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Ophthalmology Slides

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Page 1: Ophthalmology Slides

EYELIDSEYELIDSEYELIDSEYELIDS

LACRIMALLACRIMALLACRIMALLACRIMAL

CONJUNCTIVACONJUNCTIVACONJUNCTIVACONJUNCTIVA

CORNEACORNEACORNEACORNEA

SCLERASCLERASCLERASCLERA

LENSLENS

ATLAS OF OPHTHALMOLOGY

By

ALAA EL DORGHAMY&

MOHAMAD EL SADANY

Assistant Professor of OphthalmologyFaculty of Medicine

Tanta University

Page 2: Ophthalmology Slides

MENUMENU

THE EYELIDS THE EYELIDS

Page 3: Ophthalmology Slides

MENUMENU

NORMAL ANATOMYNORMAL ANATOMY

THE EYELIDS THE EYELIDS

Page 4: Ophthalmology Slides

MENUMENU

NORMAL ANATOMYNORMAL ANATOMY

THE EYELIDS THE EYELIDS

Page 5: Ophthalmology Slides

MENUMENU

NORMAL ANATOMYNORMAL ANATOMY

THE EYELIDS THE EYELIDS

Page 6: Ophthalmology Slides

MENUMENU

NORMAL ANATOMYNORMAL ANATOMY

THE EYELIDS THE EYELIDS

Page 7: Ophthalmology Slides

MENUMENU

MALPOSITION OF THE EYELIDSMALPOSITION OF THE EYELIDS

Congenital entropionCongenital entropion

THE EYELIDS THE EYELIDS

Page 8: Ophthalmology Slides

MENUMENU

Involutional (senile) entropionInvolutional (senile) entropion

MALPOSITION OF THE EYELIDSMALPOSITION OF THE EYELIDS

THE EYELIDS THE EYELIDS

Page 9: Ophthalmology Slides

MENUMENU

Cicatricial entropionCicatricial entropion

MALPOSITION OF THE EYELIDSMALPOSITION OF THE EYELIDS

THE EYELIDS THE EYELIDS

Page 10: Ophthalmology Slides

MENUMENU

Congenital ectropionCongenital ectropion

MALPOSITION OF THE EYELIDSMALPOSITION OF THE EYELIDS

THE EYELIDS THE EYELIDS

Page 11: Ophthalmology Slides

MENUMENU

Involutional (senile) lower lid ectropionInvolutional (senile) lower lid ectropion

MALPOSITION OF THE EYELIDSMALPOSITION OF THE EYELIDS

THE EYELIDS THE EYELIDS

Page 12: Ophthalmology Slides

MENUMENU

Mechanical ectropion Mechanical ectropion

MALPOSITION OF THE EYELIDSMALPOSITION OF THE EYELIDS

THE EYELIDS THE EYELIDS

Page 13: Ophthalmology Slides

MENUMENU

Cicatricial lower lid ectropion Cicatricial lower lid ectropion

MALPOSITION OF THE EYELIDSMALPOSITION OF THE EYELIDS

THE EYELIDS THE EYELIDS

Page 14: Ophthalmology Slides

MENUMENU

paralytic ectropionparalytic ectropion

MALPOSITION OF THE EYELIDSMALPOSITION OF THE EYELIDS

THE EYELIDS THE EYELIDS

Page 15: Ophthalmology Slides

MENUMENU

EYELID RETRACTION (EYELID RETRACTION (dysthyroid eye) dysthyroid eye)

THE EYELIDS THE EYELIDS

Page 16: Ophthalmology Slides

MENUMENU

Lid retraction can be better assessed in downgaze. Lid retraction can be better assessed in downgaze.

EYELID RETRACTION (EYELID RETRACTION (dysthyroid eye) dysthyroid eye)

THE EYELIDS THE EYELIDS

Page 17: Ophthalmology Slides

MENUMENU

Right ptosis and apparent retraction of the contralateral Right ptosis and apparent retraction of the contralateral upper lid due to increased neuronal stimulation of this upper lid due to increased neuronal stimulation of this levator.levator.

PTOSIS PTOSIS

THE EYELIDS THE EYELIDS

Page 18: Ophthalmology Slides

MENUMENU

Congenital ptosisCongenital ptosis

PTOSIS PTOSIS

THE EYELIDS THE EYELIDS

Page 19: Ophthalmology Slides

MENUMENU

Right involutional ptosis. Right involutional ptosis.

PTOSIS PTOSIS

THE EYELIDS THE EYELIDS

Page 20: Ophthalmology Slides

MENUMENU Paralytic ptosis (III nerve palsy)Paralytic ptosis (III nerve palsy)

PTOSIS PTOSIS

THE EYELIDS THE EYELIDS

Page 21: Ophthalmology Slides

MENUMENU

Horner’s syndrome (sympathetic paralysis)Horner’s syndrome (sympathetic paralysis)

PTOSIS PTOSIS

THE EYELIDS THE EYELIDS

Page 22: Ophthalmology Slides

MENUMENU

Marcus Gunn (Jaw-winking ) ptosis. Marcus Gunn (Jaw-winking ) ptosis.

PTOSIS PTOSIS

THE EYELIDS THE EYELIDS

Page 23: Ophthalmology Slides

MENUMENU

Ocular myopathyOcular myopathy

PTOSIS PTOSIS

THE EYELIDS THE EYELIDS

Page 24: Ophthalmology Slides

MENUMENU

((Dermatochalasis)Dermatochalasis)

THE EYELIDS THE EYELIDS

Page 25: Ophthalmology Slides

MENUMENUHorduolum enternum Horduolum enternum

EYELID CYSTS AND INFILTRATIONSEYELID CYSTS AND INFILTRATIONS

THE EYELIDS THE EYELIDS

Page 26: Ophthalmology Slides

MENUMENUChalazionChalazion

EYELID CYSTS AND INFILTRATIONSEYELID CYSTS AND INFILTRATIONS

THE EYELIDS THE EYELIDS

Page 27: Ophthalmology Slides

MENUMENUCyst of mollCyst of moll

EYELID CYSTS AND INFILTRATIONSEYELID CYSTS AND INFILTRATIONS

THE EYELIDS THE EYELIDS

Page 28: Ophthalmology Slides

MENUMENU

A cyst of ZeisA cyst of Zeis

EYELID CYSTS AND INFILTRATIONSEYELID CYSTS AND INFILTRATIONS

THE EYELIDS THE EYELIDS

Page 29: Ophthalmology Slides

MENUMENU

Sebaceous cystsSebaceous cysts

EYELID CYSTS AND INFILTRATIONSEYELID CYSTS AND INFILTRATIONS

THE EYELIDS THE EYELIDS

Page 30: Ophthalmology Slides

MENUMENU XanthelasmaXanthelasma

EYELID CYSTS AND INFILTRATIONSEYELID CYSTS AND INFILTRATIONS

THE EYELIDS THE EYELIDS

Page 31: Ophthalmology Slides

MENUMENU

squamous papillomasquamous papilloma

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 32: Ophthalmology Slides

MENUMENUSeborrhoeic keratosisSeborrhoeic keratosis

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 33: Ophthalmology Slides

MENUMENU

Actinic or solar keratosisActinic or solar keratosis

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 34: Ophthalmology Slides

MENUMENU

A keratoanthomaA keratoanthoma

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 35: Ophthalmology Slides

MENUMENU

HaemangiomasHaemangiomas

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 36: Ophthalmology Slides

MENUMENU

NeurofibromaNeurofibroma

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 37: Ophthalmology Slides

MENUMENU

Basal cell carcinoma (rodent ulcer ) Basal cell carcinoma (rodent ulcer )

