Atlas Oftalmo 1

5/28/2018 Atlas Oftalmo 1

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.Cornee

descemetocel

descemetocel si ulcer cornean

keratita disciforma herpetica
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keratita disciforma cu keratouveita

herpes yoster corneal panus

herpes yoster keratita


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rosacea

Rosacea Blepharo-Kerato-Conjunctivitis

Rosacea Kerato-Conjunctivitis


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Superficial Punctate Keratitis (Thyeson

!lorid conjunctival inflammation "ith follicle formation (Stae #$

Trachoma (%&'$ Stae &a


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)n the d. stae cicatrisation occurs. The affected area of the cornea is superficially clouded' vessels from a*ove.

+ypopyon fills more than half of anterior cham*er. !ulminant *acterial infection in dia*etes mellitus' immune-

insufficiency and liver insufficiency.

Small ulcer "ith active area to"ards the center. The central cornea is ha,y and sho"s escemets folds. There is ahypopyon


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+erpes Simple/' Keratitis "ith 0lcer

!orein Body of Cornea (%#'#$

1lkali Burn (%#$' 2ye' )schemic 2im*us Capillaries


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1lkali Burn (%3$' 4asculari,ed Corneal Scar

C2 amae (%&$' "ith Corneal Scar

Corneal 0lcer in Radiation Keratopathy


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+ematocornea (%#'#$

Perforatin Corneal )njury "ith )ris Prolaps

Perforatin Corneo-2ental )njury (%#'#$


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5ound Rupture "ith Prolaps of )ntraocular Contents

6ultiple 7ndocrine 8eoplasia (678$ Syndrome' 6yelinated Corneal 8erves

9210C:6

1cute 1nle Closure 9laucoma (%#'#$


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1cute 1nle Closure 9laucoma (%#'&$

1cute 1nle Closure 9laucoma (%&'&$ (Slitlamp$

9laukomflecken


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1cute 1nle Closure 9laucoma (%&'#$

+yperopia (%#'#$' 8arro" Cham*er 1nle
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8:R612

9laucomatous :ptic 1trophy (%#$' (7arly$


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9laucomatous :ptic 1trophy (%&'#$' (6oderate$

9laucomatous :ptic 1trophy (%'#$' (1dvanced$


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9laucomatous :ptic 1trophy

Phacolytic 1cute :pen 1nle 9laucoma (%&'&$

Pseudo 7/foliation Syndrome (%#'&$' Classical Picture


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Pseudo 7/foliation Syndrome (%;$

+yphema (%#$' Total' Secondary :pen 1nle 9laucoma

+eterochromic )ridocyclitis !uchs' Secondary :pen 1nle 9laucoma

)R)S


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1nterior 0veitis ' 1cute (%&$

1nterior 0veitis' chronic (%#'#$' 1rlts Trianle

Beh=ets isease (%#'3$


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Beh=ets isease (%#'&$

1nterior 0veitis' chronic (%#'&$

Chronic )ridocyclitis' Sno"*alls


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)ridocyclitis' recurrent ' 6. Bechtere"

+eterochromia )ridum

+eterochromic )ridocyclitis !uchs (%&'&$


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+eterochromic )ridocyclitis !uchs (%&'3$' +ealthy Partner 7ye

Sarcoidosis of the )ris

1nterior 0veitis' Chronic "ith 1rlts trianle


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7ndophthalmitis (%3$' 1fter Cataract 7/traction

78:!T126)T1

)R):C)C2)T1 !)BR)8:P21ST)C1


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78:!T126)T1' +)P:P):8

)R):C)C2)T1 CR:8)C1

)R):C)C2)T1 9R1802:61T:1S1' S1RC:):>1


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R0B7:>1 )R)181

)R):)12)>1

67218:C)T:6 7 C:RP C)2)1R

1P1R1T 21CR)612


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1CR):C)ST)T1 1C0T1

1CR):C)ST)T1 CR:8)C1

CR)ST12)8

S0B20?1T)7 C:8978)T121


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C1T1R1CT1 C:8978)T121 P:21R1 18T7R):1R1

+ypermature Cataract (%&$ (6orani$

+ypermature Cataract (%$' (6orani$


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6ature Cataract' )ntumescent' )mminent Pupillary Block

6ature Cataract (%&$

8uclear Cataract (%&'#$' Beinnin 8ucleosclerosis


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8uclear Cataract (%$' Christmas Tree

Secondary Cataract' after iscision


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Phimosis (Shrinkae$ of 2ens Capsule

Cataracta ia*etica (%#'#$


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Cataracta ia*etica (%#'&$

+omocysteinuria' 1nterior 2u/ation of 2ens (%&'#$

Sunflo"er Cataract in 5ilsons disease

7lectric Cataract


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Comment@ Patchy opacities of the anterior and posterior lens corte/ caused *y electrical shoch.

