Dr. Sharlene Noguera

Dr. Sharlene Noguera Cornea and External Diseases
Pterygium surgery
Corneal Transplant
Cataract Surgery
Comprehensive Ophthalmology

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

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

A tiny drop, a world of diagnosis. 💚💙👁️Fluorescein magic in action!This classic dendritic pattern on the cornea reveals ...
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.

02/07/2025

It’s …”and the cornea…totally FOGGED up” 😂 Watch this cataract surgery video of a Phacomorphic Morganian Cataract with fibrotic capsule and zonulysis risk.

👁️✨ Limbal Dermoid Removal for Better Vision!A limbal dermoid is a benign choristoma—a non-cancerous growth made up of n...
30/06/2025

👁️✨ Limbal Dermoid Removal for Better Vision!
A limbal dermoid is a benign choristoma—a non-cancerous growth made up of normal tissue in an abnormal location—typically found at the junction of the cornea and sclera. Though harmless, it can distort the shape of the eye, leading to hyperopia and irregular astigmatism.

In this case, the patient couldn’t tolerate glasses due to the corneal distortion. 👓❌ I performed surgical excision, and after full healing, the patient will be able to wear contact lenses to correct the irregular astigmatism and improve vision. 👁️💫

This is the double ring sign after a complete air fill in DSAEK. Just in case you didn’t mark and you want to confirm if...
29/06/2025

This is the double ring sign after a complete air fill in DSAEK. Just in case you didn’t mark and you want to confirm if your graft is properly oriented, the inner ring should be brighter/closer to you compared with the outer ring. Because if you punch the graft during preparation, the endothelial portion (outer ring is larger in size), thus farther/deeper than the stromal side of the graft.

👁️💡 Spot the difference in HSV epithelial keratitis!Fluorescein highlights the ulcer, rose bengal reveals the enemy’s ed...
27/06/2025

👁️💡 Spot the difference in HSV epithelial keratitis!
Fluorescein highlights the ulcer, rose bengal reveals the enemy’s edge – the devitalized cells and terminal bulbs. Fluorescein staining highlights areas of epithelial loss, revealing the central dendritic ulcer characteristic of HSV. Rose bengal, on the other hand, stains devitalized and infected epithelial cells—particularly at the terminal bulbs—providing critical information on lesion activity and margins.
When HSV is suspected, fluorescein is used first to see the classic dendritic pattern, then rose bengal can be applied to better delineate infected margins. 📸 R1MC residents

Staph Blepharokeratoconjunctivitis with Ruptured DescemetoceleA high-risk case managed with cyanoacrylate glue applicati...
21/06/2025

Staph Blepharokeratoconjunctivitis with Ruptured Descemetocele
A high-risk case managed with cyanoacrylate glue application and bandage contact lens. Timely intervention preserved the globe integrity and stabilized the cornea, with UCVA 20/20. It is very important to treat the root cause which is blepharitis, patient is on long term blepharitis treatment with warm compress, lid scrubs, and oral Doxycycline for flare ups.
If you have recurrent stye, lid redness, itchiness, consult your Ophthalmologist to treat the Blepharitis before it’s too late.
💉 Dx: Staph BKC with corneal melt
🩹 Tx: Cyanoacrylate glue + BCL
📍 Prompt treatment = Vision-saving!

👁️⛱️ Long-term sun damage can leave its mark — like this calcium deposit at the tip of a pterygium. Protect your eyes! 🕶...
08/06/2025

👁️⛱️ Long-term sun damage can leave its mark — like this calcium deposit at the tip of a pterygium. Protect your eyes! 🕶️☀️

07/06/2025

"Patient came in with eye irritation — turned out to be an eyelash lodged in the lower punctum 👁️😳 Instant relief after removal! Just a tiny lash can cause a big bother.

This patient was referred to me for scleral melt after bare sclera pterygium surgery.I performed a scleral patch graft t...
03/06/2025

This patient was referred to me for scleral melt after bare sclera pterygium surgery.
I performed a scleral patch graft to cover the area of scleral thinning, followed by a conjunctival autograft to cover the previously exposed scleral surface
👀👁️Always remember: It is important to emphasize that in pterygium surgery, the use of a conjunctival autograft is critical in minimizing postoperative complications such as scleral melt, recurrence, and delayed healing. The bare sclera technique, though simpler, is associated with higher risks and is generally discouraged in current surgical practice.

01/06/2025

✨ Vision Restored Without Surgery!
A patient came to me with blurred vision (20/150) due to a corneal scar from a past infection. Instead of going straight to a corneal transplant, we tried a rigid gas permeable (RGP) contact lens—and it worked wonders! 👁️💫

The vision improved to 20/30, and surgery is no longer needed.
Sometimes the simplest solution makes the biggest impact! 🙌

Address

Panay

Telephone

+63288982020

Website

https://youtube.com/@dr_noguera?si=doSIm00PitcyLT7S

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