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 38: Ophthalmology Slides

MENUMENU

Basal cell carcinomas spread by direct Basal cell carcinomas spread by direct extensionextension

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 39: Ophthalmology Slides

MENUMENU

Squamous cell carcinomaSquamous cell carcinoma

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 40: Ophthalmology Slides

MENUMENU

Malignant melanomaMalignant melanoma

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 41: Ophthalmology Slides

MENUMENU

Meibomian gland carcinomaMeibomian gland carcinoma

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 42: Ophthalmology Slides

MENUMENU

The more generalized form of meibomian The more generalized form of meibomian gland carcinomagland carcinoma

EYELID TUMOURS EYELID TUMOURS

THE EYELIDS THE EYELIDS

Page 43: Ophthalmology Slides

MENUMENU

Epicanthic foldsEpicanthic folds

TISSUE DEFICIENCYTISSUE DEFICIENCY

THE EYELIDS THE EYELIDS

Page 44: Ophthalmology Slides

MENUMENU

BlepharophimosisBlepharophimosis

TISSUE DEFICIENCYTISSUE DEFICIENCY

THE EYELIDS THE EYELIDS

Page 45: Ophthalmology Slides

MENUMENUA Congenital lid colobomaA Congenital lid coloboma

TISSUE DEFICIENCYTISSUE DEFICIENCY

THE EYELIDS THE EYELIDS

Page 46: Ophthalmology Slides

MENUMENU

Full thickness loss of eyelid tissue, as in this Full thickness loss of eyelid tissue, as in this case following a caustic burncase following a caustic burn

TRAUMATRAUMATISSUE DEFICIENCYTISSUE DEFICIENCY

THE EYELIDS THE EYELIDS

Page 47: Ophthalmology Slides

MENUMENU

Avulsion of the lower eyelidAvulsion of the lower eyelid

TISSUE DEFICIENCYTISSUE DEFICIENCY

THE EYELIDS THE EYELIDS

Page 48: Ophthalmology Slides

MENUMENU

Upper lid lacerations lacerationsUpper lid lacerations lacerations

TISSUE DEFICIENCYTISSUE DEFICIENCY

THE EYELIDS THE EYELIDS

Page 49: Ophthalmology Slides

MENUMENU

THE LACRIMAL THE LACRIMAL DRAINAGE SYSTEM DRAINAGE SYSTEM

Page 50: Ophthalmology Slides

MENUMENUAnatomy of the lacrimal drainage system Anatomy of the lacrimal drainage system

APPLIED ANATOMY APPLIED ANATOMY

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 51: Ophthalmology Slides

MENUMENU

Physiology of the lacrimal pump mechanism Physiology of the lacrimal pump mechanism

PHYSIOLOGYPHYSIOLOGY

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 52: Ophthalmology Slides

MENUMENUIncreased marginal strip stained with fluorescein Increased marginal strip stained with fluorescein

PHYSIOLOGYPHYSIOLOGY

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 53: Ophthalmology Slides

MENUMENU

Hard stop ; right : soft stop Hard stop ; right : soft stop

PROBINGPROBING

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 54: Ophthalmology Slides

MENUMENU

Jones dye testing. Top : primary test, bottom: secondary test Jones dye testing. Top : primary test, bottom: secondary test

JONES DYE TESTINGJONES DYE TESTING

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 55: Ophthalmology Slides

MENUMENU

Right dacryocystogram showing free flow of contrast Right dacryocystogram showing free flow of contrast medium into the nose despite mild stenosis of the common medium into the nose despite mild stenosis of the common canaliculus. canaliculus.

DACRYOCYSTOGRAMDACRYOCYSTOGRAM

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 56: Ophthalmology Slides

MENUMENU

Bilateral dacryocystogram. Right shows some irregularioty Bilateral dacryocystogram. Right shows some irregularioty of the common canaliculus , although contrast medium of the common canaliculus , although contrast medium passes through an otherwise patent lacrimal system. Left passes through an otherwise patent lacrimal system. Left shows complete obstruction high in the sac.shows complete obstruction high in the sac.

DACRYOCYSTOGRAMDACRYOCYSTOGRAM

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 57: Ophthalmology Slides

MENUMENU

Technique of dilating the inferior punctum Technique of dilating the inferior punctum

PUNCTAL DILATATION PUNCTAL DILATATION

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 58: Ophthalmology Slides

MENUMENU

Two-snip procedure for punctal stenosis: (a) vertical cut; (b) Two-snip procedure for punctal stenosis: (a) vertical cut; (b) horizontal cut; (C) final result .horizontal cut; (C) final result .

PUNCTAL SURGERY PUNCTAL SURGERY

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 59: Ophthalmology Slides

MENUMENUPunctal stenosis due to mild eversionPunctal stenosis due to mild eversion

PUNCTAL ECTROPION PUNCTAL ECTROPION

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 60: Ophthalmology Slides

MENUMENU

Sticky eye due to delayed canalization of the nasolacrimal Sticky eye due to delayed canalization of the nasolacrimal duct .duct .

CONGENETAL NASOLACRIMAL DUCT OBSTRUCTION CONGENETAL NASOLACRIMAL DUCT OBSTRUCTION

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 61: Ophthalmology Slides

MENUMENU

Acute dacryostitis secondary to delayed canalization of the Acute dacryostitis secondary to delayed canalization of the nasolacrimal ductnasolacrimal duct

ACUTE DACRYOSTITISACUTE DACRYOSTITIS

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 62: Ophthalmology Slides

MENUMENUTechnique of probing of the nasolacrimal ductTechnique of probing of the nasolacrimal duct

PROBING OF THE NASOLACRIMAL DUCTPROBING OF THE NASOLACRIMAL DUCT

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 63: Ophthalmology Slides

MENUMENUTechnique of dacryocysistorhinostomyTechnique of dacryocysistorhinostomy

DACRYOCYSISTORHINOSTOMYDACRYOCYSISTORHINOSTOMY

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 64: Ophthalmology Slides

MENUMENU

Oedema of the left canaliculus due to chronic Oedema of the left canaliculus due to chronic canaliculitis canaliculitis

CANALICULITIS CANALICULITIS

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 65: Ophthalmology Slides

MENUMENU

Pouting of the punctum in the patient with Pouting of the punctum in the patient with chronic canaliculitis.chronic canaliculitis.

