OPTOMETRISTS

OPTOMETRISTS 'Consultant Optometrist' Mueen Mazhar Daily posting of Knowledge , Information, Fun, Innovations, Glasses, Lenses, Technology Related To Eyes.

Posterior embryotoxon 🔬✨The image shows a posterior embryotoxon, characterized by a prominent and anteriorly displaced S...
02/14/2026

Posterior embryotoxon 🔬✨

The image shows a posterior embryotoxon, characterized by a prominent and anteriorly displaced Schwalbe line, visible as a circumferential whitish band in the iridocorneal angle.

📌 Key points:
• Congenital finding of anterior segment development
• May be isolated and benign
• Associated with anterior segment dysgenesis (Axenfeld-Rieger)
• May coexist with trabecular meshwork abnormalities and an increased risk of glaucoma ⚠️
• Its identification requires careful biomicroscopy and gonioscopy

👁️ Not all embryotoxons are pathological, but they do require monitoring of intraocular pressure and angle.

👨🏻‍⚕️ Dr. Carlos Moreno de Anda 🍀
Ophthalmology | Previous Segment

🔍 The angle speaks… you have to know how to listen to it.

📢 Open for Remote Healthcare/Medical VA OpportunitiesHello everyone, I'm an Optometrist with 2+ years of experience as a...
02/12/2026

📢 Open for Remote Healthcare/Medical VA Opportunities

Hello everyone, I'm an Optometrist with 2+ years of experience as a Healthcare Virtual Assistant for Neurology and Dermatology practices. I've developed expertise in:

✅ EHR management & medical records
✅ Appointment scheduling & patient coordination
✅ Prior authorizations
✅ Medical billing & coding
✅ Customer service & patient support

Now part of an established organization offering comprehensive medical billing services - from enrollment to AR management! 😊 All medical practices welcome to join us for top-notch services.

👉 If you need reliable support, let's connect!
Email us at: optometrists13@gmail.com

Pupillary Pseudoexfoliation📸: .alexfernandezWhat you see around the pupil is not a normal iris structure, nor is it the ...
02/12/2026

Pupillary Pseudoexfoliation
📸: .alexfernandez
What you see around the pupil is not a normal iris structure, nor is it the "classic" pseudoexfoliation we usually look for in the lens capsule. It is pupillary pseudoexfoliation.

👁️ Why is pseudoexfoliation important?

• It increases the risk of glaucoma. It can be associated with pressure spikes that are more difficult to control.

• It can go unnoticed. Sometimes the only sign is in the pupil/lens or in minor details.

• It complicates cataract surgery. It is associated with zonular weakness and a higher intraoperative risk.

• It changes patient follow-up. It requires closer long-term monitoring.

A 78 year-old patient attended the emergency clinic and found an anterior uveitis. However, on examination, there was an...
02/12/2026

A 78 year-old patient attended the emergency clinic and found an anterior uveitis. However, on examination, there was an additional incidental finding 🤔
📸:
Here we see distinctive white, flaky, dandruff-like material deposited on the anterior lens capsule, forming a central disc with a peripheral granular ring and a clear intermediate zone. This is Pseudoexfoliation (PXF).

Pseudoexfoliation syndrome is an age related systemic condition characterised by the production and accumulation of abnormal extracellular fibrillar material within ocular tissues. Clinically, PXF is significant because it is strongly associated with secondary open-angle glaucoma, often with higher intraocular pressures and more rapid progression than primary open-angle glaucoma. It is also linked to zonular weakness, poor pupillary dilation, and increased risk of intraoperative complications during cataract surgery.

Although this patient presented with uveitis, the incidental identification of PXF changes their long-term risk profile and highlights the importance of a thorough, systematic slit-lamp examination in every emergency presentation.

On the cover: “Multiple Serous Detachment in Vogt Koyanagi Harada Disease” by Ram Sudarshan Ravindran, MBBS, MS, Syed Mo...
02/11/2026

On the cover: “Multiple Serous Detachment in Vogt Koyanagi Harada Disease” by Ram Sudarshan Ravindran, MBBS, MS, Syed Mohideen Abdul Khader, MBBS, MS, Jeet Patel, MBBS, MS, Brem Kumar, Ophthalmic Technician (Aravind eye Hospital , Tirunelveli, Tamil Nadu ,India). Equipment used: Clarus 700 ,Carl Zeiss Meditech Inc , Dublin, USA.

Published in the November/December 2025 issue of Ophthalmology Science.
Source:

Giant Retinal Tear with Retinal Detachment🔎 Case Summary:A 66-year-old male presents with sudden vision loss and flashes...
02/11/2026

Giant Retinal Tear with Retinal Detachment

🔎 Case Summary:
A 66-year-old male presents with sudden vision loss and flashes in the left eye. Ultra-widefield imaging (Optomap) reveals a large circumferential retinal break extending over more than 90 degrees of the retinal periphery. The tear is associated with a rhegmatogenous retinal detachment, characterized by a folded, mobile retinal flap and subretinal fluid extending toward the posterior pole.

🩺 Final Diagnosis:
Rhegmatogenous Retinal Detachment secondary to a Giant Retinal Tear (GRT).

💡 Key points:

* A Giant Retinal Tear is defined as a full-thickness retinal break that extends circumferentially for 3 clock hours (90 degrees) or more.
* It is often associated with high myopia, ocular trauma, or previous intraocular surgery, and it carries a higher risk of proliferative vitreoretinopathy (PVR) than standard tears.
* The hallmark clinical finding is the tendency of the posterior edge of the tear to fold over itself due to vitreous traction and gravity.
* Surgical management is complex and typically requires pars plana vitrectomy, the use of heavy liquids (perfluorocarbon) to flatten the retina, and long-term tamponade with silicone oil or gas.
* Careful examination of the fellow eye is mandatory, as there is a significant risk of developing similar retinal breaks or detachment in the contralateral eye.

📷: Kimberly Wakester

       

The American Academy of Ophthalmology recently updated its clinical guidance on the screening of patients using Plaqueni...
02/10/2026

The American Academy of Ophthalmology recently updated its clinical guidance on the screening of patients using Plaquenil. Here are the key changes you need to know:

▪ Do baseline SD-OCT + wide-field FAF at initiation (not just dilated fundus exam).
▪ Make OCT + FAF primary; use VF/mfERG to confirm when needed.
▪ Focus on early outer retinal thinning via OCT thickness/change maps; use wider-field imaging, consider 24-2C.
▪ Dose

Important notes 📝 to remember 📸:
02/10/2026

Important notes 📝 to remember
📸:

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