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3 weeks post phaco/trab

65 year old s/p phacotrab with MMC 3 weeks prior to her presentation with 20/60 vision/IOP at 18 mm Hg.What do you see? What other co...

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65 year old with 20/200 vision c/o loss of peripheral vision

60 year old with black man presents with gradual loss of peripheral vision; IOP 12 mm HG OU on no meds. Optic nerve and OCT attched....

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Black dot in white angle

63 yo white male presents for a routine exam. Gonio picture is attached. IOP is 13//15. 1. What is pictured on gonio exam? 2. What is...

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68 year old with abnormal pupil in the left eye

68 year old presented with glaucoma and abnormal pupil in the left eye. She was treated with Express and later AGV. IOP is controlled...

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Eye pain with decreased vision in a 70 year old

70 yeat old presents with 2 day history of eye pain, minimal redness, IOP 42 mm Hg and vision of 20/40 OD. OS was normal. Slit lamp...

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9 year old with IOP of 30 OS and 24 OD

The most common corneal abnormaility associated with this condition is what ?Diagnosis: Axenfeld-Rieger syndromeThe most common corn...

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Bilateral central visual field defects

54 year old female has the attached visual field defects. The most successful strategy to prevent her from loosing her central vision...

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3 year old with bilateral shallow chambers

3 year old presented for routine exam has an ocular exam shown in the picture. Note the first two were undilated and the third was fo...

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Black dot

60 year old with history of glaucoma presented to the clinic for the first time. On your exam you see what was shown in the picture. ...

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Story behind this angle?

43 year old presents with 20/30 OD, 20/20 OS ; IOP at 25 mm Hg OD on and 18 mm Hg OS on timolol/dorazolamide combo OU. Gonioscopy p...

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Holes and Glaucoma

67 year old presented with anterior segment as shown in the attached photo. VA 20/100; IOP 42 on 2 topical drops. What do you think i...

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Intolerance to sunlight and tearing in a one year old

One year old presents with tearing and h/o intolerance to sunlight. What one drug would you avoid in the treatment of this condition...

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Unilateral red eye and bilateral mid dilated pupils

62 year old presented with red right eye and slight visual disturbance. External photos taken at presentation are attached. What is t...

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why is this HVF test worse than last year

65 year old advanced POAG pt presents for follow up examination. H/O Trabeculectomy X 4 years ago IOP controlled on all visits since ...

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Patient with KPs with elevated IOP

24 year old female with head aches and 20/50 vision OS has a corneal scar with underlying KPs (see photos) and IOP of 42 (see attache...

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Occlusion vs Seclusion? Which one would you prefer?

what is the name of the condition presented in the photos? What is the most likely cause for this presentation?Seclusio pupilae where...

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Ptosis after cataract surgery

65 year old presented with complete ptosis of her right eye. On exam , she had complete lack of LPS action with (first photo) and re...

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New born with blue eyes

A new born baby was referred with bilateral bluish appearance of the cornea. What do you think is the diagnosis and how do you procee...

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Mature cataract with pain

33 year old s/p retinal detachment surgery with gas presents with increasing pain and white mature cataract. Her IOP was 43 mm Hg. Wh...

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Nevus of the conjunctiva and lid

60 year old came for routine exam. Her right eye has this appearance. What is this condition associated with ? Do you want to follow...

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Small eye with extreme hyperopia

This 50 year old female presented with IOPs > 30 OU on maximum medications. What should you be careful about if you choose to do tra...

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Dense pigmentation on 45 year old patient

Gonioscopy on a 45 year old . What do you see? Guess what the IOP might be ? What is the preffered first line of treatment in these ...

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Patient with Pigment deposit in the inferior fornix

55 year old with POAG presents with this dark/black pigment in the inferior fornix. What do you think this is? Adrenochrome deposits...

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Pt with white lesion on the lid and elevated IOP

46 year old with white deposit in the upper lid and IOP of 28 mm Hg. What do you think is the link? This patient received Kenolog ...

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