This is most likely a papillomatous growth that is caused by an epidermal infection. Usually, these can be monitored, but if there’s any change in size or color, I recommend removal, as in this case. The dermatologist was unwilling to remove this lesion, so I referred this to a local ophthalmologist.
Periorbital cellulitis is an infection of your eyelid or the skin around your eyes. It happens when the soft tissue around your eye and your eyelids get infected . Periorbital cellulitis is sometimes called preseptal cellulitis because it happens outside a part of your skull called the orbital septum. I treat this with 10Continue reading “Why is my eye swollen?”
A subconjunctival hemorrhage occurs when a tiny blood vessel breaks just underneath the clear surface of your eye (conjunctiva). Your eye might feel sore, but there is usually no pain, blurry vision, or discharge. You may not even realize you have a subconjunctival hemorrhage until you look in the mirror and notice the white partContinue reading “When your eye bleeds”
Scleral lenses are very large diameter rigid gas permeable lenses, which work well for patients with highly irregular corneas, such as keratoconus or pellucid degeneration. I usually fit these lenses when other options, small diameter rigid gas permeable and hybrid (rigid center and soft skirt) do not work. Sclerals can become a “suction cup”Continue reading “Are sclerals for you?”
A pinguecula is a raised yellowish white mass within the bulbar conjunctiva, adjacent to the cornea. It does not tend to grow onto the cornea. However, it may cause irritation or cosmetic blemish and, although rarely necessary, can easily be removed. A pterygium is a fleshy triangular growth of bulbar conjunctiva that may spread acrossContinue reading “What is that bump on my eye?”
If you have risk factors for macular degeneration, such as family history or smoking, and your eye examination revealed changes in your retina, we recommend lifestyle changes such as nutritional supplementation and blue light filtering lenses. With our new MPOD technology, we have a way to measure your current pigment levels to establish aContinue reading “How well are you eating?”
When the cornea has been injured, it can be more easily injured again. In this case, a tree branch caused a corneal abrasion over a year ago, but has caused episodes of tearing and pain at night time. A bandage contact lens worn during the day and nigh, seems counter-intuitive, but helps immensely with cornealContinue reading “When a tree branch injures your eye”
The medical terms for a STYE are chalazia and hordeola. They are sudden-onset localized swellings of the eyelid. A chalazion is caused by noninfectious meibomian gland occlusion, whereas a hordeolum usually is caused by infection. Both conditions initially cause eyelid hyperemia and edema, swelling, and pain. With time, a chalazion becomes a small nontender noduleContinue reading “What to do about that bump on your eyelid?”
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 in an inflammatory response, corneal edema, irregular astigmatism, or melting of the LASIK flap. When mild and peripheral, it may be observed. When progressive orContinue reading “A Lasik Complication”
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 not optimal, so a reverse geometry design was ordered. Reverse geometry lenses are best for comfort, centration, and visual acuity, especially for cases with refractiveContinue reading “Contact Lenses after PRK surgery”
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 should immediately consult a dermatologist, who will check your family and medical history. Only after the FNAC (Fine Needle Aspiration Cytology) usually known as theContinue reading “Is this Cancer?”
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 and cataract surgery may be required In about 0.4 percent of all births, congenital cataracts are found or soon develop.* Not all congenital cataracts requireContinue reading “Cataracts in Babies”
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.
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 of the day!
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 coming into the eye can be helpful. A comprehensive glaucoma work-up must be done.
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 depends on the severity. Often the wound will seal itself, as it heals. In more severe cases, the surgeon will need to surgically repair theContinue reading “Cataract Surgery Wound”
Did you know that certain drugs, such as Tarceba, can cause thick, curly eyelashes? Women love this side effect!
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 surgery. Often striae are small and asymptomatic, but occasionally they can produce significant visual complaints, usually when the folds are large or involve the visualContinue reading “After Lasik”
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 and often begins during a person’s teens or early 20s. Treatment includes rigid contact lenses. This photo shows the contact lens touching the cornea, causingContinue reading “My Contact Lens Moves Too Much”
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 enough to keep the cornea clear, causing poor vision and often discomfort. In this case, it takes a few months to recover. Anti-inflammatory eye dropsContinue reading “Why Can’t I See after Cataract Surgery?”
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? Episcleritis is a relatively common, benign, and self-limited cause of red eye. It is caused by inflammation of the episcleral tissues. A 2013 study estimatedContinue reading “Cop Questioned This!”
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. Rarely, peripheral vision loss may occur slowly, but is so minimal that it is not noticeable. Visual field exams may be performed to monitor forContinue reading “Bumps in Your Optic Nerve”
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 removed with needlepoint forceps or a 30 gauge needle. They can also be removed surgically.
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.
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 for too many hours are often the culprits. A corneal ulcer is a painful open sore on the clear front surface of the eye thatContinue reading “Are Daily Disposable Contacts Worth the Extra Cost?”
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!
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 macula. It is sometimes called a macular pucker, premacular fibrosis, surface wrinkling retinopathy or cellophane maculopathy. If the vision is not significantly impacted, surgical interventionContinue reading “Do I need surgery?”
We specialize in contact lenses for high astigmatism, hard-to-fit corneas, post-surgery, and keratoconus. 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. Good news! There are designs that are customized to your eye. It can takeContinue reading “Specialty contact lenses”
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 growth might spread slowly during your life or stop after a certain point. In extreme cases, it can cover your pupil and cause vision problems. Continue reading “Will this keep growing?”
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 the front of your eye, around the iris, or under the retina at the back of the eye. A nevus under the retina is called aContinue reading “Does an Eye Freckle Mean Cancer?”
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 about my corneal thickness, but everything was OK! I am seriously considering Lasik, as it would really improve both my vision and my quality ofContinue reading “I Want to Get Rid of My Glasses!”
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 part of the retina responsible for your central vision. Prevention and early detection may delay vision loss due to dry macular degeneration. I recommend gettingContinue reading “Dry Macular Degeneration”
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 underlying inflammation and involves much more pain, redness, and vision loss. An ulcer is more serious and requires immediate, aggressive treatment with antibiotics taken everyContinue reading ““Something in my 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 the contacts should be refitted, or perhaps discontinued. Sometimes pannus is a result of past infection such as herpes simplex. Sometimes corneal pannus is notContinue reading “Blood vessels on the Eye”
A bandage contact lens and antibiotic drops taken every 1-2 hours work like a charm! Healing usually takes 1-2 days.