Ophthalmology Slides

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إلى كل زمالء نجلنا المغفور له إلى كل زمالء نجلنا المغفور له الدكتور / هانى إبراهيم عبد الفتاح أبو الدكتور / هانى إبراهيم عبد الفتاح أبو

العمايمالعمايمعين شمسعين شمسطب طب بالفرقة الرابعة بالفرقة الرابعة

نرجو منكم قراءة الفاتحة والدعاء له بالرحمة نرجو منكم قراءة الفاتحة والدعاء له بالرحمة والمغفرةوالمغفرة

ووالدته ( ) ) ووالدته (والده والده

الرحمن الله الرحمن بسم الله بسمالرحيمالرحيم

جميعا ”” الله بحبل جميعا واعتصموا الله بحبل واعتصمواتفرقوا تفرقوا وال ” ” وال

العظيم الله العظيم صدق الله صدق

عين جامعةشمس

الطب كليةأسرة الشروق

تـــقــدم

Slides Of Ophthalmology

Designed by:Designed by:

Hany Ebrahim Hany Ebrahim Abdel FatahAbdel Fatah

Very Thanks For:Very Thanks For:

Dina Abdul Rahman TarialDina Abdul Rahman TarialFor her Effort in This WorkFor her Effort in This Work

ContentsContentsContentsContents Eye Lid.Eye Lid. Lacrimal System.Lacrimal System. Conjunctiva.Conjunctiva. Cornea.Cornea. Uveal Tract.Uveal Tract. Lens.Lens. Glaucoma.Glaucoma. Retina. Retina. Optic Nerve.Optic Nerve. Squint and Errors of Refraction.Squint and Errors of Refraction. Orbit and Eye Injuries.Orbit and Eye Injuries. Tumors.Tumors.

Eye LidEye LidEye LidEye Lid

Eye LidEye Lid

Normal AnatomyNormal Anatomy

NormalNormal AnatomyAnatomy

Eye LidEye Lid

Eye LidEye Lid

Normal AnatomyNormal Anatomy

Eye LidEye Lid

Normal AnatomyNormal Anatomy

Bilateral Congenital Bilateral Congenital EpicanthusEpicanthus

Eye LidEye Lid

Congenital Coloboma Congenital Coloboma of Upper Eye Lidof Upper Eye Lid

Eye LidEye Lid

Chalazion of Upper Eye Chalazion of Upper Eye LidLid

Eye LidEye Lid

Chalazion of Chalazion of Lower Eye LidLower Eye Lid

Eye LidEye Lid

Chalazion of Lower Chalazion of Lower Eye LidEye Lid

Eye LidEye Lid

Chalazion of Lower Chalazion of Lower Eye LidEye Lid

Eye LidEye Lid

Chalazion of Lower Chalazion of Lower Eye Lid From InsideEye Lid From Inside

Eye LidEye Lid

Chalazion GranulomaChalazion Granuloma

Eye LidEye Lid

Incision Curette Incision Curette OperationOperation

Eye LidEye Lid

Congenital Entropion Congenital Entropion Triachiasis of Lower Eye LidTriachiasis of Lower Eye Lid

Eye LidEye Lid

Senile Entropion Trichiasis of Senile Entropion Trichiasis of Lower Eye LidLower Eye Lid

Eye LidEye Lid

Cicatrical Entropion Cicatrical Entropion Trichiasis of Upper Eye LidTrichiasis of Upper Eye Lid

Eye LidEye Lid

Cicatrical Entropion Cicatrical Entropion Trichiasis of Upper Eye LidTrichiasis of Upper Eye Lid

Eye LidEye Lid

Cicatrical Entropion Cicatrical Entropion Trichiasis of Upper Eye LidTrichiasis of Upper Eye Lid

Eye LidEye Lid

Eye LidEye Lid

Congenital EctropionCongenital Ectropion

Paralytic Paralytic EctropionEctropion

Eye LidEye Lid

Paralytic Ectropion of Paralytic Ectropion of Lower Eye LidLower Eye Lid

Eye LidEye Lid

Cicatrchial Cicatrchial Ectropion of Ectropion of

Lower Eye LidLower Eye Lid

Eye LidEye Lid

Senile Ectropion Senile Ectropion of Lower Eye Lidof Lower Eye Lid

Eye LidEye Lid

Mechanical EctropionMechanical Ectropion

Eye LidEye Lid

Severe Congenital Severe Congenital Unilateral Ptosis + Unilateral Ptosis +

Bilateral EpicanthusBilateral Epicanthus

Eye LidEye Lid

Localized Stage of StyeLocalized Stage of Stye

Eye LidEye Lid

Multiple Styes of ChildrenMultiple Styes of Children

Eye LidEye Lid

Multiple Styes in AdultMultiple Styes in Adult

Eye LidEye Lid

Preseptal Diffuse Cellulitis Preseptal Diffuse Cellulitis With Mechanical Ptosis of With Mechanical Ptosis of

Upper Lid Upper Lid

Eye LidEye Lid

BlepharoconjunctivitisBlepharoconjunctivitis

Eye LidEye Lid

Ulcerative BlepharitisUlcerative Blepharitis

Eye LidEye Lid

Ulcerative BlepharitisUlcerative Blepharitis

Eye LidEye Lid

Trichiasis Causing Superficial Corneal Trichiasis Causing Superficial Corneal Scaring ( Opacity ) & Superficial Scaring ( Opacity ) & Superficial

Corneal Vascularization. Corneal Vascularization.

