EPI RETINAL MEMBRANE

OPTICAL COHERENCE TOMOGRAPHY OF MACULA

A CLOSER LOOK...

HI - RES
WELL, HIGHER RESOLUTION, ANYWAY. WE RECENTLY UPGRADED FROM A 3 MP
DIGITAL CAPTURE SYSTEM TO A 6 MP CAPTURE SYSTEM. THE RESULTS HAVE
BEEN MORE DETAIL, BETTER TONAL RANGE, AND OBVIOUSLY LARGER IMAGES.

LEFT EYE OPTIC NERVE AND MACULA

B. R. A. O.
A BRANCH RETINAL ARTERY OCCLUSION IS A CONDITION (AS ITS NAME IMPLIES) WHERE
A SPECIFIC BRANCH ARTERY IN THE RETINA IS BLOCKED OR OCCLUDED . AS ONE MIGHT EXPECT,
ISCHEMIA, ATROPHY AND ULTIMATELY LOSS OF SIGHT ARE THE RESULTS OF THE BRAO.

IN THIS FUNDUS PHOTO, YOU CAN SEE THE WHAT MIGHT BE PLAQUE CAUSING THE OCCLUSION
IN THE OPTIC NERVE. AT THAT POINT, THE ARTERIES ACTUALLY LOOK PINCHED. THE CLOUDY
AREA THAT RADIATES OUT FROM THE OPTIC NERVE AROUND THOSE ARTERIES IS THE ISCHEMIA
OR BLOOD STARVED TISSUE RESULTING FROM THE BRAO.

P H O T O . M O N T A G E . III
HERE IS ANOTHER PHOTO MONTAGE OF A PATIENT
PRESENTING WITH HONEY-COMB-LIKE DRUSEN IN THE
SUPERIOR, NASAL, AND INFERIOR ASPECTS OF THE RIGHT EYE.

I AM FINALLY BACK, POSTING 2-3 WEEK OLD WORK AFTER MY COMPUTER CRASHED IN MID-JULY.

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.