Ophthalmology Slides

‫إلى كل زملء نجلنا المغفور له‬ ‫الدكتور ‪ /‬هانى إبراهيم عبد الفتاح أبو‬ ‫العمايم‬ ‫بالفرقة الرابعة طب عين شمس‬

‫نرجو منكم قراءة الفاتحة والدعاء له بالرحمة والمغفرة‬

‫بسم الله الرحمن‬ ‫الرحيم‬ ‫” واعتصموا بحبل الله جميعا‬ ‫ول تفرقوا ”‬

‫صدق الله العظيم‬

‫شمس‬ ‫كلية الطب‬

‫أسرة‬ ‫الشروق‬

‫تـــقــدم‬

Slides Of Ophthalmology

Designed by:

Hany Ebrahim Abdel Fatah Very Thanks For:

Dina Abdul Rahman Tarial For her Effort in This Work

Contents            

Eye Lid. Lacrimal System. Conjunctiva. Cornea. Uveal Tract. Lens. Glaucoma. Retina. Optic Nerve. Squint and Errors of Refraction. Orbit and Eye Injuries. Tumors.

Eye Lid

Eye Lid

Normal Anatomy

Eye Lid

Normal Anatomy

Eye Lid

Normal Anatomy

Eye Lid

Normal Anatomy

Eye Lid

Bilateral Congenital Epicanthus

Eye Lid

Congenital Coloboma of Upper Eye Lid

Eye Lid

Chalazion of Upper Eye Lid

Eye Lid

Chalazion of Lower Eye Lid

Eye Lid

Chalazion of Lower Eye Lid

Eye Lid

Chalazion of Lower Eye Lid

Eye Lid

Chalazion of Lower Eye Lid From Inside

Eye Lid

Chalazion Granuloma

Eye Lid

Incision Curette Operation

Eye Lid

Congenital Entropion Triachiasis of Lower Eye Lid

Eye Lid

Senile Entropion Trichiasis of Lower Eye Lid

Eye Lid

Cicatrical Entropion Trichiasis of Upper Eye Lid

Eye Lid

Cicatrical Entropion Trichiasis of Upper Eye Lid

Eye Lid

Cicatrical Entropion Trichiasis of Upper Eye Lid

Eye Lid

Congenital Ectropion

Eye Lid

Paralytic Ectropion

Eye Lid

Paralytic Ectropion of Lower Eye Lid

Eye Lid

Cicatrchial Ectropion of Lower Eye Lid

Eye Lid

Senile Ectropion of Lower Eye Lid

Eye Lid

Mechanical Ectropion

Eye Lid

Severe Congenital Unilateral Ptosis + Bilateral Epicanthus

Eye Lid

Localized Stage of Stye

Eye Lid

Multiple Styes of Children

Eye Lid

Multiple Styes in Adult

Eye Lid

Preseptal Diffuse Cellulitis With Mechanical Ptosis of Upper Lid

Eye Lid

Blepharoconjunctivitis

Eye Lid

Ulcerative Blepharitis

Eye Lid

Ulcerative Blepharitis

Eye Lid

Trichiasis Causing Superficial Corneal Scaring ( Opacity ) & Superficial Corneal Vascularization.

Eye Lid

Median Tarsorraphy

Eye Lid

Basal Cell Carcinoma ( Rodent Ulcer )

Eye Lid

Squamous Cell Carcinoma

Eye Lid

Haemangiomas

Eye Lid

Malignant melanoma

Lacrimal System

Lacrimal System

Anatomy of the lacrimal drainage system

Lacrimal System

Physiology of the lacrimal pump mechanism

Lacrimal System

Increased marginal strip stained with fluorescein

Lacrimal System

Right dacryocystogram showing free flow of contrast medium into the nose despite mild stenosis of the common canaliculus.

Lacrimal System

Bilateral dacryocystogram. Right shows some irregularioty of the common canaliculus , although contrast medium passes through an otherwise patent lacrimal system. Left shows complete obstruction high in the sac.