Eye LidEye Lid

Median Median TarsorraphyTarsorraphy

Eye LidEye Lid

Basal Cell Carcinoma Basal Cell Carcinoma ( Rodent Ulcer )( Rodent Ulcer )

Eye LidEye Lid

Squamous Cell Squamous Cell CarcinomaCarcinoma

Eye LidEye Lid

HaemangiomasHaemangiomas

Eye LidEye Lid

Malignant melanomaMalignant melanoma

Eye LidEye Lid

Lacrimal Lacrimal SystemSystem

Anatomy of the lacrimal Anatomy of the lacrimal drainage systemdrainage system

Lacrimal SystemLacrimal System

Physiology of the Physiology of the lacrimal pump lacrimal pump mechanismmechanism

Lacrimal SystemLacrimal System

Increased marginal strip Increased marginal strip stained with fluoresceinstained with fluorescein

Lacrimal SystemLacrimal System

Right dacryocystogram showing free flow Right dacryocystogram showing free flow of contrast medium into the nose of contrast medium into the nose

despite mild stenosis of the common despite mild stenosis of the common canaliculus. canaliculus.

Lacrimal SystemLacrimal System

Bilateral dacryocystogram. Right shows some Bilateral dacryocystogram. Right shows some irregulariotyirregularioty of the common canaliculus , although of the common canaliculus , although

contrast medium passes through an otherwise contrast medium passes through an otherwise patent lacrimal system. Left shows complete patent lacrimal system. Left shows complete

obstruction high in the sac.obstruction high in the sac.

Lacrimal SystemLacrimal System

Chronic Dacryocystitis Chronic Dacryocystitis With +ve Regurge TestWith +ve Regurge Test

Lacrimal SystemLacrimal System

Acute DacryocystitisAcute Dacryocystitis

Lacrimal SystemLacrimal System

Acute DacryocystitisAcute Dacryocystitis

Lacrimal SystemLacrimal System

Acute DacryocystitisAcute Dacryocystitis

Lacrimal SystemLacrimal System

Acute DacryocystitisAcute Dacryocystitis

Lacrimal SystemLacrimal System

Technique of Technique of dacryocysistorhinostomydacryocysistorhinostomy

Lacrimal SystemLacrimal System

John’s Dye Test I ( +ve )John’s Dye Test I ( +ve )

Lacrimal SystemLacrimal System

Syringing of Lacrimal Passages Syringing of Lacrimal Passages

( Lacrimal Irrigation )( Lacrimal Irrigation )

Lacrimal SystemLacrimal System

Probing of Lacrimal PassagesProbing of Lacrimal Passages

Lacrimal SystemLacrimal System

Oedema of the left Oedema of the left canaliculus due to canaliculus due to chronic canaliculitis chronic canaliculitis

Lacrimal SystemLacrimal System

ConjunctivaConjunctiva

Normal AnatomyNormal Anatomy

ConjunctivaConjunctiva

Normal AnatomyNormal AnatomyThe three layers of the precorneal tear filmThe three layers of the precorneal tear film

ConjunctivaConjunctiva

Normal AnatomyNormal AnatomyFunction of the mucin layer Left : in mucin defiency, the aqueous Function of the mucin layer Left : in mucin defiency, the aqueous

layer (blue) cannot wet the corneal epithelium,; right : a layer (blue) cannot wet the corneal epithelium,; right : a normal amount of mucin (red) enables wetting of the corneal normal amount of mucin (red) enables wetting of the corneal

epithelium by the aqueous layer (blue). epithelium by the aqueous layer (blue).

ConjunctivaConjunctiva

Typical Conjunctival Hyperemia Typical Conjunctival Hyperemia

ConjunctivaConjunctiva

Typical Conjunctival Hyperemia Typical Conjunctival Hyperemia

ConjunctivaConjunctiva

Ophthalmia NeonatorumOphthalmia Neonatorum

ConjunctivaConjunctiva

Mucopurulant ConjunctivitisMucopurulant Conjunctivitis

ConjunctivaConjunctiva

Mucopurulant ConjunctivitisMucopurulant Conjunctivitis

ConjunctivaConjunctiva

Follicular ConjunctivitisFollicular Conjunctivitis

ConjunctivaConjunctiva

Follicular ConjunctivitisFollicular ConjunctivitisFollicles involving the superior palpebral Follicles involving the superior palpebral

conjunctiva in adult chlamydial conjunctivits .conjunctiva in adult chlamydial conjunctivits .

ConjunctivaConjunctiva

Acute Acute Trachomatous Trachomatous

Follicles & PapillaeFollicles & Papillae

ConjunctivaConjunctiva

Acute Trachomatous Follicles & Acute Trachomatous Follicles & Papillae and PannusPapillae and Pannus

ConjunctivaConjunctiva

Acute Trachomatous Follicles & Acute Trachomatous Follicles & Papillae and PannusPapillae and Pannus

ConjunctivaConjunctiva

Acute Trachomatous Follicles & Acute Trachomatous Follicles & Papillae and PannusPapillae and Pannus

ConjunctivaConjunctiva

Acute Trachomatous Acute Trachomatous PannusPannus

ConjunctivaConjunctiva

Acute Trachomatous Acute Trachomatous PannusPannus

ConjunctivaConjunctiva

Healed Trachomatous Healed Trachomatous Pannus With Herbert's PitsPannus With Herbert's Pits

ConjunctivaConjunctiva

Herbert pits in Herbert pits in trachomatrachoma

ConjunctivaConjunctiva

Scarred Palpebral ConjunctivaScarred Palpebral Conjunctiva

ConjunctivaConjunctiva

Scarred Palpebral ConjunctivaScarred Palpebral Conjunctiva

ConjunctivaConjunctiva

Scaming of the inferior Scaming of the inferior forniceal conjunctiva forniceal conjunctiva

ConjunctivaConjunctiva

Membranous ConjunctivitisMembranous Conjunctivitis

ConjunctivaConjunctiva

Conjunctival pseudomembrane Conjunctival pseudomembrane

ConjunctivaConjunctiva

Removal of a conjunctival Removal of a conjunctival pseudomembranepseudomembrane

ConjunctivaConjunctiva

Posterior SymblepharonPosterior Symblepharon

ConjunctivaConjunctiva

Phlyctenular KeratoconjunctivitisPhlyctenular Keratoconjunctivitis

( Limbal Phlycten )( Limbal Phlycten )

