Interesting Retinal Cases

03/30/2026

I am wearing color Sage

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đź‘–: All Shift 5 Pocket Scrubs Jogger

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03/25/2026

How bad can extremely elevated IOP be to the eye short term? Let’s find out!

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03/22/2026

Glaucoma isn’t always about pressure… sometimes it’s about oxygen.

In conditions like sleep apnea, oxygen levels drop repeatedly during the night.

Even with normal eye pressure and normal blood pressure, the optic nerve can still be damaged.

Less oxygen → more stress on the nerve → progressive damage.

In these cases, lowering IOP with eye drops may not be enough.

You have to look beyond the eye.

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03/20/2026

Glaucoma isn’t just about eye pressure.

You can have normal IOP and still develop optic nerve damage.

What really matters is the balance between eye pressure and blood pressure
→ ocular perfusion pressure

If perfusion drops, the optic nerve may not get enough oxygen… and that’s where damage begins.

Think about:
• Low blood pressure (especially at night)
• Vascular dysregulation (Raynaud)
• Sleep apnea, anemia
• A more “fragile” optic nerve

Normal pressure doesn’t mean normal risk.

Part 2 coming soon.

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03/17/2026

An Operculated hole is often a better scenario compared to a horseshoe tear because it means relief of vitreoretinal traction in this area.

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03/03/2026

From Anterior to Posterior:

1- Vitreous hemorrhage
2- Pre-retinal hemorrhage
3- Flame shaped hemorrhage
4- Dot & Blot hemorrhages
5- Subretinal & sub RPE hemorrhage

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02/27/2026

OCT diagnosis, round 2 🥊

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02/24/2026

OCT isn’t just imaging. It’s pattern recognition. Master the patterns and the scan tells you the story.

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02/15/2026

Rapid fire diagnosis 🔥

I am wearing color Rose Quartz!
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02/11/2026

Unlocking a super useful Optos comparison tool that most people don’t know about! Save this!

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02/03/2026

CWS Vs Exudates Vs Drusen

Cotton Wool Spot:
- White to gray
- Superficial
- Feathery, ill-defined borders
- OCT: localized swelling of the RNFL

Exudates:
- Yellow’ish
- Dot like, fuses together when multiple near by
- OCT: in the middle of the retina, hyper reflective, causes underlying shadowing

Drusen:
- Yellow’ish
- Well defined, can fuse together
- Has a pattern, typically by the macula
- OCT: Below the RPE, uniformly medium reflectivity

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Miami, FL

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