CHRONIC CANALICULITISCHRONIC CANALICULITIS

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 66: Ophthalmology Slides

MENUMENU

Expressed concretions in a patient with Expressed concretions in a patient with chronic canaliculitis . chronic canaliculitis .

CHRONIC CANALICULITISCHRONIC CANALICULITIS

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 67: Ophthalmology Slides

MENUMENU

ACUTE DACRYOCYSTITISACUTE DACRYOCYSTITIS

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 68: Ophthalmology Slides

MENUMENU

Distension of the lacrimal in a patient with acute Distension of the lacrimal in a patient with acute dacryocystitis.dacryocystitis.

ACUTE DACRYOCYSTITISACUTE DACRYOCYSTITIS

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 69: Ophthalmology Slides

MENUMENU

Mucocele in a patient with chronic Mucocele in a patient with chronic dacryocystitis dacryocystitis

CHRONIC DACRYOCYSTITIS CHRONIC DACRYOCYSTITIS

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 70: Ophthalmology Slides

MENUMENU

Expression of mucopurulent material in a Expression of mucopurulent material in a patient with chronic dacryocystitis. patient with chronic dacryocystitis.

CHRONIC DACRYOCYSTITIS CHRONIC DACRYOCYSTITIS

THE LACRIMAL DRAINAGE SYSTEM THE LACRIMAL DRAINAGE SYSTEM

Page 71: Ophthalmology Slides

MENUMENU

THE CONJUNCTIVATHE CONJUNCTIVA

Page 72: Ophthalmology Slides

MENUMENU

ANATOMY ANATOMY

THE CONJUNCTIVATHE CONJUNCTIVA

Page 73: Ophthalmology Slides

MENUMENUConjunctival folliclesConjunctival follicles

CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 74: Ophthalmology Slides

MENUMENU

Conjunctival papillae involving the upper Conjunctival papillae involving the upper tarsal conjunctiva.tarsal conjunctiva.

CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 75: Ophthalmology Slides

MENUMENUSevere chemosisSevere chemosis

CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 76: Ophthalmology Slides

MENUMENUScaming of the inferior forniceal conjunctiva Scaming of the inferior forniceal conjunctiva

CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 77: Ophthalmology Slides

MENUMENUConjunctival pseudomembrane Conjunctival pseudomembrane

CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 78: Ophthalmology Slides

MENUMENURemoval of a conjunctival pseudomembraneRemoval of a conjunctival pseudomembrane

CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION CLINICAL EVALUATION OF CONJUNCTIVAL INFLAMMATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 79: Ophthalmology Slides

MENUMENU

Severe crusting of the eyelids in bacterial Severe crusting of the eyelids in bacterial conjunctivitisconjunctivitis

BACTERIAL CONJUNCTIVITIS BACTERIAL CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 80: Ophthalmology Slides

MENUMENUMucopurulent discharge in bacterial conjunctivitisMucopurulent discharge in bacterial conjunctivitis

BACTERIAL CONJUNCTIVITIS BACTERIAL CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 81: Ophthalmology Slides

MENUMENU Purulent discharge in adult gonococcat conjunctivitis.Purulent discharge in adult gonococcat conjunctivitis.

BACTERIAL CONJUNCTIVITIS BACTERIAL CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 82: Ophthalmology Slides

MENUMENU

Superior tarsal injection and follicles in severe Superior tarsal injection and follicles in severe adenoviral conjunctivitis.adenoviral conjunctivitis.

VIRAL CONJUNCTIVITIS VIRAL CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 83: Ophthalmology Slides

MENUMENU

Subconjunctival haemorrhages in severe adenociral Subconjunctival haemorrhages in severe adenociral conjunctivitis.conjunctivitis.

VIRAL CONJUNCTIVITIS VIRAL CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 84: Ophthalmology Slides

MENUMENU

Conjunctival pseudomembrane in severe adenoviral Conjunctival pseudomembrane in severe adenoviral conjunctivitis. conjunctivitis.

VIRAL CONJUNCTIVITIS VIRAL CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 85: Ophthalmology Slides

MENUMENUAdenoviral keratitisAdenoviral keratitis

VIRAL CONJUNCTIVITIS VIRAL CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 86: Ophthalmology Slides

MENUMENUAdenoviral keratitisAdenoviral keratitis

VIRAL CONJUNCTIVITIS VIRAL CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 87: Ophthalmology Slides

MENUMENUHerpes simplex biepharoconjunctivitisHerpes simplex biepharoconjunctivitis

HERPES SIMPLEX CONJUNCTIVITISHERPES SIMPLEX CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 88: Ophthalmology Slides

MENUMENU

Large follicles in the inferior fornix fomix in adult chlamydial Large follicles in the inferior fornix fomix in adult chlamydial conjunctivitis . conjunctivitis .

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 89: Ophthalmology Slides

MENUMENU

Follicles and papillae on the superior tarsal Follicles and papillae on the superior tarsal conjunctiva in early active trachoma conjunctiva in early active trachoma

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 90: Ophthalmology Slides

MENUMENU

Follicles involving the superior palpebral conjunctiva Follicles involving the superior palpebral conjunctiva in adult chlamydial conjunctivits .in adult chlamydial conjunctivits .

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 91: Ophthalmology Slides

MENUMENU

Marginal infiltrates in adut chlamydial conjunctivitis Marginal infiltrates in adut chlamydial conjunctivitis (HERBERT ROSETTES ) (HERBERT ROSETTES )

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 92: Ophthalmology Slides

MENUMENU

Superior micropannus in longstanding chlamydial Superior micropannus in longstanding chlamydial conjunctivitis . conjunctivitis .

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 93: Ophthalmology Slides

MENUMENU

Scarring of upper tarsal conjunctiva (Arlt line ) in Scarring of upper tarsal conjunctiva (Arlt line ) in chronic trachoma. chronic trachoma.

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 94: Ophthalmology Slides

MENUMENU

Herbert pits in trachomaHerbert pits in trachoma

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 95: Ophthalmology Slides

MENUMENU

Trichiasis and comeal vascularization in advanced Trichiasis and comeal vascularization in advanced trachoma.trachoma.

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 96: Ophthalmology Slides

MENUMENU Entropoin of the upper eyelid in advanced trachoma.Entropoin of the upper eyelid in advanced trachoma.

CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA) CHLAMYDIAL CONJUNCTIVITIS (TRACHOMA)

THE CONJUNCTIVATHE CONJUNCTIVA

Page 97: Ophthalmology Slides

MENUMENU Milky Milky appearanceappearance of the conjunctiva in allergic rhinoconjunctivitis . of the conjunctiva in allergic rhinoconjunctivitis .

