Optometrie

Plesman Optiek, Contactlenzen & Optometrie

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OS 41 yo female. Had abblatio when she was 16yo. Now VA=0.8. You can see the avascular area inferior.

Wide scan with our new Triton OCT

Infrared picture with slit lamp meibomgraphy. You can see the ducts and even the meibomian glands if you look close.

CONJUNCTIVAL CONCRETIONS (OCULAR LITHIASIS). 75yo Male with secundairy cornea erosions and fibrosis.

4649 probably Juvenile Macular Degeneration. Male 56yo. Sister has progressed JMD. Decreased contrast and VA=0.70

I started to do meibum gland expression

54yo Woman 4552. Best's disease. VOD 0.35 VOS LP. Metamorphosia OD gr 2

Optometrie's cover photo

711 Female 65yo. OS Cystoid Macular Edema - CME. Sudden vision drop from VA=1.0 to VA=0.5 with metamorfopsia. Referred for FAG

4144 34yo son (upper) VS 1211 66yo father (below) with POAG VA=0.45. Quite similar structure of cup. Son has RX of +0.75, father has -8.00

4132 OD very deep cup. IOP [email protected]. VA=1.0

Got my new OCT-1 Maestro from Topcon today! It has an automated periferal fundus photo function. This is my right eye. 9 pictures stitched together. You can see I have almost no pigment. Burden of my Nordic genes.

1055 OS after having a parasite. VA=0.2. Age of 25. Male

1619 61yo female. OS. Sudden drop of vision to 0.20. PVD with some tissue damage. A small macular hole is visible.

1832 - Probably picked out a melanoma today. OD Woman 63yo. Sudden vision loss with central blur for 5 days without pain. VA=0.15

338- OD foveal CV traction. 3 months ago saw some incomplete PVD. Told client to come in when she noticed changes in vision or flashes. Came in today and saw quite an elevation of the central area. The other eye is amblyopic so I hope this will continue in a smoot complete PVD. VA was 0.9 before. Today it was 0.75 and some difficulties in fixation when reading.

2093 spontaneous resolving of macular hole in 9 months after PVD with traction. Click to observe

Refractie Eye Churgery

Glaucoma

Pseudo hole with CV traction OS stage 2. VA=0.95! Hx with OD full macula hole. VA after retina chirurgy =0.3 !!
Time between two scans is only 6 months. 2470

Double Reverse Geometry, Four Curve Lens

Started fitting a new Ortho-K lens. Much better comfort and better results. Can now be fitted up to -6.50 with -2.50 cylinder of myopia. Link to a presentation: http://www.orthok.co.uk/slides/sld002.htm

orthok.co.uk

Does anyone know what this is? VA=1.0. History of psychic problems. Just slightly more deep pigment on fundusfoto, nothing suspect.2952 OS

Zo ziet dus een donor hoornvlies eruit! Doneer!

PKP - penetrating keratoplasty

2740 Macula Bleeding. Blood under the retina.

1685 ARMD VA=1/300 with fluid behind macula

Faulty constriction of the pupil after phaco cataract surgery. Waiting for the iris to go over the IOL gradualy. If not, secondary surgery is needed.
1945

CV traction on the right photo. Left scan is 6 months later. You can see a full CV detachment. The traction is gone and normal macula pit is present again. Risk of macular hole is no longer present.
1892

[01/15/12]   Recently tooooo busy for posts. My practice is growing fast. When I have my routine back I will post some interesting new cases.

58 yo woman comes into my practice for a second opinion. OD VA=0.70 OS VA= LP. Toxoplasmosis ODS. OD seems quite ok but has scars under de perimacula. ONH OD is ok. Her opthalmologist mist a stage 2 Fuchs' dystrophy in the corneas. 2045