GREAT LASIK FLAP

This is one of the best LASIK flaps I've ever seen. It is so faint that if the patient hadn't told me he had LASIK, I wouldn't have known. The arrows point to the edge of the flap. Usually the line is much more distinguishable. Good job.

CHOROIDAL NEVUS AND ANTERIOR CAPSULAR CATARACT

The first picture below is of a choroidal nevus. This is a pigmented area. The white spot on top of it is drusen, which often forms on nevi. This patient will be followed at first on a 6th month basis to make sure it does not progress to melanoma.



This same patient has an anterior capsular cataract in the right eye. This is a very rare cataract. It does cause some vision decrease, but not enough to justify cataract surgery.

POSTERIOR SUBCAPSULAR CATARACT

Below is the left eye of a patient with a cataract on the back of the lens. The picture on the bottom is of the other eye. This type of cataract can occur spontaneously, or from use of corticosteroids, trauma, or diabetes. It has not yet reached the point where it significantly decreases vision, but this type of cataract has a tendency to grow fairly rapidly and significantly decrease vision at some point.

GLAUCOMA

Below is the right optic nerve in a patient with glaucoma. There is deep cupping when compared with the picture below it of a normal optic nerve. The patient had a visual field test that showed the beginning of vision loss, right eye more so than left. The patient was given drops to lower pressure at least 25% and will return in a few weeks for a follow-up.