Ophthalmology photos

Updated and Edited by

Anuj-Verma
Slit Lamp Examination Showing Keratic
Precipitates

•Light of slip lamp is focused in Cornea.

•Keratic Precipitates is visible in cornea.
•Kps are seen in Uveitis.
 Blepharitis

Differential Diagnosis
•Orbital Cellulitis
•Preseptal Cellulitis
 Blepharitis

•Crust formation on upper eyelid

•Swelling of lower outer one –third of lid with ulceration
 Dacrocystitis

Acute
Chronic

•Round swelling in lacrimal sac area due to enlarged lacrimal sac

•Red skin over the swelling
Hordeolum Externum(Stye)

•Suppurative arising from lash follicle

•Lid skin is normal with swelling in upper lid
margin towards medial one-third
•Associated with gland of Zeis or Moll.
 Chalazion

•Always chronic and non suppurative.

•Inflammation of Meibomian gland.
 White Pupillary Reflex (Leucokoria)

Left eye-White Pupillary Reflex

Right Eye-Red Pupillary Reflex(Normal)
 Pinguecula

•Yellowish Nodular spot near limbus

 Bupthalmos

•Cornea : Ring like opacity

•Haab’s line
•Enlarged cornea
 Uveitis

•Pupil dilated
• (Segmental )Posterior synechiea formation giving festooned pupil
appearance
•Festooned pupil is seen only after atropinization
•Vossius ring: the circular ring of brown pigmented seen in anterior
capsule
 Convergent Squint

•Bilateral Epicanthal fold

•Telecanthus
•Left eye epicanthal fold is more than right
•Common in childern of Mangolians
•Convergent squint
•Tx: Observation ; as nasal bone increases epicanthal fold
decreases & for squint : refraction then glasses ( if required)
 Pterygium

•Fibrovascular triangular growth reaching upto cornea

•Probe cannot be inserted
•Parts: i)Cap: tip of pterygium touching cornea
•Ii)head : tip of triangular growth
•Iii)neck: just behind the tip
•Iv)body : fibrovascular growth having yellowish redish portion
approching towards middle canthus from cornea
 Corneal ulcer

•Conjunctival congestion
•Cornea shows whitish opacity
•Can be confirmed by fluorescent dye
•Anterior chamber : hypopyon at bottom (on tilting head bacterial case
hypopyon shifts, fungal does not shifts)
Herpes Simplex Keratitis (Dendritic
Corneal Ulcer)

•Dilated pupil
•Linear irregular opacity over cornea
•On fluorescent staining shows dendritic pattern
 Red Eye

•Differential Diagnosis?
 Opthalmia Neonatrum

•Always bilateral
•Profuse mucopurulent discharge from both eyes
•Gumming of both eyes in infant less than 30 days old.
•Tx: Normal saline eye wash & broadspectrum antibiotics
Foreign Body (Lodged in Cornea)
Normal Fundus
Normal Fundus
Normal Fundus
Central Retinal Artery Occlusion

•Cherry red spot

•Artery occluded
Macular Hemorrhage
Retinal Hemorrhage
Diabetic Retinopathy
Central Retinal Vein Occlusion

•Tomato Splashed appearance.

 Papilloedema

•Swelling of nerve head with venous dilation & field

physiological cup seen
•In picture B :Exudates are seen
 Mature Senile Cataract

•Complete opacity of cornea

•Radiating lines
•White opacity with spoke pattern
•Black lenticular opacity due to retroillumination
•In description say iris shadow is absent
 (Mature) Senile cataract

•Milky white area is liquid cortex with sunken brownish nucleus

 Ptosis

•Bilateral drooping of eyelids

 Congenital ptosis

•Right eyelid dropping

 Proptosis

•Orbit fullness
•Eye is bulging forward
•Upper sclera is visible
•Increase interpalpeberal fissure
 Herpes Zoster Opthalmicus

•Linear distribution of vesicle in the course of nerve (Vth CN ,Trigeminal

nerve)
•Blister on right half of forehead
•Tx: oral acyclovir and locally acyclovir cream
A) Pinhole
B) Stenopaeic slit
C) Occluder
D) Maddox rod
Old Photos

EXTRA PHOTOS
 Prolapsed Iris

• Causes: Perforated injury, perforated corneal ulcer, post

cataract surgery
•Prolapsed iris
•Pupil is pulled downward
 Bitots spot

•Glistening spongy patch on lateral side of bulbar

conjunctiva
•Seen in xeropthalmia
 Keratoconus

•Cone shaped buldging of cornea

•Munson sign: Buldging of lower eye lid when pts look down
•Deep anterior chamber
•Tx: corneal collagen cross linking with riboflavin
 Nodular Episcleritis

•Red nodular swelling of bulbar conjunctiva

 Trichiasis

•Only few lashes are touching cornea

•Corneal abrasion can occur
•Corneal ulceration can occur
 Entropian

•Whole lid margin is rolled inward

 Senile Ectropion

•Outward rolling of eyelid

•Commonly in left eye
•Arcus senilis
Mucopurulent Conjunctivitis

•Aka Acute Bacterial or acute mucopurulent conjunctivitis

•Right eye: Guming of eyelid
Mucopurulent discharge
•Left eye: Mucopurulent discharge
Chemosis of conjunctiva
 Corneal Opacity

•Fluoresent Staining has been done

•Corneal opacity of leucoma grade
 Basal cell carcinoma

•Malignant growth or ulceration of medial one-third of lower lid

•Appears to be BCC to be confirmed by histopathology
 Benign Melanoma

•Black mass or mole in upper lid margin

 Anterior Staphyloma

•Showing bulge of cornea with central part of cornea showing iris adherence.
•Hallmark of pathologic myopia.
 Acute Iridocyclitis

•Conjunctival congestion
•Pupil is irregularly constricted
•Iris : loss of pattern & luster
•Anterior chamber : hypopyon
Trachoma
Venral Keratoconjnuctivitis
Acute Congestive Glaucoma
Pthisis bulbi
Incipent stage of cortical type of senile
cataract

•Dilated pupil to visualize peripheral parts of lens

•Fundus :black opacity
•Red fundus glow
•Peripheral spoke