Posterior Segment. Interesting Image Symposium. Coloboma. Morning Glory 3/23/2016. Morning Glory. 1. Glaucoma. 2. Coloboma. 3.

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1 Posterior Segment Interesting Image Symposium Morning Glory 1. Glaucoma 2. Coloboma 3. Morning Glory 4. Posterior Staphyloma Morning Glory Coloboma 1. Glaucoma 2. Coloboma 3. Morning Glory 4. Posterior Staphyloma cimagesmorning_glory_blue_closeup_.jpgitok=pcfrfve7 1

2 Posterior Staphyloma Type is determined by location, size and severity. 1. Glaucoma 2. Coloboma 3. Morning Glory 4. Posterior Staphyloma Posterior Staphyloma Morning Glory - Atypical disc - Glial tuft - Vessels radiate from disc periphery - Peripapillary pigment Coloboma - Excavation of inferior nerve itself - Retinochoroidal defects Post Staphyloma - Optic disc intact at base of excavation - Normal retinal vasculature Optic Nerve Head Drusen 1. Papilledema 2. Optic Nerve Head Drusen 3. Optic Disc Pit 2

3 Choroidal Detachment 1. Foreign Body 2. Choroidal Detachment 3. Silicone Oil 4. Gas Bubble Asteroid Hyalosis Asteroid Hyalosis 1. Retinal Detachment 2. Silicone Oil 3. Asteroid Hyalosis Asteroid Hyalosis CMV Cytomegalovirus 1. BRVO 2. Diabetes 3. CMV Floaters vanish during fluorescein angiogram 4. BRAO 3

4 Coat s Disease 1. Best Disease Day 1 T+28 days T+35 days 2. Coat s Disease 3. Diabetes 4. Hypertensive Retinopathy T+2 months T+3 months T+9 months Coat s Disease CHRPE Congenital Hypertrophy of the Retinal Pigmented Epithelium 1. Choroidal Melanoma 2. Choroidal Nevus 3. CHRPE CHRPE Stargardt s Disease White light Green Light Red Light - Green colors lighten. - Near-complementary color (magenta) darkens. - RPE and blood darken - Magenta colors lighten. - Near-complementary color (green) darkens. - RPE and blood lighten 4

5 Stargardt s Disease Retinitis Pigmentosa Retinitis Pigmentosa Myopic Degeneration 1. Age Related Macular Degeneration 2. Central Retinal Artery Occlusion 3. Myopic Degeneration 4. Optic Atrophy 5

6 CRAO Central Retinal Artery Occlusion 1. CRAO 2. CRVO 3. Retinal Detachment 4. Trauma CRVO Central Retinal Vein Occlusion CRVO Central Retinal Vein Occlusion 1. CRAO 2. CRVO 3. Retinal Detachment 4. Trauma Roth Spots 1. Dot-blot Hemorrhage 2. Boat-Shaped Hemorrhage 3. Roth Spots 4. Vitreous Hemorrhage 6

7 Diabetic Retinopathy Diabetic Retinopathy 1. Diabetes 2. Hypertensive Retinopathy 3. ARMD Age Related Macular Degeneration - Wet Diabetes Hypertensive Retinopathy ARMD 7

8 Age Related Macular Degeneration - Dry CSR Central Serous Retinopathy CSR Central Serous Retinopathy Cysticercosis 1. Fungal Infection 2. Subluxed Lens 3. Cysticercosis Cysticercosis 8

9 Slit Lamp and External Imaging Sectoral Heterochromia Dislocated LASIK Flap 1. Epithelial Basement Membrane Dystrophy 2. Reis-Buckler Corneal Dystrophy 3. Dislocated LASIK Flap Dislocated Lens 1. Dislocated Lens 2. Floppy Iris Syndrome 3. Retinal Detachment 9

10 Cataract 1. Dense Congenital Cataract 2. Traumatic Cataract Soccer Ball 3. Traumatic Cataract Tree Branch 4. Traumatic Cataract Finger in Eye Implantable Miniature Telescope Istent HSV Epithelial Keratitis 1. Corneal foreign body 2. Corneal Laceration 3. HSV epithelial keratitis 10

11 Punctal Plug Extrusion 1. BB Gun Injury 2. Ear-piercing gone terribly wrong 3. Punctal Plug Extrusion Iris Cyst 11

12 Subconjunctival Emphysema Keratoconus w/ Acute Corneal Hydrops 1. Open Globe Injury 2. Conjunctival Lesion 3. Subconjunctival Emphysema Necrotizing Scleritis 1. Little bug chewing for freedom 2. Necrotizing scleritis 3. Diabetes MOHS 12

13 Congenital Arhinia Lateral Rectus Muscle Avulsion 13

14 Crack / Coke +Levamisole Dog Bite 1 month 14

15 Enucleation For Hard-To-Reach-PlacesTM All images captured by members of the Flaum Eye Institute diagnostic team, past and present. 15

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