ALLERGIC CONJUNCTIVITISALLERGIC CONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 98: Ophthalmology Slides

MENUMENU

Conjunctival hyperaemia and diffuse papillary hypertrophy of Conjunctival hyperaemia and diffuse papillary hypertrophy of the superior tarsal conjunctiva in mild vernal conjunctivitis .the superior tarsal conjunctiva in mild vernal conjunctivitis .

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 99: Ophthalmology Slides

MENUMENU

Giant ‘cobblestone‘ papillae on the superior tarsal Giant ‘cobblestone‘ papillae on the superior tarsal conjunctiva in severe vernal conjunctivits .conjunctiva in severe vernal conjunctivits .

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 100: Ophthalmology Slides

MENUMENU

Giant papillae and copious mucus on the superior Giant papillae and copious mucus on the superior tarsus in advanced vernal conjunctivitis.tarsus in advanced vernal conjunctivitis.

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 101: Ophthalmology Slides

MENUMENU

Gelatinous superior limbal elevations with overlying Gelatinous superior limbal elevations with overlying fine white plaques (Trantas dots) in vernal limbitis.fine white plaques (Trantas dots) in vernal limbitis.

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 102: Ophthalmology Slides

MENUMENU

Punctate epitheliopathy stained with fluorescein, in Punctate epitheliopathy stained with fluorescein, in vernal disease.vernal disease.

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 103: Ophthalmology Slides

MENUMENU Marcroerosion stained with fluorescein in vernal disease.Marcroerosion stained with fluorescein in vernal disease.

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 104: Ophthalmology Slides

MENUMENUCorneal plaque in vernal diseaseCorneal plaque in vernal disease

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 105: Ophthalmology Slides

MENUMENUSubepithelial scarring in vernal disease.Subepithelial scarring in vernal disease.

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 106: Ophthalmology Slides

MENUMENUSupratarsal injection of steroid in severe vernal Supratarsal injection of steroid in severe vernal

VERNAL KERATOCONJUNCTIVITISVERNAL KERATOCONJUNCTIVITIS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 107: Ophthalmology Slides

MENUMENUThe three layers of the precorneal tear filmThe three layers of the precorneal tear film

DRY EYEDRY EYE

THE CONJUNCTIVATHE CONJUNCTIVA

Page 108: Ophthalmology Slides

MENUMENU

Function of the mucin layer Left : in mucin defiency, the aqueous layer Function of the mucin layer Left : in mucin defiency, the aqueous layer (blue) cannot wet the corneal epithelium,; right : a normal amount of mucin (blue) cannot wet the corneal epithelium,; right : a normal amount of mucin (red) enables wetting of the corneal epithelium by the aqueous layer (blue). (red) enables wetting of the corneal epithelium by the aqueous layer (blue).

DRY EYEDRY EYE

THE CONJUNCTIVATHE CONJUNCTIVA

Page 109: Ophthalmology Slides

MENUMENU

Punctate epitheliopathy in keratoconjunctivitis sicca Punctate epitheliopathy in keratoconjunctivitis sicca (Stained with rose bengal).(Stained with rose bengal).

DRY EYEDRY EYE

THE CONJUNCTIVATHE CONJUNCTIVA

Page 110: Ophthalmology Slides

MENUMENUCorneal filaments in keratoconjunctivi\it is siccaCorneal filaments in keratoconjunctivi\it is sicca

DRY EYEDRY EYE

THE CONJUNCTIVATHE CONJUNCTIVA

Page 111: Ophthalmology Slides

MENUMENUBreak-up of the tear film .Break-up of the tear film .

DRY EYEDRY EYE

THE CONJUNCTIVATHE CONJUNCTIVA

Page 112: Ophthalmology Slides

MENUMENU

Mild staining of the conjunctiva with rose bengal in Mild staining of the conjunctiva with rose bengal in keratoconjunctivitis sicca .keratoconjunctivitis sicca .

DRY EYEDRY EYE

THE CONJUNCTIVATHE CONJUNCTIVA

Page 113: Ophthalmology Slides

MENUMENU

Extensive staining with rose bengal in keratoconjunctivitis Extensive staining with rose bengal in keratoconjunctivitis sicca .sicca .

DRY EYEDRY EYE

THE CONJUNCTIVATHE CONJUNCTIVA

Page 114: Ophthalmology Slides

MENUMENUSchirmer testSchirmer test

DRY EYEDRY EYE

THE CONJUNCTIVATHE CONJUNCTIVA

Page 115: Ophthalmology Slides

MENUMENUPingueculaPinguecula

CONJUNTIVAL DEGENERATION CONJUNTIVAL DEGENERATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 116: Ophthalmology Slides

MENUMENUEarly pterygium Early pterygium

CONJUNTIVAL DEGENERATION CONJUNTIVAL DEGENERATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 117: Ophthalmology Slides

MENUMENUEstablished pterygiumEstablished pterygium

CONJUNTIVAL DEGENERATION CONJUNTIVAL DEGENERATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 118: Ophthalmology Slides

MENUMENUAdvanced pterygiumAdvanced pterygium

CONJUNTIVAL DEGENERATION CONJUNTIVAL DEGENERATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 119: Ophthalmology Slides

MENUMENUPseudopterygiumPseudopterygium

CONJUNTIVAL DEGENERATION CONJUNTIVAL DEGENERATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 120: Ophthalmology Slides

MENUMENUConjunctival concretions (PTCs)Conjunctival concretions (PTCs)

CONJUNTIVAL DEGENERATION CONJUNTIVAL DEGENERATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 121: Ophthalmology Slides

MENUMENUConjunctival retention cystConjunctival retention cyst

CONJUNTIVAL DEGENERATION CONJUNTIVAL DEGENERATION

THE CONJUNCTIVATHE CONJUNCTIVA

Page 122: Ophthalmology Slides

MENUMENUConjunctival epithelial melanosisConjunctival epithelial melanosis

PIGMENTED CONJUNTIVAL LESIONSPIGMENTED CONJUNTIVAL LESIONS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 123: Ophthalmology Slides

MENUMENUMelanosis around an intrascleral nerve Melanosis around an intrascleral nerve

BIGMENTED CONJUNTIVAL LESIONSBIGMENTED CONJUNTIVAL LESIONS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 124: Ophthalmology Slides

MENUMENUDeposits of mascara in the inferior fornixDeposits of mascara in the inferior fornix

BIGMENTED CONJUNTIVAL LESIONSBIGMENTED CONJUNTIVAL LESIONS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 125: Ophthalmology Slides

MENUMENUConjunctival adrenochrome depositsConjunctival adrenochrome deposits

PIGMENTED CONJUNTIVAL LESIONSPIGMENTED CONJUNTIVAL LESIONS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 126: Ophthalmology Slides