ConjunctivaConjunctiva

Phlyctenular conjunctivitisPhlyctenular conjunctivitis

ConjunctivaConjunctiva

Giant Cell Papillae of Giant Cell Papillae of Palpebral Spring CatarrahPalpebral Spring Catarrah

ConjunctivaConjunctiva

Giant Cell Papillae of Giant Cell Papillae of Palpebral Spring CatarrahPalpebral Spring Catarrah

ConjunctivaConjunctiva

Giant Cell Papillae of Giant Cell Papillae of Palpebral Spring CatarrahPalpebral Spring Catarrah

ConjunctivaConjunctiva

Giant Cell Papillae of Giant Cell Papillae of Palpebral Spring CatarrahPalpebral Spring Catarrah

ConjunctivaConjunctiva

Giant Cell Papillae of Giant Cell Papillae of Palpebral Spring CatarrahPalpebral Spring Catarrah

ConjunctivaConjunctiva

Giant Cell Papillae of Giant Cell Papillae of Palpebral Spring CatarrahPalpebral Spring Catarrah

ConjunctivaConjunctiva

Giant Cell Papillae of Giant Cell Papillae of Palpebral Spring CatarrahPalpebral Spring Catarrah

ConjunctivaConjunctiva

Giant papillae and copious mucus Giant papillae and copious mucus on the superior tarsus in advanced on the superior tarsus in advanced

Spring Catarrah.Spring Catarrah.

ConjunctivaConjunctiva

Bulbar Spring CatarrahBulbar Spring Catarrah

ConjunctivaConjunctiva

Corneal Plaque in Spring Corneal Plaque in Spring CatarrahCatarrah

ConjunctivaConjunctiva

Argyrosis Argyrosis

ConjunctivaConjunctiva

Subconjunctival Hemorrhage Subconjunctival Hemorrhage

ConjunctivaConjunctiva

Subconjunctival Hemorrhage Subconjunctival Hemorrhage

ConjunctivaConjunctiva

Early PterygiumEarly Pterygium

ConjunctivaConjunctiva

Established PterygiumEstablished Pterygium

ConjunctivaConjunctiva

True PterygiumTrue Pterygium

ConjunctivaConjunctiva

True PterygiumTrue Pterygium

ConjunctivaConjunctiva

PseudopterygiuPseudopterygiumm

ConjunctivaConjunctiva

Bitot Spots in Case of Bitot Spots in Case of XerosisXerosis

ConjunctivaConjunctiva

Loss of Conjunctival Luster Loss of Conjunctival Luster in Cases of Xerosisin Cases of Xerosis

ConjunctivaConjunctiva

Gonococcal ConjunctivitisGonococcal Conjunctivitis

ConjunctivaConjunctiva

Gonococcal ConjunctivitisGonococcal Conjunctivitis

ConjunctivaConjunctiva

Gonococcal ConjunctivitisGonococcal Conjunctivitis

ConjunctivaConjunctiva

Severe chemosisSevere chemosis

ConjunctivaConjunctiva

chemosischemosis

ConjunctivaConjunctiva

Purulent discharge in Purulent discharge in adult gonococcal adult gonococcal

conjunctivitis.conjunctivitis.

ConjunctivaConjunctiva

Herpes simplex Herpes simplex blepharoconjunctivitisblepharoconjunctivitis

ConjunctivaConjunctiva

Break-up of the tear Break-up of the tear film film

ConjunctivaConjunctiva

Mild staining of the conjunctiva Mild staining of the conjunctiva with rose bengal in with rose bengal in

keratoconjunctivitis sicca keratoconjunctivitis sicca

ConjunctivaConjunctiva

Extensive staining with rose bengal in Extensive staining with rose bengal in keratoconjunctivitis sicca .keratoconjunctivitis sicca .

ConjunctivaConjunctiva

Schirmer testSchirmer test

ConjunctivaConjunctiva

CorneaCornea

CorneaCornea

APPLIED ANATOMY APPLIED ANATOMY

Slit Lamp BiomicroscopySlit Lamp Biomicroscopy

CorneaCornea

Fluorescine Sodium 2% DyeFluorescine Sodium 2% Dye

CorneaCornea

Corneal Ulcer With Corneal Ulcer With +ve Fluorecine Stain+ve Fluorecine Stain

CorneaCornea

Dendretic Ulcer With +ve Dendretic Ulcer With +ve Fluorecine Stain as Seen Fluorecine Stain as Seen

Through a Cobalt Blue Filter Through a Cobalt Blue Filter by Slit Lampby Slit Lamp

CorneaCornea

Dendretic Ulcer With +ve Dendretic Ulcer With +ve Fluorecine Stain as Seen Fluorecine Stain as Seen

Through a Cobalt Blue Filter Through a Cobalt Blue Filter by Slit Lampby Slit Lamp

CorneaCornea

Dendretic Ulcer With Dendretic Ulcer With +ve Fluorecine Stain+ve Fluorecine Stain

CorneaCornea

Geographical Ulcer With +ve Geographical Ulcer With +ve Fluorecine Stain as Seen Fluorecine Stain as Seen

Through a Cobalt Blue Filter Through a Cobalt Blue Filter by Slit Lampby Slit Lamp

CorneaCornea

Geographical Ulcer With +ve Geographical Ulcer With +ve Fluorecine Stain as Seen Fluorecine Stain as Seen

Through a Cobalt Blue Filter Through a Cobalt Blue Filter by Slit Lampby Slit Lamp

CorneaCornea

Herpes Zoster Herpes Zoster OphthamicusOphthamicus

CorneaCornea

Herpes Zoster Herpes Zoster OphthamicusOphthamicus

CorneaCornea

Neurotrophic Keratitis Neurotrophic Keratitis ( Corneal Ulcer )( Corneal Ulcer )

