Ramad Hits

A "reverse hypopyon" can form when emulsified silicone oil used during vitreoretinal surgery enters the anterior chamber of the eye. The silicone oil floats in the aqueous to look like a layered hypopyon in the upper portion of the anterior chamber.
if you look at the lower portion of the cornea you will notice silicon oil keratopathy

Asteroid hyalosis
degenerative process in which tine calcium pyrophosphate globules collect within vitreous gel appear as numerous tiny round yellow white particles vary in size and density and they move with the vitreous during eye movement but they don sediment inferiorly

posterior embryotoxon
thin grey white ridge on the inner surface of the cornea adjacent to the limbus comprises prominent displaced schwalbe line

associated with axenfeld-rieger anomaly with correctopia and full thickness iris defects
gluacoma develops in 50 % of cases but in our case the disc is good and TN is 12 in 3 years 1 visit every year with stable condition

Angoid streaks are crack like dehiscences in brittle thickened and calcified bruch membrane with atrophy of the overlying RPE

Bergmeister's papilla
The hyaloid artery provides nutrition to the lens during development in the fetus, and runs forward to the lens from the optic disc.[1] The optic disc is covered by a plaque of fibrous cells called the central supporting tissue meniscus of Kuhnt. This plaque forms a fibrous sheath around the hyaloid artery where it leaves the optic disc. At birth the hyaloid artery regresses, and is normally completely regressed by the time of eyelid opening. Bergmeister’s papilla is a remnant of the hyaloid artery fibrous sheath and is frequently observed as an incidental clinical finding.[2] Bergmeister’s papilla is named after Austrian ophthalmologist O. Bergmeister (1845–1918).

Single eyed diabetic woman complaining of musca 3 days ago , there is diabetic retinpathy but when u examine retinal periphery there is subhyaloid HGE , all my dear residents always examine retinal periphery

A 3years old female patient came to with history of being examined and diagnosed as infantile esotropia and was prescribed for +3.0 ou and the esotropia improved but still esotrpoic under glasses , when I did her refraction she was +1.0 ou when I asked about systemic history her mother noticed gait disturbance 2 days ago.
I examined her fundus there was papilledema grade 4 in both eyes I sent her for neurological consultation and they did her MRI [the report is attached] and they gave her steroid TTT and papilledema improved gradually till she appeared completely normal

True story
46 years old patient came to me with sudden loss of vision in his right eye he has been changing his glasses every 6 months no one examined his fundus to see this tragedy
This patient has complete glaucomatous optic atrophy in his right eye and the imcomplete optic atrophy in his left eye Tn is 45 in both eyes
notice there is complete loss of rim in right eye and the the rim of the left is losing
notice the red free images , the RNFL is completely lost in OD compared to OS
plse all my dear examine all patients discs in routinely to save their vision

this young patient has mypoic astigmatic error less than 6/60 correcting to 6/6 ou , by examining fundus he has cong anomaly what we call tilted disc or D shaped disc which is always associated with astigmatism with no harm on vision

A 4 years old female child came to me for consultation . she was diagnosed as neglected glaucoma and was advised to proceed for procedures, I examined her . she has normal not typical disc [ physiological cupping] . Her tension is 10 bil normal angles with gonioscopy .

In my next talk [Glaucoma secrets] I will explain more Typical VS Norman Vs pathologic discs

For all my dear residents this is 65 years old patient came for corrections and he is corrected up to 0.9 OU , notcied his discs look a bit pale with arterioscleotic changes , sent him for lipid profile and there is 4 double lipis profile and uncontrolled hypertension . he is on treament now . those discs where on risk to have AION , Always examine retina of your patirent to save thier vision

for all my dear residents don forget to examine fundus of all diabetic patient for , this patient has BCVA 6/6 OU , his fundus revealed early Diabetic retinopathy