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….”

What Shiny Yellow Spots Can Mean

By Dr. Yvonne Alomia Recently, I saw a 16 year old girl for a routine eye examination.  Last exam had been 2-3 years ago.   Her medical history was negative for everything.  Picture of her right eye’s retina is above.   Blood work by primary care physician shows she has HIGH LIVER ENZYMES but they don’tContinue reading “What Shiny Yellow Spots Can Mean”

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 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 Complete Blood Count is Recommended

By Dr. Yvonne Alomia A 26 year old patient came in for an eye examination.  Vision was 20/20 in both eyes.  Dilation of the eyes revealed a blood vessel abnormality right above the optic nerve (seen in the photo below).   Complete blood count, with lipid profile, was recommended.   A complete blood count provides important informationContinue reading “When a Complete Blood Count is Recommended”

A Diagnosis of Anemia

by Dr. Karl Stoler 26 year old woman came in for an eye exam.   She reported blurry vision for the past few weeks, but her best corrected visual acuities were 20/25 in both eyes.   Dilation of the eyes revealed hemorrhages in both eyes, with exudates (which occur with leakage from damaged blood vessels).    She wasContinue reading “A Diagnosis of Anemia”

A Softball Size Frontal Lobe Meningioma

by Dr. Karl Stoler A 18 year old man came to my office because he needed new glasses for night driving.   His visual acuities were 20/20 in both eyes.   Peripheral vision test showed problems, and his optic nerves appeared slightly swollen.    He was referred to a ophthalmologist.    MRI of his head showed a frontal lobeContinue reading “A Softball Size Frontal Lobe Meningioma”

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”