EyeRounds Online Atlas of Ophthalmology

Category: External Disease

Click on the thumbnail images for a larger photograph and description of each case

Photograph Diagnosis
abscess of meibomian gland
acute angular meibomitis (meibomianitis) with marked chemosis, lid edema, and pain OS
acute hemorrhagic conjunctivitis
acute meibomianitis marginalis
acute mucopurulent bacterial conjunctivitis
Adenoviral conjunctivitis
allergic blepharitis
allergic conjunctivitis
allergic corneal reaction
allergic follicular conjunctivitis
alopecia totalis with loss of eyebrows and eyelashes
an active PKC lesion and a post-PKC pseudopterygium
angular conjunctivitis
angular conjunctivitis OD
another example of a Kohl-pigmented Bitot's spot
argyrosis OS - the same patient's OD is already in the Atlas.
argyrosis/argyria - a second case
Axenfeld loops Axenfeld loops
bacterial conjunctivitis
basal cell carcinoma
basal cell carcinoma - left lower lid
basal cell carcinoma - lower lid
basal cell carcinoma: a classic example
benign lymphocytic infiltration - lacrimal gland - OS
Bilateral orbital disease- lymphomata
Bilateral orbital lymphomata
blackened Bitot's spot in Vitamin A deficiency
blepharitis and meibomian gland dysfunction
bulbar conjunctival cyst
bulbar conjunctival epithelial inclusion cyst
bulbar conjunctival lymph cyst
bulbar conjunctival nevus
Bulbar subconjunctival hemorrhage
carcinoma of the conjunctiva
caruncle: abscess of caruncle
Caucasian with nevus of Ota
chalazion Chalazion
chalazion: granulating chalazion - sometimes mislabelled " granuloma pyogenicum " - it is composed of granulation tissue not granuloma tissue.
chalazion: surgery through the skin approach
chalazion-lower lid OD
chemical burn
Chlamydia trachomatis infection Chlamydia trachomatis infection
chronic dacryocysitis with abscess formation
chronic dacryocystitis OS
Ciliary Flush
classic nevus of Ota
classic xanthelasma - inner upper lid OU
comedones - skin near lateral canthus
conjunctia: epithelial inclusion cyst - inferior fornix
Conjunctiva: bulbar conjunctival papilloma
conjunctiva: marked chemosis OD
conjunctiva: pinguecula
conjunctival concretions
conjunctival cyst
conjunctival cyst: epithelial inclusion cyst
conjunctival cyst: huge
conjunctival follicles
Conjunctival intraepithelial neoplasia Conjunctival intraepithelial neoplasia
conjunctival implantation cyst following cataract surgery
Conjunctival lymphangiectasis
Conjunctival melanoma Conjunctival melanoma
conjunctival melanoma
conjunctival melanoma
conjunctival melanoma
conjunctival nevus
Conjunctival Nevus
Conjunctival melanoma Conjunctival papilloma
Conjunctival squamous papilloma
Conjunctivitis: with unusual ridge reaction
crusting blepharitis with extension into the brows-OU
crusting blepharitis-vitamin A deficiency
cyst at limbus following pterrygium surgery
cyst of a gland of Moll (a ciliary gland)
Cyst: bulbar conjunctival lymph cyst
cyst: meibomian gland retention cyst with pemphigoid
cystic pigmented nevus of the bulbar conjunctiva
cystic pigmented nevus of the bulbar conjunctiva in the palpebral fissure zone
cyst-retention cyst of a gland of Moll
dacryocystorhinostomy-sutures visible os
Dry eye, Silicone Plugs
Ectropion-right upper lid from burn- see other Atlas photos of this Nepalese patient.
elephantiasis nostras OD
elephantiasis nostras of rt. upper lid
elephantiasis nostras: postop - excision of tissue of upper lid OD
Epidemic Keratoconjunctivitis
floppy eyelid syndrome
florid follicular formation in acute trachoma
Follicular conjunctivitis
foreign body
frontal view scrofula scars upper chest and rt preauricular with rt lid edema
Giant Papillary Conjunctivitis
Granulation tissue exuding from site of recent chalazion surgery
granuloma pyogenicum
granuloma pyogenicum
healed destructive ophthalmomyiasis externa
healing nodular episcleritis
hemangioma of lid
hemangioma of lid margin
Herbert's pits (trachoma) Herbert's pits (trachoma)
herpes simplex I of the lid
Herpes Zoster
Herpes Zoster Ophthalmicus
herpes zoster ophthalmicus
Herpes Zoster Ophthalmicus (HZO)
hyposphagma (subconjunctival hemorrhage) after retching
internal hordeolum - a meibomian abscess
internal sty: also called abscess of meibomian gland or subacute meibomianitis (meibomitis)
Lacrimal gland tumor OS
lacrimal gland tumor- mixed
lash entrapped in superior punctum
lash entrapped superior punctum OS
LCHADD: long chain 3-hydroxyacyl CoA dehydrogenase deficiency LCHADD: long chain 3-hydroxyacyl CoA dehydrogenase deficiency
left frontal sinusitis with draining fistula
Lid lesions
lid margin cyst of ciliary gland of Moll
lid margin lesion
Lid: abscess of meibomian gland (acute meibomitis/ meibomianitis)
lids: blepharitis marginalis - a typical case as seen in the USA
limbal conjunctival nevus
lymphangiectasia conjunctivae
lymphangiectasia hemorrhagica conjunctivae OD
MacCallan's classification of trachoma
madarosis/ milphosis: loss of eyelashes in a patient with rosacea
meibomian gland abscess / internal sty
Meibomian Gland Disease
meibomian gland orefice plugs
meibomian gland: abscess of meibomian gland internal sty internal hordeolum
melanosis oculi OD
melanosis oculi wih pigmentation of tarsal conjunctiva near lid margin
Melanosis, Racial
milia of skin of upper lid
Molluscum contagiosum Molluscum Contagiosum
multiple meibomian infarcts
multiple meibomian infarcts - superior tarsus OU
mycotic abscess of cornea with hypopyon
Nevus of Ota - Caucasian patient
nevus of Ota - the complete complex
nevus: dermal nevus with hair
nidus of tarsal conjunctival concretions or meibomian infarct material
nodular episcleritis
nodular episcleritis
Nodular anterior scleritis Nodular anterior scleritis
nodular scleritis with keratitis
nodular scleritis: residual scleral thinning
ocular pemphigoid
ocular pemphigoid or essential shrinkage of the conjunctiva
ocular pemphigoid with entropion and trichiasis
ophthalmia nodosa
orbit: marked orbital cellulitis OS
Orbital lymphoma-OU
osteomyelitis fistula of frontal bone (related to sinusitis) with adherenco of skin of upperlid producing an ectropion with epidermalization of the exposed palpebral conjunctiva
palpebral vernal conjunctivitis
Papilledema Papilledema
papilloma - right upper lid
papilloma of lid
pedunculated papilloma of the caruncle
pemphigoid (essential shrinkage of the conjunctiva)
pemphigoid/essential shrinkage of the conjunctiva
phlyctenular keratoconjunctivitis
phlyctenular keratoconjunctivitis
Phthisis bulbi following perforating smallpox ulcus serpens
Pigmentation of conjunctiva by mascara
pigmentation of plica semilunaris
pigmented nevi of lid margins
pigmented nevus of caruncle OD
pigmented nevus of conjunctiva OS
pigmented nevus of lower lid
pigmented papilloma with hair
pilosebaceous lid margin cyst
pinguecula - inflamed
pinguecula- starting point for a pterygium
pingueculitis: succulent pinguecula
PKC (phlyctenular keratoconjunctivis)-OS
Preseptal cellulitis
Primary Acquired Melanosis Primary Acquired Melanosis
ptosis trachomatosa
purulent dacryocystitis O.S.
purulent dacryocystitis OD
rule out Bowen's disease
ruptured chronic dacryocystitis OS
sclera: residual plaque of thinned sclera following nodular scleritis.
Anterior Scleritis Scleritis, anterior
Scleritis Scleritis
scleromalacia Scleromalacia
Scleromalacia and anterior staphyloma in the setting of congenital glaucoma Scleromalacia and anterior staphyloma in the setting of congenital glaucoma
scrofula with lid edema O.D.
scrofula/fungating cervical tbc lymphadenitis
sebaceous cyst at outer canthal region
senile spastic entropion-rt lower lid
skin lesion of right lower lid a keratotic lesion that has become irritated
Squamous papilloma of the upper lid Squamous papilloma, upper eyelid
Subconjunctival hemorrhage Subconjunctival Hemorrhage