Lacrimal System

Chronic Dacryocystitis With +ve Regurge Test

Lacrimal System

Acute Dacryocystitis

Lacrimal System

Acute Dacryocystitis

Lacrimal System

Acute Dacryocystitis

Lacrimal System

Acute Dacryocystitis

Lacrimal System

Technique of dacryocysistorhinostomy

Lacrimal System

John’s Dye Test I ( +ve )

Lacrimal System

Syringing of Lacrimal Passages ( Lacrimal Irrigation )

Lacrimal System

Probing of Lacrimal Passages

Lacrimal System

Oedema of the left canaliculus due to chronic canaliculitis

Conjunctiva

Conjunctiva

Normal Anatomy

Conjunctiva

Normal Anatomy The three layers of the precorneal tear film

Conjunctiva

Normal Anatomy

Function of the mucin layer Left : in mucin defiency, the aqueous layer (blue) cannot wet the corneal epithelium,; right : a normal amount of mucin (red) enables wetting of the corneal epithelium by the aqueous layer (blue).

Conjunctiva

Typical Conjunctival Hyperemia

Conjunctiva

Typical Conjunctival Hyperemia

Conjunctiva

Ophthalmia Neonatorum

Conjunctiva

Mucopurulant Conjunctivitis

Conjunctiva

Mucopurulant Conjunctivitis

Conjunctiva

Follicular Conjunctivitis

Conjunctiva

Follicular Conjunctivitis Follicles involving the superior palpebral conjunctiva in adult chlamydial conjunctivits .

Conjunctiva

Acute Trachomatous Follicles & Papillae

Conjunctiva

Acute Trachomatous Follicles & Papillae and Pannus

Conjunctiva

Acute Trachomatous Follicles & Papillae and Pannus

Conjunctiva

Acute Trachomatous Follicles & Papillae and Pannus

Conjunctiva

Acute Trachomatous Pannus

Conjunctiva

Acute Trachomatous Pannus

Conjunctiva

Healed Trachomatous Pannus With Herbert's Pits

Conjunctiva

Herbert pits in trachoma

Conjunctiva

Scarred Palpebral Conjunctiva

Conjunctiva

Scarred Palpebral Conjunctiva

Conjunctiva

Scaming of the inferior forniceal conjunctiva

Conjunctiva

Membranous Conjunctivitis

Conjunctiva

Conjunctival pseudomembrane

Conjunctiva

Removal of a conjunctival pseudomembrane

Conjunctiva

Posterior Symblepharon

Conjunctiva

Phlyctenular Keratoconjunctivitis ( Limbal Phlycten )

Conjunctiva

Phlyctenular conjunctivitis

Conjunctiva

Giant Cell Papillae of Palpebral Spring Catarrah

Conjunctiva

Giant Cell Papillae of Palpebral Spring Catarrah

Conjunctiva

Giant Cell Papillae of Palpebral Spring Catarrah

Conjunctiva

Giant Cell Papillae of Palpebral Spring Catarrah

Conjunctiva

Giant Cell Papillae of Palpebral Spring Catarrah

Conjunctiva

Giant Cell Papillae of Palpebral Spring Catarrah

Conjunctiva

Giant Cell Papillae of Palpebral Spring Catarrah

Conjunctiva

Giant papillae and copious mucus on the superior tarsus in advanced Spring Catarrah.

Conjunctiva

Bulbar Spring Catarrah

Conjunctiva

Corneal Plaque in Spring Catarrah

Conjunctiva

Argyrosis

Conjunctiva

Subconjunctival Hemorrhage

Conjunctiva

Subconjunctival Hemorrhage

Conjunctiva

Early Pterygium

Conjunctiva

Established Pterygium

Conjunctiva

True Pterygium

Conjunctiva

True Pterygium

Conjunctiva

Pseudopterygium

Conjunctiva

Bitot Spots in Case of Xerosis

Conjunctiva

Loss of Conjunctival Luster in Cases of Xerosis

Conjunctiva

Gonococcal Conjunctivitis

Conjunctiva

Gonococcal Conjunctivitis

Conjunctiva

Gonococcal Conjunctivitis

Conjunctiva

Severe chemosis

Conjunctiva

chemosis

Conjunctiva

Purulent discharge in adult gonococcal conjunctivitis.