CorneaCornea

Hypopyon Corneal UlcerHypopyon Corneal Ulcer

CorneaCornea

Hypopyon Corneal UlcerHypopyon Corneal Ulcer

CorneaCornea

Tattooing of Corneal OpacityTattooing of Corneal Opacity

CorneaCornea

Colored Contact Lens Colored Contact Lens with Black Pupilwith Black Pupil

CorneaCornea

Penetrating Keratoplasty Penetrating Keratoplasty With Running SuturesWith Running Sutures

CorneaCornea

KeratoconusKeratoconus

CorneaCornea

Keratoconus With Keratoconus With ++ ve ve Menson SignMenson Sign

CorneaCornea

Arcus SenilisArcus Senilis

CorneaCornea

Partial Anterior Staphyloma Partial Anterior Staphyloma

CorneaCornea

Total Anterior StaphylomaTotal Anterior Staphyloma

CorneaCornea

Ciliary & Intercalary StaphylomaCiliary & Intercalary Staphyloma

CorneaCornea

Ciliary StaphylomaCiliary Staphyloma

CorneaCornea

Nodular EpiscleritisNodular Episcleritis

CorneaCornea

Uveal TractUveal Tract

Acute Severe iridocyclitis Acute Severe iridocyclitis With HypopyonWith Hypopyon

Uveal TractUveal Tract

Keratic Precipitate & Dense Opaque Keratic Precipitate & Dense Opaque Flare in Acute IridocyclitisFlare in Acute Iridocyclitis

Uveal TractUveal Tract

Keratic Precipitates As Seen By Keratic Precipitates As Seen By Slit Lamp In Acute IridocyclitisSlit Lamp In Acute Iridocyclitis

Uveal TractUveal Tract

Keratic Precipitates As Seen By Keratic Precipitates As Seen By Slit Lamp In Acute IridocyclitisSlit Lamp In Acute Iridocyclitis

Uveal TractUveal Tract

Chronic Iridocyclitis, Partial Posterior Chronic Iridocyclitis, Partial Posterior Synechia With Festonated Pupil Synechia With Festonated Pupil

Uveal TractUveal Tract

The LensThe Lens

THE NORMAL LENS, THE NORMAL LENS, ITS DEVELOPMENTITS DEVELOPMENT

The LensThe Lens

THE NORMAL LENS, THE NORMAL LENS, ITS DEVELOPMENTITS DEVELOPMENT

The LensThe Lens

The lens in the aged is greatly The lens in the aged is greatly increased in sagittal width increased in sagittal width

compared with that in childhood .compared with that in childhood .

The LensThe Lens

This histological section shows the This histological section shows the anterior surface of the lens near to anterior surface of the lens near to the equator the equator

The LensThe Lens

Lens fibers are hexagonal in shape Lens fibers are hexagonal in shape and lie in layers rather like the skin and lie in layers rather like the skin

of an onion . of an onion .

The LensThe Lens

THE NORMAL LENS, THE NORMAL LENS, ITS DEVELOPMENTITS DEVELOPMENT

The LensThe Lens

Zonular CataractZonular Cataract

The LensThe Lens

Zonular Cataract As Zonular Cataract As Seen With Red ReflexSeen With Red Reflex

The LensThe Lens

Immature Senile Cortical Immature Senile Cortical CataractCataract

The LensThe Lens

Immature Senile Cortical Immature Senile Cortical CataractCataract

The LensThe Lens

Senile Nuclear CataractSenile Nuclear Cataract

The LensThe Lens

Hypermature Morgagnian Hypermature Morgagnian Senile Cortical CataractSenile Cortical Cataract

The LensThe Lens

Subluxated Cataractus Lens Subluxated Cataractus Lens

The LensThe Lens

Anterior Dislocation of Anterior Dislocation of Clear LensClear Lens

The LensThe Lens

Anterior Dislocation of Anterior Dislocation of Clear LensClear Lens

The LensThe Lens

Opacified Posterior Capsule Opacified Posterior Capsule

( After Cataract ) ( After Cataract )

The LensThe Lens

Marfan’s syndrome is a dominantly inherited Marfan’s syndrome is a dominantly inherited disorder which affects the eye, skeleton and disorder which affects the eye, skeleton and

cardiovascular system and is due to a deficiency cardiovascular system and is due to a deficiency of fibrillin, a component of the microfibrillary of fibrillin, a component of the microfibrillary

system associated with elastin and encoded on system associated with elastin and encoded on chromosome 15 q . The lens tends to dislocate chromosome 15 q . The lens tends to dislocate

upwards (in contrast to homocystinuria). upwards (in contrast to homocystinuria).

The LensThe Lens

Lens subluxationLens subluxation

The LensThe Lens

This diagram illustrates the different morphological This diagram illustrates the different morphological characteristics of cataract together with their depth characteristics of cataract together with their depth

and location within the lens. The following and location within the lens. The following illustrations demonstrate clinical examples of these illustrations demonstrate clinical examples of these

anatomical entities.anatomical entities.

