatic wound. The epithelial ingrowth shown here originated from a glaucoma surgery incision, causing peripheral anterior s…
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0
1
Acquired optic disc pit
AUG 10, 2021
Acquired optic disc pit located in the inferior temporal region. Note the absence of rim tissue.
Image
0
62
Iris neovascularization
AUG 10, 2021
Iris neovascularization. With progressive angle involvement, peripheral anterior synechiae (PAS) develop with contraction of the fibrovascular membrane, resulting in secondary neovascular glaucoma.
Image
0
3
Malignant glaucoma UBM
AUG 10, 2021
Ultrasound biomicroscopy (UBM) of an eye with malignant glaucoma. The lens–iris diaphragm is pushed forward, causing a uniform shallowing of the anterior chamber (AC). The central portion of the anterior lens capsule (LC) is nearly in contact with the cornea (C). Note ciliar…
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0
57
Anterior segment optical coherence tomography
AUG 10, 2021
An example of an anterior segment OCT scan that demonstrates iridotrabecular contact.
Image
0
2
Optic disc excavation
AUG 10, 2021
Striations of the lamina cribrosa in an optic nerve with severe glaucomatous damage.
Image
0
4
Direct gonioscopy
AUG 05, 2021
Direct Gonioscopy. a. Koeppe Lens. b. Barkan goniolens, c. Direct exam of angle structures
Image
0
11
Acute angle-closure glaucoma
AUG 03, 2021
Acute angle-closure glaucoma.
(a)
Pre-iridotomy and
(B)
Post-iridotomy.
Image
0
4
Phacomorphic angle-closure
AUG 03, 2021
Subacute angle closure glaucoma. Phacomorphic angle-closure.
Image
0
5
Peripheral anterior synechiae
AUG 03, 2021
Peripheral anterior synechiae.
Image
0
11
Fundus
JUL 09, 2021
Optic disc OD
Image
0
0
Glaucomatous optic atrophy
JUN 24, 2021
Glaucomatous optic atrophy. Optic nerve cupping is increased vertically, with a cup–disc ratio of 0.8. Cupping is apparent at the point where the vessels disappear over the edge of the attenuated rim.
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0
221
Disc hemorrhage
JUN 24, 2021
Disc hemorrhage. A hemorrhage on the optic disc (arrow) may indicate glaucomatous damage.
Image
0
4
Glaucomatous cupping
JUN 24, 2021
Glaucomatous cupping. The patient’s right eye shows a cup–disc ratio of 0.8 (high level of glaucoma suspicion); the left eye shows a cup–disc ratio of 0.6 (moderate level of glaucoma suspicion). The asymmetry of cup– disc ratios here also raises suspicion of glaucoma.
Image
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210
Cup–disc ratio
JUN 24, 2021
Cup–disc ratio. In this nondiseased optic disc, the cup is less than one-half the diameter of the disc, indicating absent or low level of suspicion of glaucoma.
Image
0
1768
Visual field
JUN 16, 2021
The normal visual field and the maps produced by different types of perimetry. (A) Three dimensional model of the right eye’s “island of vision surrounded by a sea of blindness.” The horizontal plane indicates degrees (circles) of eccentricity and meridians. The vertical axi…
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0
19
Iridocorneal endothelial syndrome
JUN 16, 2021
Slit lamp photograph of iris atrophy in a patient with secondary glaucoma from essential iris atrophy.
Image
0
4
Visual field defects
JUN 16, 2021
Visual field defects produced by glaucomatous optic neuropathy (right eye).
(A)
Paracentral scotomata.
(B)
Superior nasal step.
(C)
Arcuate scotoma.
(D)
Advanced peripheral constriction.
Image
0
11
Filtering bleb
JUN 07, 2021
Poorly functioning bleb; localized, distended, thick, and hypervascular.
Image
0
2
Cyclophotogulation sites
JUN 07, 2021
Immediate postoperative view of Nd:YAG laser cyclophotogulation sites of 32 applications over 360 degrees.
Image
0
2
Pigment dispersion syndrome
JUN 07, 2021
(A)
Iris concavity in pigment dispersion syndrome.
(B)
Pilocarpine produces convex configuration.
(C)
Laser iridectomy produces planar configuration.
Image
0
3
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