Conjunctiva

Herpes simplex blepharoconjunctivitis

Conjunctiva

Break-up of the tear film

Conjunctiva

Mild staining of the conjunctiva with rose bengal in keratoconjunctivitis sicca

Conjunctiva

Extensive staining with rose bengal in keratoconjunctivitis sicca .

Conjunctiva

Schirmer test

Cornea

Cornea

APPLIED ANATOMY

Cornea

Slit Lamp Biomicroscopy

Cornea

Fluorescine Sodium 2% Dye

Cornea

Corneal Ulcer With +ve Fluorecine Stain

Cornea

Dendretic Ulcer With +ve Fluorecine Stain as Seen Through a Cobalt Blue Filter by Slit Lamp

Cornea

Dendretic Ulcer With +ve Fluorecine Stain as Seen Through a Cobalt Blue Filter by Slit Lamp

Cornea

Dendretic Ulcer With +ve Fluorecine Stain

Cornea

Geographical Ulcer With +ve Fluorecine Stain as Seen Through a Cobalt Blue Filter by Slit Lamp

Cornea

Geographical Ulcer With +ve Fluorecine Stain as Seen Through a Cobalt Blue Filter by Slit Lamp

Cornea

Herpes Zoster Ophthamicus

Cornea

Herpes Zoster Ophthamicus

Cornea

Neurotrophic Keratitis ( Corneal Ulcer )

Cornea

Hypopyon Corneal Ulcer

Cornea

Hypopyon Corneal Ulcer

Cornea

Tattooing of Corneal Opacity

Cornea

Colored Contact Lens with Black Pupil

Cornea

Penetrating Keratoplasty With Running Sutures

Cornea

Keratoconus

Cornea

Keratoconus With + ve Menson Sign

Cornea

Arcus Senilis

Cornea

Partial Anterior Staphyloma

Cornea

Total Anterior Staphyloma

Cornea

Ciliary & Intercalary Staphyloma

Cornea

Ciliary Staphyloma

Cornea

Nodular Episcleritis

Uveal Tract

Uveal Tract

Acute Severe iridocyclitis With Hypopyon

Uveal Tract

Keratic Precipitate & Dense Opaque Flare in Acute Iridocyclitis

Uveal Tract

Keratic Precipitates As Seen By Slit Lamp In Acute Iridocyclitis

Uveal Tract

Keratic Precipitates As Seen By Slit Lamp In Acute Iridocyclitis

Uveal Tract

Chronic Iridocyclitis, Partial Posterior Synechia With Festonated Pupil

The Lens

The Lens

THE NORMAL LENS, ITS DEVELOPMENT

The Lens

THE NORMAL LENS, ITS DEVELOPMENT

The Lens

The lens in the aged is greatly increased in sagittal width compared with that in childhood .

The Lens

This histological section shows the anterior surface of the lens near to the equator

The Lens

Lens fibers are hexagonal in shape and lie in layers rather like the skin of an onion .

The Lens

THE NORMAL LENS, ITS DEVELOPMENT

The Lens

Zonular Cataract

The Lens

Zonular Cataract As Seen With Red Reflex

The Lens

Immature Senile Cortical Cataract

The Lens

Immature Senile Cortical Cataract

The Lens

Senile Nuclear Cataract

The Lens

Hypermature Morgagnian Senile Cortical Cataract

The Lens

Subluxated Cataractus Lens

The Lens

Anterior Dislocation of Clear Lens

The Lens

Anterior Dislocation of Clear Lens

The Lens

Opacified Posterior Capsule ( After Cataract )

The Lens

Marfan’s syndrome is a dominantly inherited disorder which affects the eye, skeleton and cardiovascular system and is due to a deficiency of fibrillin, a component of the microfibrillary system associated with elastin and encoded on chromosome 15 q . The lens tends to dislocate upwards (in contrast to homocystinuria).

The Lens

Lens subluxation

The Lens

This diagram illustrates the different morphological characteristics of cataract together with their depth and location within the lens. The following illustrations demonstrate clinical examples of these anatomical entities.

