NEVUS-LIKE MACULAR LESION

The dark area in the center is near the center of the vision and correlates with a blind spot in the patient's vision that she says is enlarging.  

COMMOTIO RETINAE

This is like a bruise on the retina.  It does effect vision in the area that corresponds to the "bruise".  This particular patient got hit the day before with a spiked volleyball. 

CONCRETION

Calcium deposits under the conjunctiva on the inside of the eyelids.  They are not dangerous and usually asymptomatic. 

ANTERIOR BASEMENT MEMBRANE DYSTROPHY

Otherwise known as Map, Dot, Fingerprint Dystrophy

IS IT A FOREIGN BODY, OR MATERIAL INTERNALLY WORKING IT'S OUT?

Palpebral conjunctival Papilloma vs. Granuloma

This is a lesion under the upper eyelid.  The upper lid is everted.   The top picture is taken in December 2011 and the bottom picture was taken in July 2011.  The lesion appears less vascularized (less blood supply) curretnly, however it does appear like there are is a new nodule to the left and larger nodule to the right.  With the evidence of growth, I believe that, although this is likely a benign lesion, it should be removed before it becomes much larger, so that it is easier to remove with less risk of complication than if we wait. 

LARGE RETINAL HOLE

This is a large hole in the retina in a 20 year old patient.  It needs fairly urgent attention before it becomes a retinal detachment.  There is some fluid under it so part of the retina is already detached. We catch about 2 to 3 patients with retinal holes per week just on routine dilated eye exams.  Without dilating, these breaks in the retina cannot be discovered.  Therefore the people that go blind from retina detachments are often the ones with perfect vision who don't come in for exams regularly, because they don't get discovered until it's too late.