I was asked the question about who runs Keratoconus Australia based on the post below. Keratoconus Australia and contact lenes This sounds very much like an emotive post, and I am not sure how it relates to the post from Optometry Australia. I do not know who is running Keratoconus Australia or who put up …
Epithelial bullae transplant failure I did a DMEK for this elderly gentleman back in 2012. He did not attend for follow up after 2013… He had background PXF, uncontrolled pressures and multiple procedures. He returned this week with corneal failure. This is his only eye. The image shows marked confluent epithelial microbullae. I will arrange …
Full Transplant in Lamellar This lady had a stromal transplant for granular dystrophy. Unfortunately, she developed REPEATED recurrence of granular dystrophy in the interface. So, I undertook a small central full transplant in the middle of the larger diameter stromal transplant. The recurrence of granular dystrophy is much slower in a full transplant. Small full …
Horrendous filaments after laser treatment Horrendous filaments after laser treatment This lady underwent 2 laser treatment procedures, the second with mitomycin. She has horrendous filaments that I struggle to bring under control. This is her flareup this week. She made a comment to me….”my eyes are making my life hell” Such patients never appear in …
Lentigo Maligna Repair This young man had a slowly expanding pigmented region in his face. Biopsy confirmed lentigo maligna melanoma, aka hutchinsons melanotic freckle. This can become melanomatous. I undertook staged excision in the office, to ensure complete removal. The first photo was taken after the first stage removal, and before the second. This is …
This man suffered trauma in one eye with vision loss. He has diffuse limbal stem cell failure with central scarring. This is what it looks like… The key to diagnosing is using fluorescein…note the whorls. More information available at www.oculoplasticsurgery.com.au Need to book an appointment? Click here
Saltzmans after Pterygium I undertook pterygium removal for this young man by the perfect technique some 2 years ago. Over the last 6 months, he has noted his vision deteriorating. You will see the large saltzmanoid scar centrally in the cornea. I will arrange for keratectomy, burring and laser polishing. Why does this happen? Pterygia …
Here is another interesting case that I have seen recently. This 54 year old man has a plaque like lesion typical of limbal dysplasia, and this is what it looks like. It is completely asymptomatic and picked up on routine exam by an optometrist. I have given him 3 months of chemotherapy: the lesion has …
Entropion – 2 Types These patients presented almost one after the other with 2 types of Entropion The lady has entropion due to a shrunken phthisical eye. The gentleman has an entropion with a proptosed eye, from chronic eye rubbing, stretching the lid into a viscous catch 22 cycle. I will treat the lady by …
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 …