The Lens

Capsular cataract

The Lens

Subcapsular Catarct

The Lens

Subcapsular Catarct

The Lens

Senile posterior subcapsular cataract

The Lens

Senile posterior subcapsular cataract

The Lens

Traumatic cataract

The Lens

punctate cataract

The Lens

Coronary cataract

The Lens

Coronary cataract

The Lens

Nuclear Cataract

The Lens

lamellar cataract ( zonular

The Lens

lamellar cataract ( zonular cataract )

The Lens

Nuclear Cataract

The Lens

Nuclear Cataract (brown cataract)

The Lens

Posterior Subcapsular Cataract

The Lens

Mature Senile Cataract

The Lens

Intumescent Cataract

The Lens

Hypermature cataract (morgagnian cataract)

The Lens

Unilateral Congenital Cataract Childhood

The Lens

Congenital lameller cataract

The Lens

Congenital nuclear cataract

The Lens

Congenital nuclear cataract

The Lens

Congenital lamellar cataract

The Lens

Congenital lamellar cataract

The Lens

Congenital sutural cataract

The Lens

Congenital anteruir polar cataract

The Lens

Congenital anterior polar pyramidal cataract

The Lens

Congenital anterior polar cataract & persistent pupillary membrane

The Lens

Congenital posterior polar cataract

The Lens

Congenital blue dot opacities

The Lens

Membranous Cataract

The Lens

Coloboma of the lens

The Lens

Posterior lenticouns

The Lens

Anterior lenticonus

The Lens

Microphakia

The Lens

Microspherophakic lens dislocated into the anterior chamber

The Lens

Upward lens subluxation in Marfan syndrome

The Lens

Upward lens subluxation in Marfan syndrome

The Lens

Inferior lens subluxation in homocysteinuria

The Lens

Anterior subcapsular cataract

The Lens

Nuclear catarct

The Lens

Nuclear cataract

The Lens

Advanced cortical cataract

The Lens

Mature cataract

The Lens

Hypermature cataract with wrinkling of the anterior lens capsule

The Lens

Morgagnian cataract

The Lens

Diabetic cataract

The Lens

Anterior Subcapsular Cataract

The Lens

Posterior subcapsular cataract

The Lens

Mature catract

The Lens

Cataract caused by severe penetrating trauma

The Lens

Vossious ring after severe blunt trauma

The Lens

Flower-shaped cataract caused by severe blunt trauma

The Lens

Anterior subcapsular opacities in chronic anterior uveitis.

The Lens

Advanced cataract and posterior synechiae in chronic anterior uveitis

The Lens

Anterior capsular opacity following acute angle-closure glaucoma (glaukomflecken).

The Lens

MANAGEMENT OF CATARACT

Extracapsular cataract extraction extraction

The Lens

MANAGEMENT OF CATARACT

Extracapsular cataract extraction

The Lens

MANAGEMENT OF CATARACT

Phacoemulsificatication

Cat ara ct Su rge ry & I ts Co mp lic at ion s

The Lens

Lensectomy-vitrectomy

The Lens

Use of intraocular scissors and forceps

The Lens

(a) : advanced congenital cataract; (b): appearance after lensectomy.

The Lens

Capsular opacification following congenital cataract surgery.

The Lens

Soemmerring ring following congenital cataract surgery.

The Lens

Aphakic Glasses

The Lens

Corneal Edema

The Lens After Cataract

Soft lens matter remains the anterior chamber following inadequate removal of cortex

The Lens Pupillary distortion

Vitreous loss with entrapment in the wound and distortion of the pupil.

The Lens

Uveitis

The Lens

Iris Prolapse

The Lens

Astigmatism

The Lens

Opicified posterior capsule

The Lens

Yag laser capsulotomy

The Lens

Decentralization of intraocular lens

The Lens

Iris capture of a posterior chamber implant

The Lens

Posterior Synechiae

The Lens

Cystoid Macular Edema

The Lens

Nuclear material in the vitreous

The Lens

lris prolapse

The Lens

Striate keratopathy following cataract extraction

The Lens

Very severe keratopathy following cataract extraction

The Lens

Fibrinous exudation in severe acute endophthalmitis

The Lens

Fibrinous exudation and hypopyon in severe acute endophthalmitis

The Lens

Vitreous haze in acute endophthalmitis

The Lens

Small hypopyon

The Lens

Retained lens material in the anterior chamber

The Lens

fibrosis of the posterior capsule

The Lens

Technique of Nd : YAG laser capsulotomy

The Lens

Decentration of a posterior chamber intraocular implant

The Lens

Severe keratopathy caused by an anterior chamber intraocular implant

The Lens

Late dislocation of a posterior chamber intraocular implant (sunset syndrome)

