Case Studies from the Netherlands by Marc Notenboom Boptom : www.optometriepraktijk.nl By Marc Notenboom Boptom @ Plesman Optiek, Contactlenzen & Optometrie in Maarssen, The Netherlands
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IPL Intense Pulsed Light for treatment of dry eye Matheson Optometrists now provide a new treatment for Dry Eye called IPL(intense pulsed light) Using the advanced Lumenis M22 device scientifically controlle...
Heeft u last van droge ogen? Dan is er nu een reden om het te laten behandelen met een nieuwe methode. Bel 0346-556555 voor een afspraak er zijn slechts beperkte plaatsen beschikbaar.
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.
Grade 3 lipid layer. 3422 OS Male 38yo. NIBUT 18sec. Thickness of lipid layer about 80nm
Juvenile Macular Degeneration
Here a movie for you of a meibum expression I did.
http://youtu.be/__MTdQddZUA
Meiboom Expressie tegen droge ogen 4581 Droge ogen spreekuur 4581 ND Female Plesman Optiek, Contactlenzen en Optometrie www.plesmanoptiek.nl 0346-556555 Dr. Plesmanlaan 156 tm 160 3601DE, MAARSSEN
I started to do meibum gland expression
54yo Woman 4552. Best's disease. VOD 0.35 VOS LP. Metamorphosia OD gr 2
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
4128 Femal 66yo. OD, strange kind of pseudohole. Must be after having traction from the vitreous. VA=0.95
4132 OD very deep cup. IOP [email protected]. VA=1.0
4001 - 25yo female from Mexico. OS distance from fovea to ONH is 2480uM. Power is -14.50. VA=0.60. IOP=[email protected] cornea thickness. Both macula RNFL and ONH seem ok.
3972 42yo Female. OD with prob. cutticular drusen. VA=0.60 (OS=0.70). Know to have kidney problems and premature issues.
IOP=[email protected] cornea thickness (premature). Does not want to have additional eye research at the moment because of other surgery.
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
3659 Female 56yo. OD. Smoker ! Arteriosclerosis gr 2, ARMD gr 1. See the white silver reflex in the arteries... Say no more. Referred to GP for blood presure and chol analysis. Cholesterol in cornea gr 1+
1619 61yo female. OS. Sudden drop of vision to 0.20. PVD with some tissue damage. A small macular hole is visible.
Happy X-mass
Iedereen al vast fijne feestdagen gewenst!
1832 - Probably picked out a melanoma today. OD Woman 63yo. Sudden vision loss with central blur for 5 days without pain. VA=0.15
2871- OD Serosa CSCR. VA=0.80. 49yo Male. Sees somewhat blurry in the center of vision. No treatment. Follow up in 4 weeks.
3125- NP-DRP. Male 42yo OS. VA=0.75. OD VA=1.0. No complaints. Because of DM type 1 I did an OCT screening. And what did I see? A strange thing because he gets his anual check ups in the hospital. Last check was 7 months ago and everything was fine. He changed the brand of insuline 2 months before the check up in the hospital.
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
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
Does anyone know what this is? VA=1.0. History of psychic problems. Just slightly more deep pigment on fundusfoto, nothing suspect.2952 OS
OS VA=0.50 Macular Cyst. 2869
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