19 results
Marfan’s Syndrome with Ectopia Lentis - Slit-lamp examination revealed ectopia lentis in both eyes, including near-complete
Marfan’s Syndrome ... lentis in both eyes ... lens in the right eye ... lens in the left eye ... LensDislocation #SlitLamp #NEJM
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... this case) right eye ... greater portion of eye ... Ophthalmology #Photo ... #Horners #Syndrome
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
drainage from both eyes ... under his left eye ... the fever and eye ... #NEJM #clinical ... #photo #peds #acute
Traumatic Iritis 
High pressure bottle cap to the eye = traumatic iritis + hyphema
This patient was
bottle cap to the eye ... struck in the eye ... , there was no corneal ... Iritis #Clinical #Photo
Dirofilaria repens- Patient had first noted a nodule below her left eye (Panel A). Five days
below her left eye ... above her left eye ... repens #clinical #photo ... #NEJM #parasite
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
inflammation of the cornea ... usually affects both eyes ... brain, nerves, eyes ... syphilis #clinical #photo
Ocular Rosacea - Slit-lamp examination revealed telangiectasia with hyperemia of the eyelid margins, conjunctival hyperemia, and
cornea in both eyes ... , with corneal infiltrate ... in the right eye ... Ocular #Rosacea #Corneal ... Pseudopterygium #NEJM
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Anatomical Approach to Eye ... Keratitis • Corneal ... • Sjögren’s syndrome ... in vision • Eye ... hyperviscosity syndrome
Keratoconus: Pathogenesis and Clinical Findings
Genetics
 • Family history of keratoconus
 • Ehlers-Danlos syndrome
 • Down, Turner,
Ehlers-Danlos syndrome ... Turner, Marfan syndromes ... Contact lens use • Eye ... Bilateral, asymmetric corneal ... Rizutti's Sign • Corneal
Bitot's Spots- A 4-year-old boy was brought by his father to the ophthalmology clinic with a
both the right eye ... near the outer corners ... as a result of corneal ... #NEJM #clinical ... #photo #ophth #bitot