MENUMENUCongenital subepithelial melanocytosisCongenital subepithelial melanocytosis

PIGMENTED CONJUNTIVAL LESIONSPIGMENTED CONJUNTIVAL LESIONS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 127: Ophthalmology Slides

MENUMENUNon-pigmented conjunctival naevusNon-pigmented conjunctival naevus

PIGMENTED CONJUNCTIVAL LESIONSPIGMENTED CONJUNCTIVAL LESIONS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 128: Ophthalmology Slides

MENUMENUPigmented conjunctival neavusPigmented conjunctival neavus

PPIGMENTED CONJUNCTIVAL LESIONSIGMENTED CONJUNCTIVAL LESIONS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 129: Ophthalmology Slides

MENUMENUNaevus of the caruncleNaevus of the caruncle

THE CONJUNCTIVATHE CONJUNCTIVA

PPIGMENTED CONJUNCTIVAL LESIONSIGMENTED CONJUNCTIVAL LESIONS

Page 130: Ophthalmology Slides

MENUMENUPrimary conjunctival melanomaPrimary conjunctival melanoma

CONJUNCTIVAL MELANOMACONJUNCTIVAL MELANOMA

THE CONJUNCTIVATHE CONJUNCTIVA

Page 131: Ophthalmology Slides

MENUMENUNon-pigmented conjunctival melanomaNon-pigmented conjunctival melanoma

CONJUNCTIVAL MELANOMACONJUNCTIVAL MELANOMA

THE CONJUNCTIVATHE CONJUNCTIVA

Page 132: Ophthalmology Slides

MENUMENUPigmented conjunctival melanomaPigmented conjunctival melanoma

CONJUNCTIVAL MELANOMACONJUNCTIVAL MELANOMA

THE CONJUNCTIVATHE CONJUNCTIVA

Page 133: Ophthalmology Slides

MENUMENUMultiple pedunculated conjunctival papillomasMultiple pedunculated conjunctival papillomas

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 134: Ophthalmology Slides

MENUMENUSessile conjunctival papillomaSessile conjunctival papilloma

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 135: Ophthalmology Slides

MENUMENULarge juxtalimbal conjuctival papillomaLarge juxtalimbal conjuctival papilloma

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 136: Ophthalmology Slides

MENUMENULarge juxtalimbal conjunctival papillomeLarge juxtalimbal conjunctival papillome

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 137: Ophthalmology Slides

MENUMENUConjunctival intraepithelial hyperplasiaConjunctival intraepithelial hyperplasia

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 138: Ophthalmology Slides

MENUMENU

Squamous cell carcinoma of the conjunctiva invading Squamous cell carcinoma of the conjunctiva invading the cornea.the cornea.

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 139: Ophthalmology Slides

MENUMENU

Large squamous cell carcinoma of the Large squamous cell carcinoma of the conjunctiva.conjunctiva.

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 140: Ophthalmology Slides

MENUMENU

Very extensive squamous cell carcinoma of the Very extensive squamous cell carcinoma of the conjunctiva inading the cornea .conjunctiva inading the cornea .

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 141: Ophthalmology Slides

MENUMENUDermoid of the right eyeDermoid of the right eye

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 142: Ophthalmology Slides

MENUMENUDermoidDermoid

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 143: Ophthalmology Slides

MENUMENULipodermoidLipodermoid

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 144: Ophthalmology Slides

MENUMENUComjunctival kaposi sarcomaComjunctival kaposi sarcoma

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 145: Ophthalmology Slides

MENUMENUConjunctival lymphomaConjunctival lymphoma

NON-PIGMENTED CONJUNCTIVAL TUMOURSNON-PIGMENTED CONJUNCTIVAL TUMOURS

THE CONJUNCTIVATHE CONJUNCTIVA

Page 146: Ophthalmology Slides

MENUMENU

THE CORNEATHE CORNEA

Page 147: Ophthalmology Slides

MENUMENU

APPLIED CORNEAL ANATOMY APPLIED CORNEAL ANATOMY

THE CORNEATHE CORNEA

Page 148: Ophthalmology Slides

MENUMENUPunctate epithelial erosions- unstaind

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 149: Ophthalmology Slides

MENUMENU

Punctate epithelial erosions stained with flurescein

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 150: Ophthalmology Slides

MENUMENUConrneal epithelial edema

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 151: Ophthalmology Slides

MENUMENUBullous keratopathy

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 152: Ophthalmology Slides

MENUMENUCorneal filaments and mucus plaques stained with rose

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 153: Ophthalmology Slides

MENUMENUPunctate epithelial keratitis

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 154: Ophthalmology Slides

MENUMENUCorneal pannus

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 155: Ophthalmology Slides

MENUMENUStromal infitrate

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 156: Ophthalmology Slides

MENUMENUStromal infitrate

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 157: Ophthalmology Slides

MENUMENUStromal Vascularization

CLINICAL SIGNS OF CORNEAL DISEASE CLINICAL SIGNS OF CORNEAL DISEASE

THE CORNEATHE CORNEA

Page 158: Ophthalmology Slides

MENUMENU

Top: specular microscope; bottom: appearance of the normal endothelium .

SPECULAR MICROSCOPESPECULAR MICROSCOPE

THE CORNEATHE CORNEA

Page 159: Ophthalmology Slides

MENUMENU

Corneal map showing a normal, spherical in an absolute scale ranging from 34 to 540 with 1D intervals

CORNEAL TOPOGRAPHYCORNEAL TOPOGRAPHY

THE CORNEATHE CORNEA

Page 160: Ophthalmology Slides

MENUMENU

Relative scale corneal maps showing advanced keratoconus in the right eye ana an early paracentral cone in the left . `

CORNEAL TOPOGRAPHYCORNEAL TOPOGRAPHY

THE CORNEATHE CORNEA

Page 161: Ophthalmology Slides

MENUMENU

Small corneal infiltrate in early bacteria keratitis .

MICROBIAL KERATITISMICROBIAL KERATITIS

THE CORNEATHE CORNEA

Page 162: Ophthalmology Slides

MENUMENU

Large corneal infitrate in bacterial keratitis .

MICROBIAL KERATITISMICROBIAL KERATITIS

THE CORNEATHE CORNEA

Page 163: Ophthalmology Slides

MENUMENU

Severe staphylococcal keratitis

MICROBIAL KERATITISMICROBIAL KERATITIS

THE CORNEATHE CORNEA

Page 164: Ophthalmology Slides

MENUMENU

Advanced staphylococcal keratitis

MICROBIAL KERATITISMICROBIAL KERATITIS

THE CORNEATHE CORNEA

Page 165: Ophthalmology Slides

MENUMENU

Severe pseudomonas keratitis with hypopyon .