The Lens

Mutton-fat keratic precipitates in chronic postoperative endophthalmitis

The Lens

White plaque on the posterior capsule in chronic postoperative endophthalmitis

Glaucoma

Glucoma

Goldmann Applanation Tonometer

Glucoma

Goldmann 3 Mirror Contact Lens

Glucoma

Gonioscopy Showing Peripheral Anterior Synechia

Glucoma

Histology of Optic Nerve Head

Glucoma

Histology of Glaucomatous Optic Cup

Glucoma

Bilateral Glaucomatous Cupping

Glucoma

Advanced Glaucomatous Cupping ( Post Glaucomatous Optic Atrophy )

Glucoma

Bjerrum Screen

Glucoma

Goldmann Perimeter

Glucoma

Automated Field Analyzer

Glucoma

Normal Arrangement & Distribution of Retinal Nerve Fibers

Glucoma

Concentric Contraction of Visual Feild

Glucoma

Concentric Contraction of Visual Feild

Glucoma

Concentric Contraction of Visual Feild

Glucoma

Concentric Contraction of Peripheral Field, Arcuate Scotoma & Ronne Nasal Step

Glucoma

Siedle Scotoma in Cause of Glaucoma

Glucoma

Baring of Blind Spot, Contraction in Cause of

Field Glaucoma

Glucoma

Halos Around Light and Fronto-Temporal Headach Indicating Prodromal Stage of Acute Congestive Glaucoma

Glucoma

Corneal Oedema Indicating Acute Congestive Glaucoma

Glucoma

Peripheral Iridectomy & Patches of Iris Atrophy After Acute Congestive Glaucoma

Glucoma

Subscleral Trabeculectomy, With Peripheral Iridectomy

Glucoma

Congenital Glaucoma ( Buphthalmos )

Glucoma

Rubeosis Iridis

Retina

Retina

Direct Ophthalmoscope

Retina

Indirect Ophthalmoscope

Retina

Fundus Biomicroscopy Using Contact or Non Contact Lens ( Rhuby Lens )

Retina

Central Retinal Artery Occlusion (Cherry Red Spot)

Retina

Central Retinal Artery Occlusion (Cherry Red Spot)

Retina

Lower Temporal Branch Artery Occlusion

Retina

Central Retinal Vein Occlusion

Retina

Lower Temporal Branch Vein Occlusion

Retina

Lower Trunk Vein Occlusion

Retina

Atherosclerosis & Benign Hypertension

Retina

Malignant Hypertension With Macular Star

Retina

Malignant Hypertension, Macular Star & Papilledima

Retina

Non Proliferative Diabetic Retinopathy Without Maculopathy

Retina

Non Proliferative Diabetic Retinopathy With Maculopathy

Retina

Non Proliferative Diabetic Retinopathy With Maculopathy

Retina

Non Proliferative Diabetic Retinopathy With Maculopathy

Retina

Background Diabetic Retinopathy With Maculopathy & Circinate Appearance of Hard Exudates

Retina

Preproliferative Diabetic Retinopathy

Retina

Proliferative Diabetic Retinopathy

Retina

Proliferative Diabetic Retinopathy With Vitreous Hemorrhage

Retina

Proliferative Diabetic Retinopathy With Preretinal Gliosis

Retina

Retinitis Proliferans

Retina

Xenon Arc Photocoagulation

Retina

Argan Laser Photocoagulation

Retina

Retinal Tear Surrounded by Xenon Arc Laser Photocoagulation

Retina

Rhegmatogenous Retinal Detachment

Retina

Scleral Buckling Procedure (As Seen From Outside)

Retina

Scleral Buckling Procedure (As Seen From Inside)

