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.

CONTACT LENS OVERWEAR

This patient wears standard disposable contact lenses all day long. You can see from the photos before that there are blood vessels growing into the cornea and inflammation associated with the cornea being starved from oxygen. Solution for this is to get refit in a contact lens that breathes more oxygen and wear glasses more. A little less convenvient but the eyes are worth it! As I've been telling patients lately, we'll go through a lot of cars in our lives but only one set of eyes.

Unusual Cortical Cataract

This is an interesting type of cataract. It is difficult to tell if this is congenital or acquired. Likely it is acquired because you would think and eye doctor would have told the patient about this when he was younger. This cataract does not effect central vision because the central visual axis is still clear. But at night when the pupil dilates, the patient may see haloes and starbursts.

CORNEAL ABRASION

This patient had a mild abrasion on the cornea. You can see small dot on the surface. This should clear up fairly quickly and was covered with antibiotic drops.