Dr. Sharlene Noguera

23/08/2025

Thank you to Uday Devgan MD author of CataractCoach.com for featuring my video ☺️ Sharing the cataract video link here.

Discover a remarkable case of zonulopathy detected during cataract surgery. Learn from a skilled surgeon's approach and techniques.

16/08/2025

When the tarsal conjunctiva turn into Cobblestones… 👀
Guess the sight-threatening complication.

🔍 Mechanism: Giant papillae constantly rub the cornea → epithelial breakdown + inflammation → ulcer
💡 Management pearl: Control the allergy, treat the inflammation, protect the cornea, prevent scarring.

15/08/2025

When your eyes throw a full-blown allergy party 👁 — cobblestone papillae on the dance floor, limbal papillae at the door.

10/08/2025

When your eyes try to cosplay as ‘grandpa’ at age 20 👓
This isn’t early aging — it’s pseudogerontoxon!
Chronic allergic conjunctivitis can cause lipid deposits at the corneal edge, looking like arcus senilis.
Lesson? Soothe the itch, tame the inflammation, and that ‘wisdom ring’ might just fade away.”

08/08/2025

This World Ophthalmologist Day, we celebrate the visionaries behind the scenes—our dedicated ophthalmologists at Asian Eye Institute.
Thank you for bringing clarity and care to every patient you serve! 💙

04/08/2025

03/08/2025

Just out here doing what I “glue” best — pterygium surgery! 👁️💚
Conjunctival autograft is the gold standard to keep it from coming back, and with fibrin glue (sutureless), it’s quicker, smoother, and pretty much painless.
Making eyes brighter, one graft at a time 😉

02/08/2025

A young female patient came in with redness in the left eye — but on exam, conjunctival papillomas were found in both eyes. Conjunctival papillomas are benign, often HPV-related growths on the conjunctiva. They appear fleshy, vascular, and lobulated, and may be pedunculated or sessile. Though typically non-cancerous, they require excision and biopsy to rule out dysplasia.

👩‍⚕️ The patient opted to remove the more symptomatic left eye lesion first, with the right eye scheduled for surgery soon.

27/07/2025

This patient had a primary pterygium excision without graft at another institution and developed a conjunctival pyogenic granuloma (or lobular capillary hemangioma) with corneal dellen. I excised the granuloma. Granuloma is an uncommon but known complication—more likely when no graft is done due to delayed healing over area of bare sclera, exposed residual tenon’s capsule, or suture reaction. Studies have shown that techniques with grafts significantly reduce both recurrence and inflammatory complications like granulomas.

26/07/2025

👁️ Looks similar, but not the same! Which is which?
Pterygium vs Pseudopterygium: Orientation & Attachment Matter!

🔸 Pterygium
➡️ Grows horizontally, most often nasally
➡️ Invades Bowman’s layer, firmly adherent across the limbus
➡️ Often UV-related and progressive

🔹 Pseudopterygium
➡️ Can appear anywhere, often oblique
➡️ Not truly adherent to the limbus — only at the apex
➡️ Caused by trauma, surgery, or inflammation

Bowman’s Probe Test:
If you can pass a probe under the apex → it’s a pseudopterygium (positive test)
If it’s firmly attached → likely a pterygium

📚 Source: Prabhakar et al.
Knowing the difference matters — for diagnosis and treatment!

09/07/2025

Dealing with pterygium?
This common eye growth can cause redness, irritation, and even affect your vision over time.

At Asian Eye Institute, we offer an advanced technique for pterygium removal with conjunctival graft using fibrin glue – no stitches needed! 🙌

✅ Faster healing
✅ Less irritation after surgery
✅ More comfort for patients

With this gentle, modern approach, you can recover more comfortably and get back to your daily routine sooner. 💙

📍 Book your consultation today!
📞 +63 998 564 4590
🌐 www.asianeyeinstitute.com

09/07/2025

A tiny drop, a world of diagnosis. 💚💙👁️
Fluorescein magic in action!
This classic dendritic pattern on the cornea reveals HSV epithelial keratitis, lighting up under cobalt blue light.