Steroid Cataract (%#'#$

Phenothia,ineCataract

Comment@Pimented ranules are deposited in a stellate pattern (suture lines$ underneath the anteriorlens capsule. Patient had lon-term treatment "ith chlorproma,ine for schi,ophrenia


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Chalcosis 2entis

Comment@ Copper deposits in lens after perforatin injury "ith copper containin metal.

Key"ords@ traumaA lens

4ossius Rin


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Traumatic Cataract (%&$' Perforation

P27:1P7

Blepharophimosis (%#'#$

Blepharophimosis (%#'&$


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Colo*oma of 2id' 2aophthalmus

Conenital 2acrimal !istula

trichia,is


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7picanthal

Trichiasis in 7pi*lepharon

7ctropion (%#$' Cicatricial


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7ctropion (%&$' )nvolutional

!loppy 7yelidSyndrome

Comment@

The floppy eyelid syndrome is an acuired condition of unkno"n etioloy that primarily affects

o*ese males. The tarsal plates of the upper eyelids *ecome soft and floppy. Symptoms includenocturnal ectropion' ptosis' and papillary conjunctivitis.


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Pediculosis

Pediculosis (%#'#$

1cute Blepharoconjunctivitis


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Blepharitis suamosa

Chala,ion

+ordeolosis (Sties$' chronic
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2eishmaniasis

6olluscum Contaiosum (%#'#$

Small Po/ )nfection of the 2ids

Suamous Papilloma of the 2id


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Blepharochalasis

Bro" Ptosis

ermatochalasis of 2id


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Blepharospasm

7ssential Blepharospasm

Ptosis' 8euroenic


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1poneurotic Ptosis

Ptosis' 6yoenic

)chthyosis

Comment@ry skin "ith accumulation of desuamated cells. 7ctropium of the lid due to cicatrisation "ith irritatio

of the conjunctiva' loss of ciliae. )chthyosis is a roup of inherited disorders of the skin.


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1lleric Reaction of the 2ids

Contact ermatitis of 2id


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Scleroderma' locali,ed
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Sarcoidosis (6. Boeck$

5eeners 9ranulomatosis (%#'#$' of 2id and Conjunctiva


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5eeners 9ranulomatosis (%#'&$' of 2id and Conjunctiva

?eroderma Pimentosum (%#'#$


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7cchymosis

6ycosis !unoides (%#'#$ of the 7yelid

Basal Cell Carcinoma (%$' of the 2id

870R:-:!T126:2:9)7


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!acial 8erve (;th $ Paralysis' 2aophthalmus

!acial 8erve (;th$ Paralysis' peripheral

+ornersSyndrome

Comment@8ote the ptosis' enophthalmus'miosis and slihtly lihter color of the iris in the affected eye due tparalysis of the sympathetic nerve supply


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+orners Syndrome

6ealopapilla

:ptic isc


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ysplasia

Comment@

The disc is markedly anomalous. 1lthouh it has certain features in common "ith *oth colo*oma an

mornin lory disc anomaly' the similarities are insufficient to permit classification "ith either of theentities. 8ote the ill-defined inferior e/cavation' the convoluted oriin of the superior retinal vessels'the e/cessive num*er of vessels' the infrapapillary pimentary distur*ance' and the su*tle *and ofretinal elevation immediately adjacent to the disc.

Peripapillary Staphyloma

Colo*oma of :ptic isc' )solated (%#$


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Colo*oma of optic disc' )solated (%&$

Colo*oma of :ptic isc' )solated (%'#$

Colo*oma of :ptic isc' )solated

(%'&$' B-scan ultrasound


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Comment@B-scan ultrasound sho"in communication *et"een the colo*oma and thevitreous cavity at the level of the optic disc.