MICROBIAL KERATITISMICROBIAL KERATITIS

THE CORNEATHE CORNEA

Page 166: Ophthalmology Slides

MENUMENU Very advanced pseudomonas keratitis

MICROBIAL KERATITISMICROBIAL KERATITIS

THE CORNEATHE CORNEA

Page 167: Ophthalmology Slides

MENUMENU

Filamentous fungal keratitis

FUNGAL KERATITISFUNGAL KERATITIS

THE CORNEATHE CORNEA

Page 168: Ophthalmology Slides

MENUMENU

Advanced filamentous fungal keratitis with surrounding infiltrateds .

FUNGAL KERATITISFUNGAL KERATITIS

THE CORNEATHE CORNEA

Page 169: Ophthalmology Slides

MENUMENU

Advanced filamentous fungal with hypopyon

FUNGAL KERATITISFUNGAL KERATITIS

THE CORNEATHE CORNEA

Page 170: Ophthalmology Slides

MENUMENU

Anterior stromal infitrates in acanthamoeba keratitis

ACANTHAMOEBA KERATITIS ACANTHAMOEBA KERATITIS

THE CORNEATHE CORNEA

Page 171: Ophthalmology Slides

MENUMENU Ring abscess and hypopyon

ACANTHAMOEBA KERATITIS ACANTHAMOEBA KERATITIS

THE CORNEATHE CORNEA

Page 172: Ophthalmology Slides

MENUMENU

Stromal scarring in old interstitial keratitis

INTERSTITIAL KERATITIS INTERSTITIAL KERATITIS

THE CORNEATHE CORNEA

Page 173: Ophthalmology Slides

MENUMENU

HERPES SIMPLEX KERATITISHERPES SIMPLEX KERATITIS

Blepharoconjunctivitis in primary herpes herpes simplex infection .

THE CORNEATHE CORNEA

Page 174: Ophthalmology Slides

MENUMENU Early dendritic ulcer

HERPES SIMPLEX KERATITISHERPES SIMPLEX KERATITIS

THE CORNEATHE CORNEA

Page 175: Ophthalmology Slides

MENUMENU Small dendritic ulcer stained with fluorescein

HERPES SIMPLEX KERATITISHERPES SIMPLEX KERATITIS

THE CORNEATHE CORNEA

Page 176: Ophthalmology Slides

MENUMENU

Large dendritic ulcer stained with fluorescein .

HERPES SIMPLEX KERATITISHERPES SIMPLEX KERATITIS

THE CORNEATHE CORNEA

Page 177: Ophthalmology Slides

MENUMENU

Geogragraphic ulcer stained with fluorescein .

HERPES SIMPLEX KERATITISHERPES SIMPLEX KERATITIS

THE CORNEATHE CORNEA

Page 178: Ophthalmology Slides

MENUMENU

Stromal necrotic keratitis in herpes simplex .

HERPES SIMPLEX KERATITISHERPES SIMPLEX KERATITIS

THE CORNEATHE CORNEA

Page 179: Ophthalmology Slides

MENUMENU

Advanced stromal necrotic keratitis in herpes simplex .

HERPES SIMPLEX KERATITISHERPES SIMPLEX KERATITIS

THE CORNEATHE CORNEA

Page 180: Ophthalmology Slides

MENUMENU

Disciform keratitis showing stromal thickening and keratic precipitates .

HERPES SIMPLEX KERATITISHERPES SIMPLEX KERATITIS

THE CORNEATHE CORNEA

Page 181: Ophthalmology Slides

MENUMENU

HERPES ZOSTER .HERPES ZOSTER .

THE CORNEATHE CORNEA

Page 182: Ophthalmology Slides

MENUMENU

DISEASES OF THE SCLERA DISEASES OF THE SCLERA AND EPISCLERA AND EPISCLERA

Page 183: Ophthalmology Slides

MENUMENU

ANATOMYANATOMY

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 184: Ophthalmology Slides

MENUMENU

Applied anatomy of the anterior vascular coats in relation to Applied anatomy of the anterior vascular coats in relation to episcleritis and scleritis. episcleritis and scleritis.

ANATOMYANATOMY

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 185: Ophthalmology Slides

MENUMENUNodular episcleritis Nodular episcleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 186: Ophthalmology Slides

MENUMENUNodular episcleritisNodular episcleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 187: Ophthalmology Slides

MENUMENUSimple sectorial episcleritis Simple sectorial episcleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 188: Ophthalmology Slides

MENUMENU Nodular anterior scleritisNodular anterior scleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 189: Ophthalmology Slides

MENUMENU

Simple diffuse episcleritis Simple diffuse episcleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 190: Ophthalmology Slides

MENUMENU

Diffuse anterior scleritisDiffuse anterior scleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 191: Ophthalmology Slides

MENUMENU

Nodular non-necrotizing anterior scleritis Nodular non-necrotizing anterior scleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 192: Ophthalmology Slides

MENUMENU

Necrotizing anterior scleritis Necrotizing anterior scleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 193: Ophthalmology Slides

MENUMENU

INFLAMMATIONINFLAMMATION

Necrotizing anterior scleritis Necrotizing anterior scleritis

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 194: Ophthalmology Slides

MENUMENU

INFLAMMATIONINFLAMMATION

Necrotizing anterior scleritis Necrotizing anterior scleritis

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 195: Ophthalmology Slides

MENUMENU

Avacular patch in early necrotizing scleritis Avacular patch in early necrotizing scleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 196: Ophthalmology Slides

MENUMENU

Thinning following resolution of an anterior diffuse Thinning following resolution of an anterior diffuse necrotizing scleritis.necrotizing scleritis.

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 197: Ophthalmology Slides

MENUMENU

SclerokeratitisSclerokeratitis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 198: Ophthalmology Slides

MENUMENU

Scleromalacia perforansScleromalacia perforans

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 199: Ophthalmology Slides

MENUMENU Scleral necrosis in necrotizing anterior scleritis Scleral necrosis in necrotizing anterior scleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 200: Ophthalmology Slides

MENUMENU

Advanced scleral necrosis in necrotizing anterior Advanced scleral necrosis in necrotizing anterior scleritis. scleritis.

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 201: Ophthalmology Slides

MENUMENUAdvanced scleromalacia Advanced scleromalacia

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 202: Ophthalmology Slides

MENUMENU

Subretinal exudation in posterior scleritis. Subretinal exudation in posterior scleritis.

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 203: Ophthalmology Slides

MENUMENU

This eye was enucleated for glaucoma secondary to sclerkeratitis. This eye was enucleated for glaucoma secondary to sclerkeratitis.

