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Thursday, January 30, 2014

TRICHOTILLOMANIA

Patient neurotically pulls eyelashes.


CORNEAL FOREIGN BODY

The patient came to me from the urgent care.  They tried to remove the foreign body with a cotton-tipped applicator.  A heavy rust ring remains which was removed with a 25 gauge needle.

Monday, January 27, 2014

PAPILLEDEMA


The above 1st photograph is the right eye.  This is a young male with a recent history of severe headaches and negative MRI. 



MEMBRANOUS CONJUNCTIVITIS

The 1st photo shows the upper palpebral conjunctiva of the affected eye.  The membrane could not be peeled without causing dramatic bleeding.  The 2nd photo is the fellow eye, for comparison.



Monday, November 25, 2013

Tuesday, November 12, 2013

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.