Ophthalmic Images

Courses tagged with "Ophthalmic Images"

Anterior Chamber Intra-Ocular Lens

Type: Ophthalmic Images
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD

A well-positioned ACIOL with superior nasal iridotomy.

Anterior Dislocation of Crystalline Lens with Corneal Edema

Type: Ophthalmic Images
Original Contributor(s): Ashley M. Crane, MD; Nimesh A. Patel, MD; Nathan L. Scott, MD, MPP

Traumatic anterior dislocation of crystalline lens with Descemet’s folds in the cornea. The patient was treated with lensectomy and vitrectomy. Due to the high myopia, there was no need for secondary intraocular lens or contact lens. The final vision uncorrected visual acuity was 20/30 aphakic.

Christmas Tree Cataract in Myotonic Dystrophy

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Swarup S. Swaminathan, MD

The multicolored appearance is due to needle shaped polychromatic peptide crystals in the cortex or nucleus of the lens. These are not generally visually significant.

Dislocated White Cataract Mimicking Tumor

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD

B-scan ultrasound shows a well circumscribed mass inferiorly with focal hyper-densities. This can mimic a tumor, but the patient has a history of trauma and the object in question is a dislocated crystalline lens.

Penetrating Ocular Trauma With Staple Gun

Type: Ophthalmic Images
Original Contributor(s): Jacob S. Duker, MD; Nimesh A. Patel, MD

The large staple was able to be surgically removed and was performed with phacoemulsification of the lens.

Silicone Oil Droplets on a Silicone Intraocular Lens

Type: Ophthalmic Images
Original Contributor(s): Harry W. Flynn, Jr., MD; Diana M. Laura, MD; Nimesh A. Patel, MD

Silicone oil droplets on a silicone intraocular lens

Acanthamoeba Keratitis With Radial Perineuritis

Type: Ophthalmic Images
Original Contributor(s): Ann V. Quan, MD; Nimesh A. Patel, MD

White linear radial stromal haze caused by infiltration and inflammation of the corneal nerves by the amoeba.

Bee Stinger in the Cornea

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Sonia H. Yoo, MD

The bee stinger seen in the cornea has remained stable for many years and not affected the vision or required removal.

Epithelial Ingrowth Post LASIK

Type: Ophthalmic Images
Original Contributor(s): Hasenin Al-khersan, MD; Nimesh A. Patel, MD; Daniela P. Reyes-Capo, MD

Slit lamp photo post LASIK surgery 2 months prior showing patches of cellular material in the the cornea, worse inferiorly. The anterior segment OCT demonstrates the level of the ingrowth is in the interface of the flap.

Euphorbia Keratitis From Milkweed Exposure

Type: Ophthalmic Images
Original Contributor(s): Audina M. Berrocal, MD; William W. Culbertson, IV, MD; Nimesh A. Patel, MD

The patient presented with corneal edema and descemet's folds. The patient noted that she was gardening, and the offending contact was likely euphorbia cyparissias plant sap.

Fungal Keratitis Post Penetrating Keratoplasty

Type: Ophthalmic Images
Original Contributor(s): Daniel S. Choi, MD; Nimesh A. Patel, MD; Sarah P. Read, MD, PhD

Post penetrating keratoplasty for candida keratitis, this patient developed another foci of infection within the graft tissue. Stromal vascularization and edema can be seen indication failure of the graft.

Keratoprosthesis Endophthalmitis

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Guillermo Amescua, MD; Janet L. Davis, MD

Keratoprosthesis infiltrate and epithelial defect. There was progression with pain and and vitritis that led to removal of the prosthesis.

Metal Tip Post Phacoemulsification Surgery

Type: Ophthalmic Images
Original Contributor(s): Carol L. Karp, MD; Nimesh A. Patel, MD; Swarup S. Swaminathan, MD

This patient underwent uneventful cataract surgery. On post-operative day 1 there was found to be a fragment of metal on the iris likely from the phacoemulsification probe.

Peripheral Ulcerative Keratitis

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Jesse D. Sengillo, MD; Patrick Staropoli, MD

Inferior peripheral corneal thinning due to systemic inflammatory disease. Surgery was with conjunctival recession and amniotic membrane placement.

Sub-Conjunctival Lens Migration

Type: Ophthalmic Images
Original Contributor(s): Ashley M. Crane, MD; Nimesh A. Patel, MD

Patient with history of multiple retinal detachments with a phthisis eye. The crystalline lens is noted to have migrated external to the sclera and subconjunctivally.

Iridocorneal Endothelial (ICE) Syndrome - Iris Atrophy Sub-Type

Specialty: Glaucoma
Type: Ophthalmic Images
Original Contributor(s): J. William Harbour, MD; Nimesh A. Patel, MD

This patient was referred for possible iris malignancy. Ultrasound confirmed no mass. There is atrophy of the iris nasally with some variable pigmentation.

Iris, Lens and Zonule Coloboma

Specialty: Glaucoma
Type: Ophthalmic Images
Original Contributor(s): Audina M. Berrocal, MD; Brenda Fallas; Nimesh A. Patel, MD
These are caused by failure of the embryonic fissure to close during the second month of development in utero. The iris defect is also known as a "keyhole" pupil. Here, there is not only an iris defect, but also missing tissue in the lens (yellow arrow) and zonules. This can cause difficulties duri…

Optic Nerve Cupping from Primary Open Angle Glaucoma

Specialty: Glaucoma
Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD

Increased cup to disc ratio at > 0.9 with some peripapillary atrophy.

Amalric Triangular Choroidal Infarction in Giant Cell Arteritis

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD
The patient presented with ocular ischemic syndrome and corneal edema in the fellow eye. In the right eye on angiography there is temporal non-perfusion as well as choroidal hyperfluorescent infarcts in the late phases. ESR and CRP were elevated. Diagnosis of GCA was made. The patient retained 20/3…

Carotid Cavernous Fistula With Ocular Ischemic Syndrome

Type: Ophthalmic Images
Original Contributor(s): Nimesh A. Patel, MD; Andrew J. Rong, MD
Slit lamp photo with dilated epi-scleral veins. Fundus photo with retinal hemorrhages. FA with severe non perfusion, leakage from the disc, and laser scars. MRI/MRA demonstrates left distal precavernous/proximal cavernous ICA fistula into the cavernous sinus with arterialized flow. There is resulta…