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 204: Ophthalmology Slides

MENUMENU

CT scan showing right posterior scleral thickening in posterior CT scan showing right posterior scleral thickening in posterior scleritis scleritis

INFLAMMATIONINFLAMMATION

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 205: Ophthalmology Slides

MENUMENU

Ultrasonogram in severe posterior scleritis showing Ultrasonogram in severe posterior scleritis showing scleral thickening, and fluid in sub-Tenon space scleral thickening, and fluid in sub-Tenon space which gives rise to the characterisitc’T’ sign which gives rise to the characterisitc’T’ sign

DISEASES OF THE SCLERA AND EPISCLERA DISEASES OF THE SCLERA AND EPISCLERA

Page 206: Ophthalmology Slides

MENUMENU

THE LENS

Page 207: Ophthalmology Slides

MENUMENU

THE NORMAL LENS, ITS DEVELOPMENT

THE LENS

Page 208: Ophthalmology Slides

MENUMENU

THE NORMAL LENS, ITS DEVELOPMENT

THE LENS

Page 209: Ophthalmology Slides

MENUMENU

The lens in the aged is greatly increased in sagittal width compared with that in childhood .

THE NORMAL LENS, ITS DEVELOPMENT

THE LENS

Page 210: Ophthalmology Slides

MENUMENU

This histological section shows the anterior surface of the lens near to the equator .

THE NORMAL LENS, ITS DEVELOPMENT

THE LENS

Page 211: Ophthalmology Slides

MENUMENU

Lens fibers are hexagonal in shape and lie in layers rather like the skin of an onion .

THE NORMAL LENS, ITS DEVELOPMENT

THE LENS

Page 212: Ophthalmology Slides

MENUMENU

THE NORMAL LENS, ITS DEVELOPMENT

THE LENS

Page 213: Ophthalmology Slides

MENUMENU

Marfan’s syndrome is a dominantly inherited disorder which affects the eye, skeleton and cardiovascular system and is due to a deficiency of fibrillin, a component of the microfibrillary system associated with elastin and encoded on chromosome 15 q . The lens tends to dislocate upwards (in contrast to homocystinuria).

THE LENS

Page 214: Ophthalmology Slides

MENUMENULens subluxation

ABNORMAL POSITION

THE LENS

Page 215: Ophthalmology Slides

MENUMENU

This diagram illustrates the different morphological characteristics of cataract together with their depth and location within the lens. The following illustrations demonstrate clinical examples of these anatomical entities.

CATARACT

THE LENS

Page 216: Ophthalmology Slides

MENUMENU

Capsular cataract

CATARACT

THE LENS

Page 217: Ophthalmology Slides

MENUMENU

Subcapsular Catarct

CATARACT

THE LENS

Page 218: Ophthalmology Slides

MENUMENU

Subcapsular Catarct

CATARACT

THE LENS

Page 219: Ophthalmology Slides

MENUMENU

Senile posterior subcapsular cataract

CATARACT

THE LENS

Page 220: Ophthalmology Slides

MENUMENU

CATARACT

Senile posterior subcapsular cataract

THE LENS

Page 221: Ophthalmology Slides

MENUMENUTraumatic cataract

CATARACT

THE LENS

Page 222: Ophthalmology Slides

MENUMENUpunctate cataract

CATARACT

THE LENS

Page 223: Ophthalmology Slides

MENUMENU Coronary cataract

CATARACT

THE LENS

Page 224: Ophthalmology Slides

MENUMENU Coronary cataract

CATARACT

THE LENS

Page 225: Ophthalmology Slides

MENUMENU

Nuclear Cataract

CATARACT

THE LENS

Page 226: Ophthalmology Slides

MENUMENU

lamellar cataract ( zonular cataract )

CATARACT

THE LENS

Page 227: Ophthalmology Slides

MENUMENU

lamellar cataract ( zonular cataract )

CATARACT

THE LENS

Page 228: Ophthalmology Slides

MENUMENU

Nuclear Cataract

CATARACT

THE LENS

Page 229: Ophthalmology Slides

MENUMENU

Nuclear Cataract (brown cataract)

CATARACT

THE LENS

Page 230: Ophthalmology Slides

MENUMENU

Posterior Subcapsular Cataract

CATARACT

THE LENS

Page 231: Ophthalmology Slides

MENUMENU

Mature Senile Cataract

CATARACT

THE LENS

Page 232: Ophthalmology Slides

MENUMENU

Intumescent Cataract

CATARACT

THE LENS

Page 233: Ophthalmology Slides

MENUMENU

Hypermature cataract (morgagnian cataract)

CATARACT

THE LENS

Page 234: Ophthalmology Slides

MENUMENUUnilateral Congenital Cataract Childhood

CONGENITAL CATARACT

THE LENS

Page 235: Ophthalmology Slides

MENUMENU Congenital lameller cataract

CONGENITAL CATARACT

THE LENS

Page 236: Ophthalmology Slides

MENUMENU

CONGENITAL CATARACT

Congenital nuclear cataract

THE LENS

Page 237: Ophthalmology Slides

MENUMENU Congenital nuclear cataract

CONGENITAL CATARACT

THE LENS

Page 238: Ophthalmology Slides

MENUMENUCongenital lamellar cataract

CONGENITAL CATARACT

THE LENS

Page 239: Ophthalmology Slides

MENUMENUCongenital lamellar cataract

CONGENITAL CATARACT

THE LENS

Page 240: Ophthalmology Slides

MENUMENUCongenital sutural cataract

CONGENITAL CATARACT

THE LENS

Page 241: Ophthalmology Slides

MENUMENUCongenital anteruir polar cataract

CONGENITAL CATARACT

THE LENS

Page 242: Ophthalmology Slides

MENUMENU

Congenital anterior polar pyramidal cataract

CONGENITAL CATARACT

THE LENS

Page 243: Ophthalmology Slides

MENUMENU

Congenital anterior polar cataract and persistent pupillary membrane

CONGENITAL CATARACT

THE LENS

Page 244: Ophthalmology Slides

MENUMENUCongenital posterior polar cataract

CONGENITAL CATARACT

THE LENS

Page 245: Ophthalmology Slides

MENUMENUCongenital blue dot opacities

CONGENITAL CATARACT

THE LENS

Page 246: Ophthalmology Slides

MENUMENU Membranous Cataract

CONGENITAL CATARACT

THE LENS

Page 247: Ophthalmology Slides

MENUMENUColoboma of the lens

CONGENITAL CATARACT

THE LENS

Page 248: Ophthalmology Slides

MENUMENUPosterior lenticouns

CONGENITAL CATARACT

THE LENS

Page 249: Ophthalmology Slides

MENUMENUAnterior lenticonus

CONGENITAL CATARACT

THE LENS

Page 250: Ophthalmology Slides

MENUMENU Microphakia

CONGENITAL CATARACT

THE LENS

Page 251: Ophthalmology Slides

MENUMENU

Microspherophakic lens dislocated into the anterior chamber

CONGENITAL CATARACT

THE LENS

Page 252: Ophthalmology Slides

MENUMENUUpward lens subluxation in Marfan syndrome

CONGENITAL CATARACT

THE LENS

Page 253: Ophthalmology Slides

MENUMENUUpward lens subluxation in Marfan syndrome

CONGENITAL CATARACT

THE LENS

Page 254: Ophthalmology Slides

MENUMENUInferior lens subluxation in homocysteinuria

CONGENITAL CATARACT

THE LENS

Page 255: Ophthalmology Slides

MENUMENU

SURGERY OF CONGENITAL CATARACT

Lensectomy-vitrectomy

THE LENS

Page 256: Ophthalmology Slides

MENUMENU

Use of intraocular scissors and forceps

SURGERY OF CONGENITAL CATARACT

THE LENS

Page 257: Ophthalmology Slides

MENUMENU

(a) : advanced congenital cataract; (b): appearance after lensectomy.

