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Wednesday, March 13, 2019

ASTEROID HYALOSIS

The amazing thing about asteroid hyalosis is that the patient doesn't have decreased vision or see floaters!

MACULAR HOLE


Friday, March 8, 2019

Thursday, January 31, 2019


Corneal scar from impact of a branch while gardening. This image was taken on day 3, after the surface was well-healed.

Internal Hordeolum

Patient entered with a complaint of her right lower eyelid being painful, swollen, and red. Main differentials based on location of the event included preseptal cellulitis, lacrimal canaliculitis, and hordeolum. Flipping of the lower eyelid revealed an internal hordeolum within a meibomian gland adjacent to the lacrimal canaliculus. 


Wednesday, January 9, 2019

SEROUS RETINAL DETACHMENT FROM POSSIBLE CHOROIDAL NEOVASCULAR NET

In the picture below, the photo on the right is from March 2018.  The one on the left is from January 2019.  Visual acuity is unaffected.  There is an unchanged chorioretinal scar near the macula.  But where the arrows point, there is more subretinal fluid in the current photo.  


Fundus Autofluorescence below demonstrates an increasing amount of hyperautofluorescence over the area of concern. 



A cross-line OCT focused on the area of concern demonstrates a focal sub-RPE lesion pushing inward, a serous retinal detachment surrounding it, and a thin line demonstrating the vitreous membrane.




Tuesday, January 8, 2019

WEISS' RING FROM POSTERIOR VITREOUS DETACHMENT


The arrow shows a Weiss' Ring.  There is a clear vitreous membrane that detaches off the retina at some point in most people's lives.  A Weiss' Ring is where that membrane was attached to the optic nerve.