The LensThe Lens

Capsular Capsular cataract cataract

The LensThe Lens

Subcapsular Subcapsular Catarct Catarct

The LensThe Lens

Subcapsular Subcapsular CatarctCatarct

The LensThe Lens

Senile posterior Senile posterior subcapsular cataractsubcapsular cataract

The LensThe Lens

Senile posterior Senile posterior subcapsular cataractsubcapsular cataract

The LensThe Lens

Traumatic Traumatic cataractcataract

The LensThe Lens

punctate cataractpunctate cataract

The LensThe Lens

Coronary cataractCoronary cataract

The LensThe Lens

Coronary Coronary cataractcataract

The LensThe Lens

Nuclear CataractNuclear Cataract

The LensThe Lens

lamellar cataract lamellar cataract ( zonular ( zonular

cataract )cataract )

The LensThe Lens

lamellar cataract lamellar cataract ( zonular ( zonular cataract )cataract )

The LensThe Lens

Nuclear Nuclear CataractCataract

The LensThe Lens

Nuclear Nuclear Cataract Cataract (brown (brown

cataract)cataract)

The LensThe Lens

Posterior Subcapsular Posterior Subcapsular CataractCataract

The LensThe Lens

Mature Senile Mature Senile Cataract Cataract

The LensThe Lens

Intumescent Intumescent Cataract Cataract

The LensThe Lens

Hypermature cataract Hypermature cataract (morgagnian cataract) (morgagnian cataract)

The LensThe Lens

Unilateral Congenital Unilateral Congenital Cataract ChildhoodCataract Childhood

The LensThe Lens

Congenital lameller Congenital lameller cataract cataract

The LensThe Lens

Congenital nuclear Congenital nuclear cataractcataract

The LensThe Lens

Congenital nuclear Congenital nuclear cataract cataract

The LensThe Lens

Congenital lamellar Congenital lamellar cataract cataract

The LensThe Lens

Congenital lamellar Congenital lamellar cataract cataract

The LensThe Lens

Congenital sutural Congenital sutural cataract cataract

The LensThe Lens

Congenital anteruir Congenital anteruir polar cataractpolar cataract

The LensThe Lens

Congenital anterior polar Congenital anterior polar pyramidal cataractpyramidal cataract

The LensThe Lens

Congenital anterior polar Congenital anterior polar cataract & persistent pupillary cataract & persistent pupillary

membrane membrane

The LensThe Lens

Congenital posterior Congenital posterior polar cataract polar cataract

The LensThe Lens

Congenital blue dot Congenital blue dot opacitiesopacities

The LensThe Lens

Membranous Cataract Membranous Cataract

The LensThe Lens

Coloboma of the Coloboma of the lens lens

The LensThe Lens

Posterior lenticounsPosterior lenticouns

The LensThe Lens

Anterior Anterior lenticonuslenticonus

The LensThe Lens

MicrophakiaMicrophakia

The LensThe Lens

Microspherophakic lens Microspherophakic lens dislocated into the anterior dislocated into the anterior

chamberchamber

The LensThe Lens

Upward lens subluxation in Upward lens subluxation in Marfan syndromeMarfan syndrome

The LensThe Lens

Upward lens subluxation in Upward lens subluxation in Marfan syndrome Marfan syndrome

The LensThe Lens

Inferior lens subluxation Inferior lens subluxation in homocysteinuria in homocysteinuria

The LensThe Lens

Anterior subcapsular Anterior subcapsular cataract cataract

The LensThe Lens

Nuclear Nuclear catarct catarct

The LensThe Lens

Nuclear cataract Nuclear cataract

The LensThe Lens

Advanced cortical Advanced cortical cataractcataract

The LensThe Lens

Mature cataract Mature cataract

The LensThe Lens

Hypermature cataract with Hypermature cataract with wrinkling of the anterior lens wrinkling of the anterior lens

capsule capsule

The LensThe Lens

Morgagnian Morgagnian cataract cataract

The LensThe Lens

Diabetic Diabetic cataract cataract

The LensThe Lens

Anterior Subcapsular Anterior Subcapsular CataractCataract

The LensThe Lens

Posterior subcapsular Posterior subcapsular cataractcataract

The LensThe Lens

Mature Mature catractcatract

The LensThe Lens

Cataract caused by severe Cataract caused by severe penetrating trauma penetrating trauma

The LensThe Lens

Vossious ring after Vossious ring after severe blunt traumasevere blunt trauma

The LensThe Lens

Flower-shaped cataract Flower-shaped cataract caused by severe blunt caused by severe blunt

trauma trauma

The LensThe Lens

Anterior subcapsular Anterior subcapsular opacities in chronic anterior opacities in chronic anterior

uveitis. uveitis.

The LensThe Lens

Advanced cataract and posterior Advanced cataract and posterior synechiae in chronic anterior synechiae in chronic anterior

uveitisuveitis

The LensThe Lens

Anterior capsular opacity Anterior capsular opacity following acute angle-closure following acute angle-closure glaucoma (glaukomflecken). glaucoma (glaukomflecken).

The LensThe Lens

Extracapsular cataract Extracapsular cataract extraction extraction extraction extraction

MANAGEMENT MANAGEMENT OF CATARACT OF CATARACT

The LensThe Lens

Extracapsular Extracapsular cataract extractioncataract extraction

MANAGEMENT MANAGEMENT OF CATARACT OF CATARACT

The LensThe Lens

PhacoemulsificaticationPhacoemulsificatication

MANAGEMENT MANAGEMENT OF CATARACT OF CATARACT

The LensThe Lens

Cataract Surgery Cataract Surgery & Its Complications& Its Complications

Lensectomy-vitrectomyLensectomy-vitrectomy

The LensThe Lens

Use of intraocular scissors Use of intraocular scissors and forcepsand forceps

The LensThe Lens

(a) : advanced congenital cataract; a) : advanced congenital cataract; (b): appearance after lensectomy. (b): appearance after lensectomy.

The LensThe Lens

Capsular opacification Capsular opacification following congenital following congenital cataract surgery. cataract surgery.

The LensThe Lens

Soemmerring ring following Soemmerring ring following congenital cataract congenital cataract

surgery. surgery.

The LensThe Lens

Aphakic GlassesAphakic Glasses

The LensThe Lens

Corneal EdemaCorneal Edema

The LensThe Lens

Soft lens matter remains the Soft lens matter remains the anterior chamber following anterior chamber following

inadequate removal of cortexinadequate removal of cortex

After CataractAfter Cataract

The LensThe Lens

Vitreous loss with entrapment in Vitreous loss with entrapment in the wound and distortion of the the wound and distortion of the

pupil. pupil.

