Dr Gulzaman

25/07/2025

Osteo-Odonto-Keratoprosthesis (OOKP) is a complex surgical procedure used to restore vision in patients with severe corneal blindness who are not suitable candidates for traditional corneal transplants. The technique involves using the patient’s own tooth and surrounding bone (usually a canine tooth) to support an artificial corneal implant. The tooth-bone lamina is implanted into the cheek for several months to develop a blood supply, then later inserted into the eye with the optical cylinder to allow light to enter. OOKP is considered a last-resort treatment but has shown remarkable success in restoring vision in cases where other methods have failed.

22/07/2025

29/05/2025

Chemical conjunctival erosion refers to damage or breakdown of the conjunctival tissue (the thin, transparent layer that covers the white part of the eye and inner eyelids) due to exposure to harmful chemicals. In this case, the chemical culprit is false eyelash glue.

04/11/2024

A black eye, or periorbital hematoma, occurs when blood collects in the tissue around the eye, usually due to trauma. It typically results from an injury, such as being hit in the face.

**Symptoms include:**
- Swelling and discoloration around the eye
- Pain and tenderness in the area
- Possible vision changes if the injury is severe

**Danger Levels:**
- Most black eyes are not serious and heal on their own within a week or two.
- However, if accompanied by severe pain, vision problems, or if there’s concern about a skull fracture, medical attention is necessary.

18/08/2024

Tube Shunt Surgery for Glaucoma
Tube shunt surgery, also known as glaucoma drainage device implantation or glaucoma tube surgery, is a surgical procedure used to lower intraocular pressure (IOP) in patients with glaucoma, particularly those in whom other treatments like medications, laser treatments, or trabeculectomy have failed or are not suitable. It involves the implantation of a small device that helps drain fluid from the eye, reducing the pressure that damages the optic nerve.

1. Purpose of the Surgery

Tube shunt surgery is typically performed when:

Medications and other surgical treatments (such as trabeculectomy) are insufficient to control intraocular pressure.
There is a high risk of failure with traditional surgeries due to scarring or other factors.
Complex types of glaucoma are present, such as:
Neovascular glaucoma (glaucoma with abnormal blood vessel growth).
Uveitic glaucoma (glaucoma associated with eye inflammation).
Congenital or pediatric glaucoma.
The goal is to preserve remaining vision by preventing further optic nerve damage caused by high eye pressure.

25/06/2024

A Sinking Stone

A 23 year old male patient presents with a history of sudden pain and FBS in the right eye for 1 day following trauma with a stone particle while working. Vision was 20/100 and improved to 20/60 with pinhole.

Exam findings include:
An inferior epithelial defect with probable limbal rupture, however Seidel testing was negative at that time. There were 3+ Cells in the anterior chamber with a mild hyphema, a stone particle is seen inferiorly (photo 2). The pupil was mid dilated and sluggish to react with a localized sub conjunctival hemorrhage nasally.

The patient was treated with topical moxifloxacin and steroids hourly, along with steady lubrication. A prompt referral was placed to the corneal surgeon for further surgical intervention and foreign body removal.

02/05/2024

https://docs.google.com/forms/d/e/1FAIpQLSe69C_geLQQvsZqJa-HdBVZMnnCiWaCUn0P6z3qg4bXE_7HDA/formResponse

Corneal Donation form. Plz Donate Corneas and help the needy blind patients.
One donor can give vision to two blind patients.

12/01/2024

Worrisome day 😳

Necrotizing stromal keratitis is an uncommon, but serious problem. While viral etiology is often suspected, one must be careful to rule out bacterial and fungal etiology first.

The combination of stromal inflammation with or without epithelial defect can quickly lead to perforation.

This young female recovered nearly back to baseline with treatment that originally started with antibiotics, followed shortly with oral antivirals and judicious topical steroids.

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02/12/2023

https://youtu.be/L0X5703WtlY?si=tmOC_VezvpaT14V2

08/11/2023

A 40yoM presented to the clinic with a large mass extending from his right eye. He estimates it had been growing for 2-3 years and had not sought medical care until now.

The mass which appeared multilobulated and multicolored seemed to originate from the temporal aspect of his globe had begun to encroach into his visual axis. The intraocular exam was otherwise unremarkable.

Detailed imaging revealed a heterogeneously enhancing mass that arose adjacent to or from the anterior margin of the right lacrimal gland measuring 3.9x0.8x1.9 cm. It appeared to involve the lateral re**us and had likely invaded surrounding lymph nodes. Conjunctival biopsy was performed to assist in identification. Pathology demonstrated a poorly differentiated malignant conjunctival neoplasm, likely round cell carcinoma.

The young man was referred to the local academic institution where orbital exenteration was recommended.

Have a great case and want to help your peers learn something about anterior segment? Direct message us your favorite photos and the case details for a chance to be featured on our page.

23/10/2023

Puri video dekhnyee ka layee link per click kryee👇

https://youtu.be/EfrGpwh5qhI?si=9xDESEFqi65omDYd

20/10/2023