Subconjunctival prolapse of orbital fat Subconjunctival prolapse of orbital fat
subsiding acute meibomianitis going into the chalazion stage
symblepharon caused by burn due to molten metal.
syringocystadenomata (closeup)
syringocystadenomata of lids
temporal and nasal pterygia
temporal pterygium OD
The Schirmer test
Subconjunctival Hematoma Subconjunctival Hematoma
Superior limbic keratoconjunctivitis (SLK)
The xerotic bulbar conjunctival base of a Bitot's spot
Trachoma - follicles of stage I of MacCallan's classification
trachoma with extensive superior tarsal conjunctival scarring
trachoma with symblepharon
trachoma with xerophthalmia - coexistence of trachoma with vitamin A deficiency
Trachoma: facies of active trachoma in a rural patient in India
trachoma: irregular scarring of tarsal conjunctiva
trachoma: limbal arcade vs pannus
trachoma: pemphigoid-like trachoma with trichiasis
trachoma: trichiasis, outward convexity of the superior tarsus, and tylosis/ pachyblepharon.
trachoma: trichiasis, pannus, and corneal scarring
trachoma: typical pannus of trachoma
trachomatous trichiasis rt upper led
tylosis of lower lid with slight ectropion. There is a temporal Bitot's spot.
Varicella/ chickenpox: loss of lashes (madarosis) lower lid
Vernal Keratoconjunctivitis
Limbal vernal keratoconjunctivitis Vernal keratoconjunctivitis, limbal
Vernal keratoconjunctivitis, palpebral Vernal keratoconjunctivitis, palpebral
viral keratoconjunctivitis
viral papilloma
viral papilloma
Vitamin A deficiency with xerophthalmia and symblepharon formation
Vitiligo in India/Indian
xanthelasma - left upper lid - closeup of previous Atlas photo
xanthoma palpebrarum
xerosis conjuntivae

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