Inflammatory Pseudopterygium I have been treating this man for 20 years. He suffers Wegeners granulomatosis, and this is the appearance of the inflammatory pseudopterygium. Note the white lipid at the head…that is corneal lipid crystals. This lesion has not progressed for 20 years. I have told him that under no circumstances is he to have …
Orbital dermoid What is perception? This lady had no idea that her eyes looked “different”. To her it is normal. Yet the photo shows a clear problem that no one picked up. The scan shows the answer…a huge dermoid medial to the eye, pushing the eye out and up. It is like having a second …
Stromal Transplant – 13 Year Old This young man flew in for a stromal transplant for keratoconus. Vision Right Eye was Count fingers, Left Eye was Hand movements. It had been suggested to have cross linking, because when all you have is a hammer…… I consider such a presentation an ocular emergency…this young man was …
Ptosis aberrant regeneration This young man was sent in for Right ptosis, but he also has Left aberrant regeneration causing lid retraction and dynamic ptosis. He had no idea, but you can see it clearly in the photos. Aberrant regeneration on one side makes ptosis planning and surgery tricky, as well as patient expectations! More …
Conjunctival viral polyp This 13 year old presented with an atypical lesion growing in the bulbar conjunctiva. It had viral features, and has become more inflamed following treatment with interferon. I suspect this to be a viral polyp. Differential diagnoses include conjunctival nevus. She will continue on topical treatment for 6 months, and hopefully it …
BCC Upper eyelid This man came in with a BCC of the upper eyelid. This is a very dangerous sight threatening situation, as removal WILL compromise protection and integrity of the cornea long term. As you can see, mohs surgery outlined the extent of the BCC, which took out skin, precious pretarsal and preseptal orbicularis …
SCC Upper eyelid – Requiring Mohs SCC upper eyelid – This man came in this week, with a history of a lesion on his right upper eyelid that had recently grown rapidly. This is a squamous cell carcinoma, and it is a very dangerous lesion. It can spread along nerves into the orbit and brain, …
Can wearing a contact lens cause vision loss? Contact lens wear can indeed lead to vision loss. This man had acanthomeba keratitis which Dr Anthony Maloof diagnosed early and treated. When the eye settled, he wore his contact lens and developed fungal keratitis. Lightning strikes twice. Dr Maloof confirmed the fungus in the office using …
Snow Blindness Snow blindness. This is something that is rarely seen in Australia. This man is from Northern Europe, and presents with corneal scarring. He was having trouble at work, on the tools. I did a left stromal transplant, and he came in the other day so grateful…he can return to study, and has changed …
Pseudomonas slough This is necrotic debris (pseudomonas slough) in the base of a resolving pseudomonas keratitis abscess. The necrosis delays healing so I debrided it today. The ulcer is sterile. The key here is to make sure it is sterile, then start steroids. Once it heals, scar maturation will take at least 6 months. Dr …