Pupillary Pupillary distortiondistortion

The LensThe Lens

UveitiUveitis s

The LensThe Lens

Iris ProlapseIris Prolapse

The LensThe Lens

AstigmatismAstigmatism

The LensThe Lens

Opicified posterior Opicified posterior capsule capsule

The LensThe Lens

Yag laser Yag laser capsulotomycapsulotomy

The LensThe Lens

Decentralization of Decentralization of intraocular lens intraocular lens

The LensThe Lens

Iris capture of a Iris capture of a posterior chamber posterior chamber

implantimplant

The LensThe Lens

Posterior SynechiaeSynechiae

The LensThe Lens

Cystoid Macular Cystoid Macular EdemaEdema

The LensThe Lens

Nuclear material in the Nuclear material in the vitreousvitreous

The LensThe Lens

lris prolapse lris prolapse

The LensThe Lens

Striate keratopathy Striate keratopathy following cataract extraction following cataract extraction

The LensThe Lens

Very severe keratopathy Very severe keratopathy following cataract following cataract

extraction extraction

The LensThe Lens

Fibrinous exudation in Fibrinous exudation in severe acute severe acute

endophthalmitis endophthalmitis

The LensThe Lens

Fibrinous exudation and Fibrinous exudation and hypopyon in severe acute hypopyon in severe acute

endophthalmitis endophthalmitis

The LensThe Lens

Vitreous haze in Vitreous haze in acute acute

endophthalmitis endophthalmitis

The LensThe Lens

Small Small hypopyonhypopyon

The LensThe Lens

Retained lens material in the Retained lens material in the anterior chamber anterior chamber

The LensThe Lens

fibrosis of the posterior fibrosis of the posterior capsule capsule

The LensThe Lens

Technique of Nd : YAG Technique of Nd : YAG laser capsulotomylaser capsulotomy

The LensThe Lens

Decentration of a posterior Decentration of a posterior chamber intraocular implant chamber intraocular implant

The LensThe Lens

Severe keratopathy caused by Severe keratopathy caused by an anterior chamber intraocular an anterior chamber intraocular

implant implant

The LensThe Lens

Late dislocation of a posterior Late dislocation of a posterior chamber intraocular implant chamber intraocular implant

(sunset syndrome) (sunset syndrome)

The LensThe Lens

Mutton-fat keratic precipitates Mutton-fat keratic precipitates in chronic postoperative in chronic postoperative

endophthalmitisendophthalmitis

The LensThe Lens

White plaque on the posterior White plaque on the posterior capsule in chronic capsule in chronic

postoperative endophthalmitispostoperative endophthalmitis

The LensThe Lens

GlaucomaGlaucomaGlaucomaGlaucoma

Goldmann Applanation Goldmann Applanation Tonometer Tonometer

GlucomaGlucoma

Goldmann 3 Mirror Goldmann 3 Mirror Contact LensContact Lens

GlucomaGlucoma

Gonioscopy Showing Gonioscopy Showing Peripheral Anterior Peripheral Anterior

SynechiaSynechia

GlucomaGlucoma

Histology of Optic Nerve Histology of Optic Nerve HeadHead

GlucomaGlucoma

Histology of Histology of Glaucomatous Optic CupGlaucomatous Optic Cup

GlucomaGlucoma

Bilateral Glaucomatous Bilateral Glaucomatous Cupping Cupping

GlucomaGlucoma

Advanced Glaucomatous Cupping Advanced Glaucomatous Cupping ( Post Glaucomatous Optic ( Post Glaucomatous Optic

Atrophy )Atrophy )

GlucomaGlucoma

Bjerrum ScreenBjerrum Screen

GlucomaGlucoma

Goldmann Perimeter Goldmann Perimeter

GlucomaGlucoma

Automated Field Automated Field AnalyzerAnalyzer

GlucomaGlucoma

Normal Arrangement & Normal Arrangement & Distribution of Retinal Nerve Distribution of Retinal Nerve

FibersFibers

GlucomaGlucoma

Concentric Contraction of Concentric Contraction of Visual Feild Visual Feild

GlucomaGlucoma

Concentric Contraction of Concentric Contraction of Visual Feild Visual Feild

GlucomaGlucoma

Concentric Contraction of Concentric Contraction of Visual Feild Visual Feild

GlucomaGlucoma

Concentric Contraction of Peripheral Concentric Contraction of Peripheral Field, Arcuate Scotoma & Ronne Field, Arcuate Scotoma & Ronne

Nasal Step Nasal Step

GlucomaGlucoma

Siedle Scotoma in Siedle Scotoma in Cause of Glaucoma Cause of Glaucoma

GlucomaGlucoma

Baring of Blind Spot, Field Baring of Blind Spot, Field Contraction in Cause of GlaucomaContraction in Cause of Glaucoma

GlucomaGlucoma

Halos Around Light and Fronto-Halos Around Light and Fronto-Temporal Headach Indicating Temporal Headach Indicating

Prodromal Stage of Acute Congestive Prodromal Stage of Acute Congestive Glaucoma Glaucoma

GlucomaGlucoma

Corneal Oedema Corneal Oedema Indicating Acute Indicating Acute

Congestive GlaucomaCongestive Glaucoma

GlucomaGlucoma

Peripheral Iridectomy & Peripheral Iridectomy & Patches of Iris Atrophy Patches of Iris Atrophy After Acute Congestive After Acute Congestive

GlaucomaGlaucoma

GlucomaGlucoma

Subscleral Subscleral Trabeculectomy, With Trabeculectomy, With Peripheral Iridectomy Peripheral Iridectomy

GlucomaGlucoma

Congenital Glaucoma Congenital Glaucoma ( Buphthalmos ) ( Buphthalmos )

