Moin Academy Channel provides videos for undergraduate and postgraduate students in Ophthalmology. The channel is split into different playlists including Lectures on Eye diseases, Learning Cataract surgery through Phacoemulsification, Surgical videos and Slit lamp examination videos. The channel also includes patient information videos and interviews. We invite you to subscribe to channel and press the like button to appreciate the video.
This condition happens with age in some patients. Surgery is not required. Take serial pictures to see progression and consult with your local ophthalmologist
From my perspective it appears that there was also a black speck of a foreign body to the left side of the upper eyelid. Obviously I wasn’t there looking with my own eyes but that’s just what I viewed looking at the video.
Excellent demonstration. This patient has Left eye deviating and Right eye fixating most of the time while fixating for distance but for near it was alternating. Would it be RT dominant or Left Dominant Exotropia. My Question is the dominant eye is the eye which fixates or the eye which Deviates?
As you can see it was corrected by more than 45 prism diopter prism by using prisms on both sides. The right side was a 30 D prism & left a 45 diopter prism
The wound heals in 3-4 weeks time. That means the redness goes after that duration. Patient can do most activities next day. He/she might feel grittiness which is improved by adding an ointment
For purely cosmetic purposes, using prisms to correct exotropia in a blind eye can be considered, though the effectiveness might be limited. Prisms can sometimes help align the eye to improve appearance, even if the eye does not have functional vision. However, the outcome will depend on several factors, including: • Degree of Deviation: The extent of exotropia may impact how effective prisms are in achieving a desired cosmetic result. • Patient’s Adaptation: The eye’s position relative to the head and overall appearance may change, but the lack of visual feedback means that adjustments might not be as stable or reliable as they would be for a seeing eye.
Sir, ideally in exam we should do 5 basic measurements (MRD, PFH, PTS, ULC, LF) of 1 eye together then fellow eye OR we should do in comparison, like MRD Of right then left, LF of right then left ?
The cupping theory was mistakenly introduced in the 1850s. One hundred years later, instead of confirming the cupping theory, we introduced a cup-to-disc ratio parameter which inferred that the original (birth) cups begin enlarging as the disease progresses. However, the original cups of various sizes from 0.00 to 0.9 are actually the central meniscus of Kuhnt (fibrous remnants of Bergmeister’s papilla) which lie superficially on the nerve fiber layer of the disc, and have no relevance to glaucoma. The lamina cribrosa appears to be sinking in primary open-angle glaucoma resulting in the peripheral-to-central axotomy of nerve fibers at the scleral edge, as evidenced by disc excavation.
Sir I was thinking , if the normal eye is covered then restricted eye will exert more force to take fixation so as per Hearing law there more deviation of normal(covered) eye, plz correct me?
Very interesting case sir. May you please share that how much time from the last refraction did this patient develop exo? Secondly, how many diopter did you reduce in hypermetropic correction?
Vitreous tap can be done but it involves switching needles which can cause vit hg. Tap needs to be o.1 ml. 0.05 ml for the antiVEGF. Rest is to overcome the temporary relief of glaucoma unless it is controlled
Sir what is the ideal way of doing binocular Indirect ophthalmoscopy if a patient is sitting? Is it while sitting on chair at the level of patient or standing over head of sitting patient?
It is preferred to do it lying down if you want to see all the quadrants and indent. Sitting down mostly gives central view and some superior. In exam always do lying down
