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Ophthalmology Atlas and Photos of cases.Discussion of Diagnosis and management

Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

Acute 6th Nerve Palsy ( Abducent Nerve Palsy ) The diagnosis of Acute 6th Nerve Palsy should not present any difficulties : 1.There is marked limited abduction of the paretic eye . 2.The greatest esotropia occurs on attempts to abduct the paretic eye . 3. Most patients will complain about double vision in lateral gaze and assume a compensatory face turn ... Read More »

Huge Exotropia Working on the sound eye

Huge Exotropia Working on the sound eye

Huge Exotropia Working on the sound eye It is usually a hard job to convince such  patients that this huge XT will not be corrected without working on their seeing eye. Adding one muscle from the sound eye to the surgical plan usually gives satisfactory results. A lateral rectus recession of the sound Lt eye was needed for perfect surgical correction. ... Read More »

Abnormal chin up due to A pattern esotropia

Abnormal chin up due to A pattern esotropia

Abnormal chin up due to A pattern esotropia One of the most valuable contributions in the second part of the twentieth century to the field of strabismus was the emphasis on what has come to be known as the A and V patterns of strabismus. A pattern esotropia usually Associated with : Mongoloid Fissure , Medial Pulley down & Lateral ... Read More »

Yellow White Retinal Lesion Differential Diagnosis

Yellow White Retinal Lesion Differential Diagnosis

Yellow-white retinal lesions or deposits at the macula are caused by a wide range of conditions and can lead to vision loss. Causes of Yellow White Retinal Lesion: Drusen and drusen-like conditions Hard exudates Cotton wool spots Retinal Infiltrate Choroidal neovascularization Chorioretinal scar Crystalline maculopathies Flecked retinal syndromes  1- Drusens: are tiny yellow or white accumulations of extracellular material that build up between Bruch’s membrane and ... Read More »

Bilateral Congenital Superior Oblique Palsy with Intermittent V Exotropia

Bilateral Congenital Superior Oblique Palsy with Intermittent V Exotropia

Bilateral Congenital Superior Oblique Palsy with Intermittent V Exotropia C/O : Parents of this 4y old child complain that the eyes of their child sometimes deviate out they noticed this since early childhood Motility : Versions are an extremely important part of the diagnosis of superior oblique palsy. The most tell-tale finding is inferior oblique overaction, and to a lesser ... Read More »

Bilateral Optic Disc Swelling for DD

Optic Disc Swelling

Bilateral Optic Disc Swelling for DD By Dr.Ahmed Ali What do you think about these photos of a young male 11years old with VA OD CF and OS PL with good projection of light free anterior segment? By Dr.Mohamed Gamal Elghobaier: Bilateral papilledema ( elevated disc with obscuration of blood vessels and pripapillary hge) which is long standind not acute. ... Read More »

Bitot spot of vitamin A deficiency or xerosis for DD

Bitot spot of vitamin A deficiency or xerosis

 Bitot spot of vitamin A deficiency or xerosis By Ghada Basuoney male 17ys with granulomatous uveitis and this conj. lesion can u help me?? the condition started 1 wk ago. By Dr. Gehad ElnahriClassically looks like Bitôt spot of vitamin A deficiency or xerosis, but could result from topical ciprofloxacins.   Bitot’s spots are the buildup of keratin located superficially ... Read More »

Macular edema in Retinal vein occlusion

Macular edema in Retinal vein occlusion

Macular edema in Retinal vein occlusion By Dr.Ahmed Saleh‎  Macular edema in vein occlusion Is there any protocol to treat? By Dr.Ameen Marashi :AntiVEGF monthly for 6 months then PRN for another 6 months with IOP monitoring.If you had a refractory edema then try Micropluse laser (Subthreshold diode Micropluse laser (the laser Ray is chopped to pulses so it won’t induce ... Read More »

Acute Dacryocystitis for DD

Acute Dacryocystitis

Acute Dacryocystitis By Dr.Ahmad Riaz Spot Diagnosis? Management?   By Dr.Tablo Merza Acute dacryocystitis By Dr.Munawar Ali Acute Dacrocystitis with fistula By Dr.Mohammad Ibrahim Salem keratin filled cyst or sebaceous cyst   Dacryocystitis is an infection of the lacrimal sac, secondary to obstruction of the nasolacrimal duct at the junction of lacrimal sac. It causes pain, redness, and swelling over ... Read More »

Eye Lid Molluscom contagiousm

Eye Lid Molluscom contagiousm

Eye Lid Molluscom contagiousm  By Dr.Satyam Kumar Maiti 7 years old girl. Diagnosis & mamagement? By Dr.Abdullahi Abdulaziz Farah molluscum contagiosum. cut with scissor and couterization. By Dr.Hicks Kabisa Mukubesa mollascum contegiosum …………cauterisation and systemic antibiotic cover   Molluscum contagiosum is a relatively common viral infection of the skin that results in round, firm, painless bumps ranging in size from ... Read More »

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