GlucomaGlucoma

Rubeosis IridisRubeosis Iridis

GlucomaGlucoma

RetinaRetinaRetinaRetina

Direct Direct Ophthalmoscope Ophthalmoscope

RetinaRetina

IndirectIndirect

OphthalmoscopeOphthalmoscope

RetinaRetina

Fundus Biomicroscopy Fundus Biomicroscopy Using Contact or Non Using Contact or Non Contact Lens ( Rhuby Contact Lens ( Rhuby

Lens )Lens )

RetinaRetina

Central Retinal Artery Central Retinal Artery Occlusion (Cherry Red Occlusion (Cherry Red

Spot)Spot)

RetinaRetina

Central Retinal Artery Central Retinal Artery Occlusion (Cherry Red Occlusion (Cherry Red

Spot)Spot)

RetinaRetina

Lower Temporal Lower Temporal Branch Artery Branch Artery

OcclusionOcclusion

RetinaRetina

Central Retinal Vein Central Retinal Vein OcclusionOcclusion

RetinaRetina

Lower Temporal Lower Temporal Branch Vein OcclusionBranch Vein Occlusion

RetinaRetina

Lower Trunk Vein Lower Trunk Vein OcclusionOcclusion

RetinaRetina

Atherosclerosis & Atherosclerosis & Benign HypertensionBenign Hypertension

RetinaRetina

Malignant Malignant Hypertension With Hypertension With

Macular StarMacular Star

RetinaRetina

Malignant Hypertension, Malignant Hypertension, Macular Star & Macular Star &

PapilledimaPapilledima

RetinaRetina

Non Proliferative Diabetic Non Proliferative Diabetic Retinopathy Without Retinopathy Without

Maculopathy Maculopathy

RetinaRetina

Non Proliferative Diabetic Non Proliferative Diabetic Retinopathy With Retinopathy With

MaculopathyMaculopathy

RetinaRetina

Non Proliferative Diabetic Non Proliferative Diabetic Retinopathy With Retinopathy With

MaculopathyMaculopathy

RetinaRetina

Non Proliferative Diabetic Non Proliferative Diabetic Retinopathy With Retinopathy With

MaculopathyMaculopathy

RetinaRetina

Background Diabetic Background Diabetic Retinopathy With Retinopathy With

Maculopathy & Circinate Maculopathy & Circinate Appearance of Hard Appearance of Hard

ExudatesExudates

RetinaRetina

Preproliferative Preproliferative Diabetic Retinopathy Diabetic Retinopathy

RetinaRetina

Proliferative Diabetic Proliferative Diabetic RetinopathyRetinopathy

RetinaRetina

Proliferative Diabetic Proliferative Diabetic RetinopathyRetinopathy With Vitreous With Vitreous

Hemorrhage Hemorrhage

RetinaRetina

Proliferative Diabetic Proliferative Diabetic RetinopathyRetinopathy With Preretinal With Preretinal

Gliosis Gliosis

RetinaRetina

Retinitis Retinitis ProliferansProliferans

RetinaRetina

Xenon Arc Xenon Arc PhotocoagulationPhotocoagulation

RetinaRetina

Argan Laser Argan Laser PhotocoagulationPhotocoagulation

RetinaRetina

Retinal Tear Surrounded by Retinal Tear Surrounded by Xenon Arc Laser Xenon Arc Laser

PhotocoagulationPhotocoagulation

RetinaRetina

Rhegmatogenous Rhegmatogenous Retinal Detachment Retinal Detachment

RetinaRetina

Scleral Buckling Scleral Buckling Procedure (As Seen Procedure (As Seen

From Outside) From Outside)

RetinaRetina

Scleral Buckling Scleral Buckling Procedure (As Seen Procedure (As Seen

From Inside) From Inside)

RetinaRetina

Retinitis Retinitis Pigmentosa Pigmentosa

RetinaRetina

Optic NerveOptic NerveOptic NerveOptic Nerve

Bilateral Early Bilateral Early Papilloedema Papilloedema

Optic NerveOptic Nerve

Bilateral Early Bilateral Early Papilloedema Papilloedema

Optic NerveOptic Nerve

Bilateral Established Bilateral Established PapilloedemaPapilloedema

Optic NerveOptic Nerve

Bilateral Advanced Bilateral Advanced PapilloedemaPapilloedema

Optic NerveOptic Nerve

Bilateral Advanced Bilateral Advanced PapilloedemaPapilloedema

Optic NerveOptic Nerve

Bilateral Advanced Bilateral Advanced PapilloedemaPapilloedema

Optic NerveOptic Nerve

Unilateral Enlargement of Unilateral Enlargement of Blind Spot in Cause of Blind Spot in Cause of

Papillitis Papillitis

Optic NerveOptic Nerve

Unilateral Enlargement of Unilateral Enlargement of Blind Spot in Cause of Blind Spot in Cause of

Papillitis Papillitis

Optic NerveOptic Nerve

Secondary Optic Secondary Optic AtrophyAtrophy

Optic NerveOptic Nerve

Secondary Optic Secondary Optic AtrophyAtrophy

Optic NerveOptic Nerve

Consecutive Optic Consecutive Optic Atrophy With Macular Atrophy With Macular

Scar Scar

Optic NerveOptic Nerve

Consecutive Optic Consecutive Optic Atrophy With Macular Atrophy With Macular

Scar Scar

Optic NerveOptic Nerve

PapillitisPapillitis

Optic NerveOptic Nerve

PapillitisPapillitis

Optic NerveOptic Nerve

Primary Optic AtrophyPrimary Optic Atrophy

Optic NerveOptic Nerve

Primary Optic AtrophyPrimary Optic Atrophy

Optic NerveOptic Nerve

Post Glaucomatous Post Glaucomatous Optic AtrophyOptic Atrophy

Optic NerveOptic Nerve

Squint Squint & & ErrorsErrors of of RefractionRefraction

Squint Squint & & ErrorsErrors of of RefractionRefraction

RetinoscopyRetinoscopy

Squint & Errors of RefractionSquint & Errors of Refraction

Temporal Myopic Temporal Myopic Crescent in High Crescent in High

Myopia Myopia

Squint & Errors of RefractionSquint & Errors of Refraction

Myopic Fundus Myopic Fundus Degeneration (In High Degeneration (In High

Myopia)Myopia)