SURGERY OF CONGENITAL CATARACT

THE LENS

Page 258: Ophthalmology Slides

MENUMENU

POSTOPERATIVE COMPLICATIONS

Capsular opacification following congenital cataract surgery.

THE LENS

Page 259: Ophthalmology Slides

MENUMENU

Soemmerring ring following congenital cataract surgery.

POSTOPERATIVE COMPLICATIONS

THE LENS

Page 260: Ophthalmology Slides

MENUMENUAphakic Glasses

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 261: Ophthalmology Slides

MENUMENU

Corneal Edema

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 262: Ophthalmology Slides

MENUMENU

Soft lens matter remains the anterior chamber following inadequate removal of cortex

After Cataract

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 263: Ophthalmology Slides

MENUMENU

Vitreous loss with entrapment in the wound and distortion of the pupil.

COMPLICATIONS OF CATARACT SURGERY

Pupillary distortion

THE LENS

Page 264: Ophthalmology Slides

MENUMENU

Uveitis

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 265: Ophthalmology Slides

MENUMENU

Iris Prolapse

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 266: Ophthalmology Slides

MENUMENUAstigmatism

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 267: Ophthalmology Slides

MENUMENU

Opicified posterior capsule

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 268: Ophthalmology Slides

MENUMENU

Yag laser capsulotomy

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 269: Ophthalmology Slides

MENUMENU

Decentralization of intraocular lens

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 270: Ophthalmology Slides

MENUMENU

Iris capture of a posterior chamber implant

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 271: Ophthalmology Slides

MENUMENU

Posterior Synechiae

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 272: Ophthalmology Slides

MENUMENU

Cystoid Macular Edema

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 273: Ophthalmology Slides

MENUMENU

Anterior subcapsular cataract

CATARACT

THE LENS

Page 274: Ophthalmology Slides

MENUMENU

Nuclear catarct

CATARACT

THE LENS

Page 275: Ophthalmology Slides

MENUMENUNuclear cataract

CATARACT

THE LENS

Page 276: Ophthalmology Slides

MENUMENUAdvanced cortical cataract

CATARACT

THE LENS

Page 277: Ophthalmology Slides

MENUMENU

Mature cataract

CATARACT

THE LENS

Page 278: Ophthalmology Slides

MENUMENU

Hypermature cataract with wrinkling of the anterior lens capsule

CATARACT

THE LENS

Page 279: Ophthalmology Slides

MENUMENU

Morgagnian cataract

CATARACT

THE LENS

Page 280: Ophthalmology Slides

MENUMENUDiabetic cataract

CATARACT

THE LENS

Page 281: Ophthalmology Slides

MENUMENUAnterior Subcapsular Cataract

CATARACT

THE LENS

Page 282: Ophthalmology Slides

MENUMENUPosterior subcapsular cataract

CATARACT

THE LENS

Page 283: Ophthalmology Slides

MENUMENU

Mature catract

CATARACT

THE LENS

Page 284: Ophthalmology Slides

MENUMENU

Cataract caused by severe penetrating trauma

CATARACT

THE LENS

Page 285: Ophthalmology Slides

MENUMENUVossious ring after severe blunt trauma

CATARACT

THE LENS

Page 286: Ophthalmology Slides

MENUMENUFlower-shaped cataract caused by severe blunt trauma

CATARACT

THE LENS

Page 287: Ophthalmology Slides

MENUMENU

Anterior subcapsular opacities in chronic anterior uveitis.

SEONDARY CATARACT

THE LENS

Page 288: Ophthalmology Slides

MENUMENU

Advanced cataract and posterior synechiae in chronic anterior uveitis

SEONDARY CATARACT

THE LENS

Page 289: Ophthalmology Slides

MENUMENU

Anterior capsular opacity following acute angle-closure glaucoma (glaukomflecken).

SEONDARY CATARACT

THE LENS

Page 290: Ophthalmology Slides

MENUMENUExtracapsular cataract extraction extraction

MANAGEMENT OF CATARACT

THE LENS

Page 291: Ophthalmology Slides

MENUMENUExtracapsular cataract extraction

MANAGEMENT OF CATARACT

THE LENS

Page 292: Ophthalmology Slides

MENUMENU

Phacoemulsificatication

MANAGEMENT OF CATARACT

THE LENS

Page 293: Ophthalmology Slides

MENUMENU

Nuclear material in the vitreous

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 294: Ophthalmology Slides

MENUMENUlris prolapse

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 295: Ophthalmology Slides

MENUMENU

Striate keratopathy following cataract extraction

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 296: Ophthalmology Slides

MENUMENU

Very severe keratopathy following cataract extraction

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 297: Ophthalmology Slides

MENUMENUFibrinous exudation in severe acute endophthalmitis

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 298: Ophthalmology Slides

MENUMENU

Fibrinous exudation and hypopyon in severe acute endophthalmitis .

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 299: Ophthalmology Slides

MENUMENU

Vitreous haze in acute endophthalmitis

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 300: Ophthalmology Slides

MENUMENUSmall hypopyon

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 301: Ophthalmology Slides

MENUMENURetained lens material in the anterior chamber

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 302: Ophthalmology Slides

MENUMENUfibrosis of the posterior capsule

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 303: Ophthalmology Slides

MENUMENUTechnique of Nd : YAG laser capsulotomy

THE LENS

Page 304: Ophthalmology Slides

MENUMENUDecentration of a posterior chamber intraocular implant

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 305: Ophthalmology Slides

MENUMENU

Severe keratopathy caused by an anterior chamber intraocular implant

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 306: Ophthalmology Slides

MENUMENU

Late dislocation of a posterior chamber intraocular implant (sunset syndrome)

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 307: Ophthalmology Slides

MENUMENU

Mutton-fat keratic precipitates in chronic postoperative endophthalmitis

COMPLICATIONS OF CATARACT SURGERY

THE LENS

Page 308: Ophthalmology Slides

MENUMENU

White plaque on the posterior capsule in chronic postoperative endophthalmitis

COMPLICATIONS OF CATARACT SURGERY

THE LENS


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