Category Archives: Anterior Segment

Case study – Confirmed Orbital Floor Fracture by X Ray – What would you do?

This is a case of blunt force trauma while being assaulted. The patient presented to the emergency department with the following: Sight in both eyes with normal gross fields; normal pupillary function, normal IOP for age, diplopia in upgaze but … Continue reading

Posted in Anterior Segment | Tagged , , , , , , , , | 1 Comment

A corneal with superficial fluorescein retention

Optometrist “Raytec Dell” sent me this photo of a cornea in distress. I have seen cases like this were a lens has adhered to the eye both as RGPs and as soft lenses. The lenses tend to minimize physiologic exchange … Continue reading

Posted in Anterior Segment | Tagged , , , | 1 Comment

Quality of life in high myopia before and after implantable collamer lens implantation

Implantable Collamer lenses (ICLs) are new to the United States. These soft and foldable lenses are introduced into a phakic eye through a small 3.0 mm incision near the limbus. Early results have shown the procedure to be safe and … Continue reading

Posted in Anterior Segment | Tagged , , , , , , | Leave a comment

Fluorescein uptake on a cornea

Case #007 -Asymptomatic 60-ish woman patient presents with best vision of 20/100 in each eye. Her medical history is unremarkable with no significant medical issues.  She is on no prescribed medications. There are no signs of anterior chamber reaction or reports of … Continue reading

Posted in Anterior Segment | Tagged , , , , | 1 Comment

Case #005 Epithelial staining s/p Gonioscopy

It’s inevitable that some kind of epithelial microtrauma will occur with gonioscopy. This is especially true where the patient is anxious and blepharospastic. The value of doing the procedure is always weighed against the extent of the microtrauma that will … Continue reading

Posted in Anterior Segment | Tagged , , , , , | 1 Comment