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Case Studies treated by Dr. Tauseef Tahir

"Here are some of my more interesting cases I would like to share."
All pictures are taken in office of our patients and property of JEA.

Corneal Abrasion
Macular Degeneration
Progressive Pterygium
Advanced Cataract
Retinal Break / Tear
Nevus (Freckle)
Glaucoma
Pigment Dispersion Syndrome
Large Corneal Abrasion

 

 


  Corneal abrasion by tree branch (ouch!)
 
 
   
  Talk about painful! This patients ran into a tree branch. In the first photo you can see 3 "claw" marks across the entire front cornea. We placed a special dye which highlights these areas and helps to better assess the eye. The cornea was cleaned of the tissue which was hanging loose to reduce further chances of tears and scarring. A specific bandage contact, medication, and pain management was prescribed. The second photo is of the same patient just 24-hours after the bandage lens was removed. Excellent outcome, no scarring, vision 20/20.

Note: Vegetative and living matter (i.e. finger nail scratch) are very dangerous to the eye because of their ability to turn into a  fungal infections. If you have a scratch to the eye from a "living matter" see your eye care professional promptly.

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  Macular Degeneration
 
 
   
  While there is no known cure for ARMD (age related macular degeneration), some treatments include surgery, injections, and monitoring. However, in our office we also incorporated vitamin therapy. Vitamins have been shown to help slow down the progression and stabilize the retina, hopefully from further degeneration. Vitamin therapy changes as new product and information comes about. Stop in or call us to find out about vitamin therapy if you or someone you know is suffering from AMD, glaucoma, dry eyes, diabetes, etc. Please see our page on vitamins and how they may help you today. Click Here.

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  Large Progressive Pterygium  
 

 

 
 

I have been working with this wonderful patient for quite sometime. He presented with a tissue growth which became very irritated repeatedly. After some steroid therapy to calm the tissue down, we sent him out for a pterygium removal. The tissue was peeled and amniotic tissue was transplanted over the section . The second photo is taken about 1- month during his post-op care with us. He is doing wonderful and the pterygium nor the redness has retuned. 

Pterygia are a direct result of degenerating conjunctival tissue. They are fleshy, triangular shaped tissue located on the inside white of the eye. As this degeneration progresses, the tissue slowly grows extending onto the front of the cornea. While generally not visually threatening, pterygium do get inflamed (as in this case), cause prescription changes, and are not aesthetically pleasing.

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  Advanced Cataracts  
   
 

Both of these patients show advanced cataracts. The cataract is really white in color but what you are seeing is the reflection off the flash. In the first picture this patient has a very advanced cortical cataracts. Removal would greatly improve vision and we are currently discussing cataract surgery with this patient (she is hesitant to get it).  In the second photo you are seeing a posterior subcapsulary cataract (PSC), one of the worst cataracts to have regarding vision. This cataracts will need to be removed soon.. 

There are new vitamins available which help slow the progression of cataracts. Please see our page on vitamins and how they may help you today. Click Here.

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  Large Retinal Break  
       
  This is an incredible story. This young patient come to our office with a huge retinal break. This is a long standing break and luckily has not changed in the last 3 years I have seen him. The blue circle shows his macula, his center vision. Unbelievably it was spared and this patient has 20/20 vision out of this eye. Yearly monitoring and 6 month checks are required for this patient.

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  Choroidal Nevus  
       
  This patient told me he normally went to "retail chain stores" but was becoming increasing unhappy with their "lack of service." This was his first dilation (!!) and guess what we found, a large choroidal nevus. Now, normally these "freckles" don't turn into cancer but like any discoloration in tissue, he was sent out for further evaluation.. Luckily this one came out benign. He is under yearly monitoring with our office and loves the service he received.

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  Glaucoma Nerve    
   
 

About 3 million people have glaucoma and about 1/2 actual know they do!  Glaucoma causes damage to the eye's optic nerve which can lead to vision loss and blindness. Glaucoma, in most causes, occurs slowly and painlessly making it difficult to diagnose without an eye exam.  Fortunately, with early treatment and advanced medications as used in our office, we are able to protect the optic nerve and preserve vision. Don't forget your annual medical eye exam.

2nd picture showing the cup to disc ratio. Here we can see the inside is quite large (similar to the hole in a donut being to large). With increased pressure the nerve is damaged causing a larger hole (cup) and loss of vision.

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  Pigment Dispersion Syndrome - Transillumination Defect  
     
 

This has to be one of my best pictures :) Blue eyed patient with iris pigment rubbing off secondary to dispersion syndrome. Here you can see how the light, entering the eye (pupil) bounces back and leaks out of the areas where the tissue has lost pigment. Over time the drainage system of the eye can become blocked causing higher eye pressure and the onset of pitmentary glaucoma.

With PDS, Krukenberg Spindle, etc. normal checkups for pressure reading are required. This patient is monitored closely for the presence of glaucoma secondary to PDS.

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  Large Recurring Corneal Abrasion (Feb 2010)  
 

 
   
     

     
       
     


 



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