A Fluffy, White Patch in Your Eye

A fluffy, white patch in your eye is called a “cotton-wool spot” and can represent a compromise to the circulation and vascular system.   They can also indicate damage to the retinal nerve fibers, with build-up of material that doesn’t belong there.   Sometimes you can have a sudden “blind spot,” blurry vision, or peripheral vision loss.  Continue reading “A Fluffy, White Patch in Your Eye”

When Your Vision Is Not Clear….

A soft multifocal contact lens wearer came in for an annual eye examination.    Best corrected visual acuity was 20/20 right eye and 20/50 left eye.   Dilated fundus examination revealed an epiretinal membrane in the left eye, which was the cause of decreased vision. Epiretinal membrane results when a a thin fibrous tissue forms on theContinue reading “When Your Vision Is Not Clear….”

When an Eye Exam Uncovers a Tumor

Did you know that an eye exam can uncover a serious medical condition that requires immediate treatment?   I had a patient come in for his annual exam, reporting that his vision had been gradually getting worse. Peripheral vision testing uncovered a defect in both eyes, which is usually caused by a mass compressing the opticContinue reading “When an Eye Exam Uncovers a Tumor”

Smoking is a Risk Factor for Macular Disease

Drusen are yellow, lipid deposits in the retina.    These usually appear in age related macular degeneration, but sometimes they appear in persons must younger.    In the case below, a young male in his 30’s with 20/25 visual acuity in both eyes.  It is important to closely monitor this condition for bleeding in the choroid (whichContinue reading “Smoking is a Risk Factor for Macular Disease”

When Glaucoma Causes Devastating Vision Loss

by Dr. Luu I had a new 30 year old patient come in for an eye exam.   There were no complaints reported and vision was 20/20 in both eyes.   The patient reported that vision had always been clear.   Intraocular pressures were measured 30mm Hg in both eyes, which is higher than normal.  Dilated eye examContinue reading “When Glaucoma Causes Devastating Vision Loss”

When Contact Lenses Cause Inflammation

Sometimes contact lenses can cause inflammation of the cornea, with an accompanying bacterial infection.  The white dot shown on the cornea above is an infiltrate, caused by bacterial inflammation.  Symptoms can range from mild discomfort, feeling like there’s something in your eye, tearing, and redness, to severe pain, light sensitivity, and decreased vision.  Corneal infiltratesContinue reading “When Contact Lenses Cause Inflammation”

When the Retina Detaches

by Dr. Lisa Shin I recently saw a 39 year old lady for an eye examination.  She had no medical or eye conditions, but reported a “black spot” on her right eye, that had started 6 months prior to the exam.   She also described a “floater” in her left eye, which had been persistent forContinue reading “When the Retina Detaches”

When Glaucoma Runs in the Family

by Dr. Lisa Shin A 38 year old healthy male needed more contact lenses and came in for an eye examination.   Review of his medical history was normal, but he reported that his mother was currently being treated for glaucoma.  Corrected vision was 20/20 in both eyes.    The pressures in his eyes were measured toContinue reading “When Glaucoma Runs in the Family”

Increased Pressure Inside the Head

by Dr. Yvonne Alomia 21 year old female came in for her first eye examination.   She reported headaches, but this had been going on for years.  Vision was 20/20.   Dilated exam revealed a swollen optic nerve, which required an immediate referral from her primary care physician to see a neurologist.   Diagnosis was pseudotumor cerebri. PseudotumorContinue reading “Increased Pressure Inside the Head”

When a Vein to the Eye is Blocked

by Dr. Karl Stoler I had a 26 year old male patient who reported “slightly blurry” vision in his left eye.   His visual test for the left eye was still 20/20, although not as clear as the right 20/20.    A dilated examination showed a central retinal vein occlusion (CRVO).   This patient was referred to theContinue reading “When a Vein to the Eye is Blocked”

Eye Cancer by Dr. Douglas Haigh

I saw a 32 year old female for her first eye exam.  She had no complaints and her vision was 20/20 in both eyes.  She was seen on the mobile clinic because she “never had time for an eye exam.”  She presented with a chief complaint of “nothing, I can see fine, I just wantedContinue reading “Eye Cancer by Dr. Douglas Haigh”

A Blood Clot

by Dr. Lisa Shin A 20 year old man in good health, taking no medications, came in for an eye exam, with a complaint of “a spot of light.”    Vision without correction was 20/20, in both eyes.   Dilated exam revealed a bleed on his optic nerve, pictured below.    He was referred to his primary careContinue reading “A Blood Clot”