I'M SORRY; WE ARE CURRENTLY EXPERIENCING
TECHNICAL DIFFICULTIES

NEW WORK HAS BEEN SUSPENDED DUE TO ZAPPED COMPUTER
WE'LL BE BACK WITH MORE EYELIGHT SOON!

PHOTO MONTAGE III: NPDR
HERE IS YET ANOTHER PATIENT WITH DIABETIC RETINOPATHY - NON PROLIFERATIVE DIABETIC RETINOPATHY (NPDR) TO BE EXACT. NOTE THE 'DOT AND BLOT' HEMORHAGES IN BOTH EYES AS WELL AS 'GHOST CAPILLARIES' IN BOTH MACULAS. (click to enlarge)BELOW ARE LATE PHASE ANGIOGRAPHIC MONTAGES OF EACH EYE.

RIGHT.......................&.........................LEFT

IT IS TYPICALLY A PRETTY GOOD IDEA TO 'LOOK AROUND' DURING THE ANGIOGRAPHY OF THE DIABETIC PATIENT TO CHECK FOR N.V.E. (NEO-VASCULARIZATION ELSEWHERE). THESE NEW BLOOD VESSELS ARE UNSTABLE AND TEND TO 'LEAK' IN THE EYE. IN SPITE OF THIS PATIENT'S MASSIVE CAPILLARY DROP-OUT (DARK, FLAT-LOOKING AREAS OF THE ANGIOGRAM), THERE DOESN'T SEEM TO BE ANY N.V.E. PRESENT

EXTERNAL PHOTOS I: ECTROPION
WE TYPICALLY TAKE EXTERNAL PHOTOS WITH A DIGITAL SLR TO DOCUMENT
CONDITIONS TO BE TREATED WITH COSMETIC SURGICAL PROCEDURES. THIS
PHOTO OF AN ECTROPION LEFT LOWER LID WAS CAPTURED WITH A
NIKON D50, 105MM LENS, AND SB-600 SPEEDLIGHT

AN ECTROPION IS A SAGGING EYE LID THAT LEAVES THE EYE EXPOSED AND DRY.
MOST COMMON IN PATIENTS OVER 60, THE ECTROPION IS THE RESULT OF A LACK
OF TONE N THE MUSCLES THAT KEEP THE LID TAUGHT AGAINST THE EYE.
EXCESSIVE TEARING AND IRRITATION ARE PRIMARY SYMPTOMS,
HOWEVER CONSTANT WIPING OF THE EYE CAN MAKE THE CONDITION WORSE.
THIS PATIENT WILL UNDERGO A blepharoplasty ectropion repair TO TIGHTEN THE LID BACK UP.