Dr. Shilpa Vasanth

Consultant, Mumbai

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Glaucoma › Primary angle-closure glaucoma

UBM image of iris bombae

Ultra biomicroscopy image of an eye with high intra ocular pressure and shallow ac showing Iris Bombae- 360 degree posterior synechia to intraocular lens causing pupillary block will be relieved with peripheral iridotomy

Cornea › Phlyctenular keratoconjunctivitis

Telengectatic conjunctival vessels

Slit lamp image of localised telengectatic conjunctival vessel

Cornea › Xerophthalmia (Vitamin A Deficiency Eye Disease)

Keratomalacia

Clinical image of florid keratomalacia with central descemetocoele in an eye with xerophthalmia in a child with of vitamin a deficiency stage X3B

Ocular Trauma › Blunt trauma

Corneal abrasions

Slit lamp image of Fluroscein stained multiple corneal abrasions with diffuse illumination after trauma

Cornea › Band keratopathy

Band Shaped Keratopathy

Slit lamp image of a pthisical eye with dystrophic calcificied lesion seen horizontally

Retina Vitreous › Retinal dialysis

Juveline macular schisis

Oct image of juvenile macular schisis showing retinal (inner layers-NFL) splitting and intra retinal cystic cavities (spoke wheel pattern)

Cataract Refractive › Complicated cataract surgery

Optic capture

Slit lamp image of complete optic capture of Rigid IOL and obliterated pupil due to fibrotic pupillary membrane in an eye which was operated for cataract many years ago Due to poor vision in this case, an IOL explantation with secondary IOL and pupillopllasty was planned. Ideally in such cases,regular followups and diagnosing the optic capture early and IOL redialling could have prevented such outcomes and need for tedious procedures.

Oculoplasty › Eyelid tumors

Pyogenic granuloma

A benign, fast-growing red or purple bump on the eyelid, conjunctiva, or cornea. Caused by aberrant healing, it typically results from eye surgery, trauma, or a burst chalazion. These growths are highly vascular, prone to spontaneous bleeding, and can cause irritation or a foreign body sensation.

Ocular Trauma › Blunt trauma

Corneal abrasions

Slit lamp image of Fluroscein stained multiple corneal abrasions with cobalt blue light after trauma.

Ocular Trauma › Blunt trauma

Coat's ring

Slit lamp image of Coat's ring after foreign body impaction on cornea In this case,an exaggerated immune response can be seen surrounding the point of impact

Oculoplasty › Capillary hemangioma

Conjunctival varix

Clinical image of conjunctival varix in inferior fornix and medial canthus area. A conjunctival varix is an abnormally dilated, benign venous channel in the conjunctiva. It typically presents as a freely mobile, bluish or red tortuous lesion. Because it is usually asymptomatic, it requires no treatment, though it can be surgically excised for cosmetic reasons.

Cataract Refractive › Ectopia lentis

Inferiorly subluxated cataract

Slit lamp image of an inferiorly subluxated hypermature sclerotic cataract, with superior zonulodialysis

Cornea › Vernal keratoconjunctivitis (VKC)

Concretions in conjunctival fornix

Small, yellow-white deposits on the inner eyelids made of solidified protein, mucus, and degenerating skin cells, cause a gritty feeling. Treatment involves simple, in-office removal with a tiny needle under numbing drops.