A Lasik Complication
Although uncommon, a complication of lasik is “epithelial ingrowth.” Epithelial ingrowth occurs when the corneal epithelial cells grow within the lamellar interface beneath the LASIK flap. This may result…
Category: Patient Cases
Contact Lenses after PRK surgery
After refractive surgery such as photo-refractive keratectomy (PRK), rigid gas permeable lenses are the best choice for stable and clear vision. In this case, the four areas of bearing are…
Is this Cancer?
Tests to Diagnose Melanoma of the Eyelid If there is an abnormal eyelid cyst that shows up, grows, and changes over time, it is time to schedule a biopsy. You…
Cataracts in Babies
Did you know that babies can have cataracts? This is called a congenital cataract, and means that the eye’s natural lens is cloudy instead of clear. Vision could be affected…
When You Can’t See After Cataract Surgery
Cataract surgery usually improves your vision significantly. However, if you have macular degeneration, dry or the more severe wet form, your vision may still be blurry.
Blink Rate with Computer Use
Did you know that your blink rate with computer use can change from 20 blinks/minute to 5 blinks/minute? No wonder your eyes burn, feel gritty and tired at the end…
A Missing Piece of the Iris
Aniridia is the absence of the iris, usually involving both eyes. It can be congenital or caused by an injury. Glasses or contact lenses to reduce the amount of light…
Cataract Surgery Wound
After cataract surgery, the wound must be examined carefully for any leakage. A fluorescein dye is applied, to more easily detect wound leakage. If there is a wound leak, management…
When Drugs Thicken Your Eyelashes
Did you know that certain drugs, such as Tarceba, can cause thick, curly eyelashes? Women love this side effect!
After Lasik
Mild epithelial defect after lasik: no symptoms, discomfort, or vision loss, but sent back to surgeon for evaluation. Notice the flap stria, which are a common side effect after LASIK…
My Contact Lens Moves Too Much
Keratoconus is a progressive eye disease in which the cornea thins and bulges into a cone-like shape. This causes vision distortion and blurriness, which occurs in one or both eyes…
Why Can’t I See after Cataract Surgery?
All cataract surgery causes some damage to the corneal endothelial cells. Most corneas recover quickly, within 1 week. However, occasionally, after cataract surgery, the endothelial cells don’t function well…
Cop Questioned This!
A police cop pulled over my patient, saw his red eye, and questioned him for DUI. Did you know that bloodshot and “glassy” looking eyes are associated with alcohol consumption?…
Bumps in Your Optic Nerve
Optic nerve drusen are abnormal globular collections of protein and calcium salts in the optic nerve. They are often present in both eyes, but sometimes occur only in one eye. …
What are these White Bumps in my Eye?
Small 1-2 mm, chalky, yellow-white lesions on the inside of your eye may be conjunctival concretions. Treatment is usually unnecessary if you are not experiencing symptoms. They can often be…
What’s This Bump on my Eye?
There are numerous benign growths that can afflict the eyelid region. If they are bothersome or suspicious, they can be removed. Usually, they do not need treatment.
Are Daily Disposable Contacts Worth the Extra Cost?
Yes! Because you can avoid a corneal ulcer, which is caused by a bacterial infection of the cornea. Extending the life of your weekly and monthly lenses, and wearing them…
When a Bullet Hits Your Eye
Severe retinal damage after a blunt eye trauma caused by a firearm resulted in permanent vision loss. Safety eye wear was prescribed to protect the other eye. So important!…
Do I need surgery?
A patient came in for a 2nd opinion on a surgical recommendation. An epiretinal membrane is a thin sheet of fibrous tissue that can develop on the surface of the…
Specialty contact lenses
Keratoconus is an eye condition where the cornea thins and bulges into a cone-like shape. This causes distorted, blurry vision which cannot be corrected with spectacle glasses. Rigid contact lenses…
Will this keep growing?
A growth of pink, fleshy tissue on the conjunctiva (the white clear tissue around the iris) is called a pterygium. It can look scary, but it usually isn’t cancerous. The…
Does an Eye Freckle Mean Cancer?
Not necessarily! An eye freckle is called a nevus. It is a common, colored growth, similar to a freckle on your skin. You can have a nevus in…
I Want to Get Rid of My Glasses!
With more public appearances, I would like to look my best and get rid of my glasses! I found out that I’m an ideal candidate for Lasik. I was worried…
Dry Macular Degeneration
Dry macular degeneration is a common eye disorder among people over 65. It causes blurred vision, due to disruption of the pigmented layers in your macula. The macula is the…
“Something in my Eye”
White blood cells can penetrate into the corneal tissue as part of the body’s inflammatory response to the presence of bacterial toxins. A corneal ulcer is an epithelial defect with…
Blood vessels on the Eye
Corneal pannus is the growth of blood vessels onto the cornea. A common cause of corneal pannus is contact lens wear, particularly if the contacts aren’t fitted properly. In that case…
Corneal Abrasion
A bandage contact lens and antibiotic drops taken every 1-2 hours work like a charm! Healing usually takes 1-2 days.
Scleral Lens Impingement
Scleral lenses provide excellent vision and comfort for those with highly irregular corneas, such as keratoconus. However, a poorly fit scleral lens can lead to conjunctival blanching and patient discomfort.…
Crud on the Eyelids!
If you have blepharitis, which results in sore, red eyelids, with crusty debris, Demodex mite infestation could be the cause! The incidence of Demodex infestation increases with age, occurring in…
A Surfer’s Eye
A pterygium is an elevated, wedged-shaped bump on the whites of the eye. It can grow onto the cornea. Though it’s commonly called “surfer’s eye,” you definitely don’t have to…
Stage 2 Macular Hole
One of the causes of sudden blurry and distorted vision is a macular hole. The macula, is a very small spot in the retina. Prompt referral to a retinal…
A Huge Floater!
Posterior Vitreous Detachment (PVD) is common and occurs when the vitreous gel that fills the eye separates from the retina. Symptoms include floaters and flashes in your vision. In this…
Cheap and Convenient is a Disaster Waiting to Happen
from The Los Alamos Daily Post Online shopping has truly revolutionized the way we purchase things. Indeed, many of us prefer online shopping to in-store shopping. Now, coming to a…
Epithelial Ingrowth
Epithelial ingrowth is the presence of corneal epithelium in an area where it does not belong. After LASIK, epithelial ingrowth can occur in the interface between the flap and the…
OCT in Scleral Lens Fitting
I use my optical coherence tomographer (OCT) for evaluating complex contact lenses, such as sclerals. It is important that there is enough space between the cornea and the contact lens.…