Squint & Errors of RefractionSquint & Errors of Refraction

SynoptophoreSynoptophore

Squint & Errors of RefractionSquint & Errors of Refraction

Maddox RodMaddox Rod

Squint & Errors of RefractionSquint & Errors of Refraction

Maddox WingMaddox Wing

Squint & Errors of RefractionSquint & Errors of Refraction

Left Manifest Convergent Left Manifest Convergent Squint (Infantile Squint (Infantile

Esotropia)Esotropia)

Squint & Errors of RefractionSquint & Errors of Refraction

Left Superior Rectus Left Superior Rectus ParesisParesis

Squint & Errors of RefractionSquint & Errors of Refraction

Left Sex Nerve Palsy Left Sex Nerve Palsy (Lateral Rectus Paralysis) (Lateral Rectus Paralysis)

{ Paralytic { Paralytic Convergent Squint} Convergent Squint}

Squint & Errors of RefractionSquint & Errors of Refraction

OrbitOrbit& Eye Injuries& Eye Injuries

OrbitOrbit& Eye Injuries& Eye Injuries

Hertel’s Hertel’s ExophthalmometerExophthalmometer

Orbit & Eye InjuriesOrbit & Eye Injuries

Bilateral Dysthyroid Bilateral Dysthyroid Ophthalmopathy (Irritative Ophthalmopathy (Irritative

Stage)Stage)

Orbit & Eye InjuriesOrbit & Eye Injuries

Bilateral Dysthyroid Bilateral Dysthyroid Ophthalmopathy (Infiltrative & Ophthalmopathy (Infiltrative &

Restrictive Stage)Restrictive Stage)

Orbit & Eye InjuriesOrbit & Eye Injuries

Bilateral Swelling of Palpebral Bilateral Swelling of Palpebral Part of Lacrimal Gland Part of Lacrimal Gland

With S-shaped With S-shaped DeformityDeformity

Orbit & Eye InjuriesOrbit & Eye Injuries

Chemical Burn (Alkali Chemical Burn (Alkali Burn)Burn)

Orbit & Eye InjuriesOrbit & Eye Injuries

Black Eye With Black Eye With Subconjunctival & Subconjunctival &

Subcutaneous Hemorrhage Subcutaneous Hemorrhage

Orbit & Eye InjuriesOrbit & Eye Injuries

Corneal Abrasion With +ve Corneal Abrasion With +ve Fluorescine Stain As Seen By Fluorescine Stain As Seen By

Cobalt Filter By Slit Light Cobalt Filter By Slit Light Lamp Lamp

Orbit & Eye InjuriesOrbit & Eye Injuries

Corneal Abrasion With +ve Corneal Abrasion With +ve Fluorescine Stain As Seen By Fluorescine Stain As Seen By

Cobalt Filter By Slit Light Cobalt Filter By Slit Light Lamp Lamp

Orbit & Eye InjuriesOrbit & Eye Injuries

Traumatic Iridodialysis Traumatic Iridodialysis With D-shaped Pupil With D-shaped Pupil

Orbit & Eye InjuriesOrbit & Eye Injuries

HyphaemaHyphaema

Orbit & Eye InjuriesOrbit & Eye Injuries

HyphaemaHyphaema

Orbit & Eye InjuriesOrbit & Eye Injuries

HyphaemaHyphaema

Orbit & Eye InjuriesOrbit & Eye Injuries

HyphaemaHyphaema

Orbit & Eye InjuriesOrbit & Eye Injuries

HyphaemaHyphaema

Orbit & Eye InjuriesOrbit & Eye Injuries

Scleral Rupture With Scleral Rupture With Ciliary Prolapse Ciliary Prolapse

Orbit & Eye InjuriesOrbit & Eye Injuries

Corneal Rupture With Corneal Rupture With Traumatic Iris ProlapseTraumatic Iris Prolapse

Orbit & Eye InjuriesOrbit & Eye Injuries

Impacted Extraocular Impacted Extraocular Corneal Foreign Body Corneal Foreign Body

Orbit & Eye InjuriesOrbit & Eye Injuries

TumorsTumorsTumorsTumors

Leukocoria In Child With Leukocoria In Child With Convergent Squint, Convergent Squint,

Retinoblastoma Until Proved Retinoblastoma Until Proved Otherwise Otherwise

TumorsTumors

RetinoblastomRetinoblastoma a

TumorsTumors

Malignant Melanoma Malignant Melanoma of Choroid With of Choroid With

Secondary Retinal Secondary Retinal Detachment Detachment

TumorsTumors

الختامالختامها قد وصلنا إلى نهاية هذا العمل المتواضع ها قد وصلنا إلى نهاية هذا العمل المتواضع

والذي نرجو من الله عز وجل أن يكون والذي نرجو من الله عز وجل أن يكون علي المستوى المطلوب ، وأن ينال رضي علي المستوى المطلوب ، وأن ينال رضي

الله عز وجل ورضاكم ، وأن ينفعكم به الله عز وجل ورضاكم ، وأن ينفعكم به وأن يكون عامال على زيادة درجاتكم وأن يكون عامال على زيادة درجاتكم

وتحصيلكم في المواد المختلفة.وتحصيلكم في المواد المختلفة.

وانتظروا أعمالنا القادمة....وانتظروا أعمالنا القادمة....

قريبا بإذن الله...قريبا بإذن الله...

أسرة الشروقأسرة الشروق

The EndThe EndThe EndThe End

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