Retina

Retinitis Pigmentosa

Optic Nerve

Optic Nerve

Bilateral Early Papilloedema

Optic Nerve

Bilateral Early Papilloedema

Optic Nerve

Bilateral Established Papilloedema

Optic Nerve

Bilateral Advanced Papilloedema

Optic Nerve

Bilateral Advanced Papilloedema

Optic Nerve

Bilateral Advanced Papilloedema

Optic Nerve

Unilateral Enlargement of Blind Spot in Cause of Papillitis

Optic Nerve

Unilateral Enlargement of Blind Spot in Cause of Papillitis

Optic Nerve

Secondary Optic Atrophy

Optic Nerve

Secondary Optic Atrophy

Optic Nerve

Consecutive Optic Atrophy With Macular Scar

Optic Nerve

Consecutive Optic Atrophy With Macular Scar

Optic Nerve

Papillitis

Optic Nerve

Papillitis

Optic Nerve

Primary Optic Atrophy

Optic Nerve

Primary Optic Atrophy

Optic Nerve

Post Glaucomatous Optic Atrophy

Squint &Errors of Refraction

Squint & Errors of Refraction

Retinoscopy

Squint & Errors of Refraction

Temporal Myopic Crescent in High Myopia

Squint & Errors of Refraction

Myopic Fundus Degeneration (In High Myopia)

Squint & Errors of Refraction

Synoptophore

Squint & Errors of Refraction

Maddox Rod

Squint & Errors of Refraction

Maddox Wing

Squint & Errors of Refraction

Left Manifest Convergent Squint (Infantile Esotropia)

Squint & Errors of Refraction

Left Superior Rectus Paresis

Squint & Errors of Refraction

Left Sex Nerve Palsy (Lateral Rectus Paralysis) { Paralytic Convergent

Orbit & Eye Injuries

Orbit & Eye Injuries

Hertel’s Exophthalmometer

Orbit & Eye Injuries

Bilateral Dysthyroid Ophthalmopathy (Irritative Stage)

Orbit & Eye Injuries

Bilateral Dysthyroid Ophthalmopathy (Infiltrative & Restrictive Stage)

Orbit & Eye Injuries

Bilateral Swelling of Palpebral Part of Lacrimal Gland With S-shaped Deformity

Orbit & Eye Injuries

Chemical Burn (Alkali Burn)

Orbit & Eye Injuries

Black Eye With Subconjunctival & Subcutaneous Hemorrhage

Orbit & Eye Injuries

Corneal Abrasion With +ve Fluorescine Stain As Seen By Cobalt Filter By Slit Light Lamp

Orbit & Eye Injuries

Corneal Abrasion With +ve Fluorescine Stain As Seen By Cobalt Filter By Slit Light Lamp

Orbit & Eye Injuries

Traumatic Iridodialysis With D-shaped Pupil

Orbit & Eye Injuries

Hyphaema

Orbit & Eye Injuries

Hyphaema

Orbit & Eye Injuries

Hyphaema

Orbit & Eye Injuries

Hyphaema

Orbit & Eye Injuries

Hyphaema

Orbit & Eye Injuries

Scleral Rupture With Ciliary Prolapse

Orbit & Eye Injuries

Corneal Rupture With Traumatic Iris Prolapse

Orbit & Eye Injuries

Impacted Extraocular Corneal Foreign Body

Tumors

Tumors

Leukocoria In Child With Convergent Squint, Retinoblastoma Until Proved Otherwise

Tumors

Retinoblastoma

Tumors

Malignant Melanoma of Choroid With Secondary Retinal Detachment

‫الختام‬ ‫ها قد وصلنا إلى نهاية هذا العمل‬ ‫المتواضع والذي نرجو من الله عز‬ ‫وجل أن يكون علي المستوى‬ ‫المطلوب ‪ ،‬وأن ينال رضي الله عز‬ ‫وجل ورضاكم ‪ ،‬وأن ينفعكم به وأن‬ ‫يكون عامل على زيادة درجاتكم‬ ‫وتحصيلكم في المواد المختلفة‪.‬‬ ‫وانتظروا أعمالنا القادمة‪....‬‬ ‫قريبا بإذن الله‪...‬‬

The End