INGROWN EYELASH

PALPEBRAL CONJUNCTIVA FOREIGN BODY

A young patient came into the clinic complaining of light sensitivity and pain in his eye.  When staining the cornea a superior abrasion was seen with associated foreign body tracks.  Examination of the everted superior lid revealed an embedded foreign body on the palpebral conjunctiva. The foreign body was removed and topical antibiotics were given with successful resolution. 

SCAR FROM CORNEAL ULCER

Below is a photo of a scar resulting from a contact lens related corneal ulcer.  Corneal ulcers often appear without warning, causing extreme pain and the potential for permanent vision loss.  This is more commonly seen in patients overwearing or sleeping in their contact lenses.  

EYELID NOTCH

CORNEAL ULCER FROM CONTACT LENS OVERWEAR

EPICAPSULAR STARS

WET MACULAR DEGENERATION

MELANOCYTOMA

CONTACT LENS RELATED SUPERIOR LIMBIC INFLAMMATION

Patient reports irritation and light sensitivity.  This manifests as superior conjunctival injection, corneal neovascularization and hyperemia, and subepithelial infiltrates.

PUNCTAL PLUG IN PLACE

LONG EYELASH

IRIS STRAND

CRT LENS

PTERYGIUM

SUBCONJUNCTIVAL HEMORRHAGE

DECREASED TEAR BREAK UP TIME (TBUT) FROM DRY EYE

MYELINATED NERVE FIBERS

CORTICAL SPOKING CATARACT

CORNEAL TRANSPLANT (PKP OR PENETRATING KERATOPLASTY)

RETINAL ARTERIOLE EMBOLISM

CONGENITAL DISTICHIASIS

This patient has a second row of lashes.  Most of the time it is not that bothersome to the patient and it causes minimal damage to corneal and conjunctival epithelial cells. Surgery is available to destroy the follicles from which these lashes come. 

BLEB FROM TRABECULECTOMY

TILTED OPTIC NERVE

SCAR ON CORNEA FROM ULCER RELATING FROM CONTACT LENS OVERWEAR

POSTERIOR CAPSULAR OPACITY FOLLOWING CATARACT SURGERY

MACULAR PSEUDOHOLE

POSTERIOR POLYMORPHOUS CORNEAL DYSTROPHY

CORNEAL TRANSPLANT REJECTION

CHOROIDAL NEVUS VS. MELANOCYTOMA

EYELASH STUCK IN MEIBOMIAN GLAND

This older patient complained of irritation in the right eye for several months.  Slit lamp examination revealed a mucous-covered eye lash protruding from one of the meibomian gland openings.  Fluorescein staining revealed punctate staning on the cornea corresponding with the lash.  

WET MACULAR DEGENERATION

POSTERIOR SUBCAPSULAR CATARACT

CORNEAL SUBEPITHELIAL INFILTRATE FROM VIRAL INFECTION

POSTERIOR SYNECHIA

Posterior synechia is when the iris sticks to the lens of the eye.  This can be caused by inflammation in the eye, called uveitis, and it can persist after resolution of the inflammation. 

CONCRETION

Calcium deposit on the palpebral conjunctiva.  Generally doesn't bother patients but sometimes it breaks through the conjunctiva and can feel like a foreign body in the eye.  In that case it can be removed. 

DERMATOCHALASIS

When the skin goes over the eyelid it's called dermatochalasis, and when it gets to a certain point it can be surgically fixed. 

POSTERIOR VITREOUS DETACHMENT

The top arrow points to the top of the Weiss' Ring and the middle arrow points to the bottom of it.  The bottom arrow points to the optic nerve (blurry because it's behind the Weiss' Ring. 

LAMELLAR CATARACT

 Anterior lamellar cataracts form in a layer of the anterior portion of the lens.  they can have different forms.

FUCH'S ENDOTHELIAL DYSTROPHY

The photo below shows endothelial guttata, pigment, and stromal haze associated with Fuch's corneal dystrophy

CONTACT LENS RELATED PUNCTATE EPITHELIAL STAINING

Punctate staining represents damaged or devitalized epithelial cells from contact lens overwear.