Colo*oma of :ptic isc

and Choroid

Comment@The area of the optic disc is enlared' and the inferior aspect is deeply e/cavated andpearly-"hite. 1 retinochoroidal colo*oma is situated just *elo" the optic disc colo*oma

6ornin 9lory

isc 1nomaly(%#$

Comment@

This conenitally anomalous disc has features of *oth the mornin lory disc anomaly andperipapillary staphyloma. The central lial tuft' the radially-disposed vessels' and the peripapillar

pimentary distur*ance are all consistent "ith the mornin lory disc anomaly. 1t the same timethe disc is relatively "ell-defined' and it appears to reside at the *ottom of a deep' cup-shapedectasia' features that are suestive of a peripapillary staphyloma


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6ornin 9lory isc 1nomaly (%&'&$

6ornin 9lory isc 1nomaly (%&'&$


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:ptic isc +ypoplasia 1ssociated "ith 6aternal ia*etes (%#$

:ptic isc +ypoplasia 1ssociated "ith 6aternal ia*etes (%&'#$

:ptic isc +ypoplasia 1ssociated "ith Septo-:ptic ysplasia (#$

+ypoplasia of the :ptic 8erve (unilateral$


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:ptic 8erve Pit (%#$

:ptic nerve pit (%$

:ptic 8erve Pit (%3'$' :CT


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:ptic 8erve Pit (%3'&$' anioram

Tilted isc

(#$

Comment@

The riht optic disc is ovoid and tilted such that its lo"er pole is closer to the fovea. The retinal vesse

oriinate from the temporal aspect of the disc (situs inversus$ and course nasally *efore curvin *ackinto the arcades. The inferonasal fundus is hypo pimented and mildly staphylomatous. This anomalycan *e associated "ith pseudo-*itemporal visual field defects.


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Tilted isc (&$

Papilledema' +istoloy


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:ptic isc in +ypoparathyroidism (#$

The riht optic disc e/hi*its chronic disc s"ellin "ith hyperemia and venous dilation. 4isual parameters "erenormal.

:ptic disc in +ypoparathyroidism (&$The left optic disc is no loner edematous *ut does e/hi*it mild disc pallor' reater superiorly. 1n inferonasal step"as present on visual field testin. 1 lum*ar puncture revealed normal intracranial pressure ()CP$. )n patients "it

disc s"ellin in the settin of hypoparathyroidism' )CP may *e either normal or elevated.


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6alinant +ypertension' Papilledema (%#'#$

6alinant +ypertension' Papilledema (%#'&$

6alinant +ypertension' Papilledema (%&$


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6alinant +ypertension' Papilledema (%$

:cular +ypotony

(%#$'Papilledema

Comment@

Both the optic disc and the adjacent retina are elevated in this patient' althouh the normalmarins of the disc can still *e visuali,ed throuh the elevated neural tissue. 8ote the comple/

pattern of intersectin' curvilinear choroidal and retinal folds in the macular reion. This patient"ith osteoenesis imperfecta sustained trauma to his left eye "hich left him "ith chronichypotony.


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:cular +ypotony (%'&$' Papilledema' +istoloy

:cular +ypotony (%3'&$' !ilterin *le*

:cular +ypotony (%$' Papilledema' Retinal !olds


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:cular +ypotony (%;$' :ptic 1trophy

Papilledema Secondary to )ntracranial Tumor (%#'#$' (9lio*lastoma$

Papilledema Secondary to )ntracranial Tumor (%&'#$


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Papilledema Secondary to )ntracranial Tumor (%3'&$' 6R) scan

Papilledema 1ssociated "ith Pseudotumor Cere*ri (%#'#$


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Papilledema 1ssociated "ith Pseudotumor Cere*ri (%'#$

Papilledema 1ssociated "ith Pseudotumor Cere*ri (%#&'&$

Papilledema 1ssociated "ith Pseudotumor Cere*ri (%D'#$


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Papilledema 1ssociated "ith Pseudotumor Cere*ri (%#'#$

Papilledema 1ssociated "ith Pseudotumor Cere*ri (%E'&$' :

7pipapillary 6em*rane (%#$


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6yelinated 8erve !i*ers (%#$' (look also under Retina$

6yelinated 8erve !i*ers (%&$' (2ook also under Retina$

Pre-Papillary 1rterial 2oop (%#'#$ (2ook also under Retina$


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Pre-Papillary 1rterial 2oop (%#'&$

:ptic 8erve 9lioma

:ptic 8erve Sheath 6eninioma


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Compressive :ptic8europathyA

6elanocytoma

Comment@

1 lare' spherical' charcoal-colored mass is situated in front of the left optic disc' o*scurinmost of the disc su*stance. )nferiorly' a crescent of visi*le disc appears chronically s"ollen.Surroundin *oth the superior aspect of the primary lesion and the superior disc is a discret

su*retinal apron of ray piment. This is the characteristic appearance of an optic discmelanocytoma.

rusen of :ptic 8erve +ead (%#$


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rusen of :ptic 8erve +ead (%3'#$

rusen of :ptic 8erve +ead (%'3$


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rusen of :ptic 8erve +ead (%'$' 1nioram

ominant :ptic 1trophy (%#'#$

ominant :ptic 1trophy (%#'&$


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ominant :ptic 1trophy (%&'#$

ominant :ptic 1trophy (%$

2e*ers +ereditary:ptic 8europathy

(%#'#$

Comment@

The riht optic disc can *e vie"ed *y considerin the t"o halves of the disc separately. The

temporal half is moderately pale and has a discrete marin. Correspondin nerve fi*er layerrefle/es are a*sent. By contrast' the nasal half of the disc has an FanryF appearance' "ith dihyperemia and mild dilation of the lare retinal vessels. The peripapillary nerve fi*er layere/hi*its loss of translucency and a "hitish ha,e' partially o*scurin the nasal disc marins. 8o

the telaniectatic vessels just off the disc at @GG and @G.


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2e*ers +ereditary :ptic 8europathy (%#'&$

2e*ers +ereditary :ptic 8europathy (%#'$


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2e*ers +ereditary :ptic 8europathy (%'#$

2e*ers +ereditary:ptic 8europathy

(%&'#$

Comment@

This is the classic appearance of the 2e*ers disc in the early symptomatic stae' "hen visual

loss is just *einnin. The disc is intensely hyperemic. Both the retinal veins and the arteriesare dilated' creatin the impression of a plethora of vascular trunks on the disc. )n the

peripapillary ,one' moderate vascular tortuosity is present. 8ote the "hitish opacification of th

nerve fi*er layer surroundin all *ut the temporal side of the disc.

2e*ers +ereditary

:ptic 8europathy(%#'3$' 4isual !ields

Comment@

9oldmann visual fields reveal a dense cecocentral defect in the riht eye and an earlycecocentral defect approachin fi/ation in the left eye. :f note' the )-& isopter is preserved

the riht eye "hile the )-# isopter is preserved in the left eye' indicative of surprisinly oodretention of sensitivity e/ternal to the central defects. This discrete' Hcookie-cutterHappearance of the scotomas is characteristic of 2e*ers disease in the acute and su*acutestaes. +o"ever' in the late stae' "hen optic atrophy is diffuse and all the microaniopath

chanes have involuted' even the peripheral fields sho" pronounced loss of sensitivity.

2e*ers +ereditary :ptic

8europathy (%&'$'!luorescein 1nioraphy

Comment@

!luorescein anioram of the riht eye' arterial phase. 8ote the dilation of the four main*ranch retinal arterioles. 6arked tortuosity of the smaller arterioles is evident throuhou

*ut particularly in the vicinity of the disc. )nterestinly' laminar venous flo" is present'indicatin e/tremely rapid arteriovenous transit. !ull venous fillin is o*served at just #;

seconds. The rapid transit time suests the possi*ility of arteriovenous shuntin


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2ymphocytic 2eukemia (%#'#$' :ptic 8europathy

2ymphocytic 2eukemia (%#'&$' :ptic 1trophy after )rradiation


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)schemic :ptic 8europathy' 1rteritic (%#'#$'Temporal 1rteritis

)schemic :ptic 8europathy' 1rteritic (%&'#$


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)schemic :ptic 8europathy' 1rteritic (%&'&$

)schemic :ptic 8europathy' 1rteritic (%3$

)schemic :ptic 8europathy' 8on-arteritic (%#'#$


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)schemic :ptic 8europathy' 8on-arteritic (%3$

)schemic :ptic 8europathy' 8on-arteritic (%$' :S

8euroretinitis (%#'#$


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8euroretinitis (%&'#$

8euroretinitis (%3$

8euroretinitis (%$


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:ptic 8euritis (%$' Papilledema

:ptic 8euritis (%&$

:ptic neuritis (%'#$


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:ptic neuritis (%E'&$

Sarcoid (%#'#$' :ptic 8europathy

Sarcoid :ptic 8europathy (%&$


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:ptic 8euritis' To/oplasmosis (%#'#$

:ptic 8euritis' To/oplasmosis (%#'&$

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Atlas Oftalmo 1