Pseudoexfoliation pearls: 1️⃣ Zonular weakness → use capsular tension ring 2️⃣ Common cause of secondary glaucoma 3️⃣ Iris transillumination at pupillary margin 4️⃣ Poor dilation → pupil devices 5️⃣ Bilateral but asymmetric #Ophthalmology #Cataract

Flare & Cells – Uveitis Pearls 🔍👁️ 1️⃣ Cells = active inflammation 2️⃣ Flare = protein leak from B–A barrier 3️⃣ Grade separately (SUN scale) 4️⃣ Flare may persist after cells → chronicity 5️⃣ Heavy flare + fibrin → risk of synechiae #Ophthalmology #Uveitis #MedTwitter

🔵 Blue Dot Cataract: 1️⃣ Common in kids 👶 2️⃣ Tiny bluish opacities ✨ 3️⃣ Stable, non-progressive 🛑 4️⃣ Usually asymptomatic 👀 5️⃣ Surgery rarely needed 🔪❌ 👉 Often just an incidental finding! #Ophthalmology #medtwittter

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Silicone Oil in Anterior Chamber 1️⃣ Shiny globules in AC = silicone oil alert! 2️⃣ Think glaucoma – oil blocks trabecular meshwork. 3️⃣ Endothelial kiss → corneal decompensation. 4️⃣ Inferior iridectomy prevents oil migration. 5️⃣ Oil in AC = time to plan removal. #retina

I would go as far as saying that about 50% of Retinal presentations have a systemic association.

Diagnosis and Management ?? #Ophthalmology #Retina #MedTwitter

Vitreomacular Traction: 1️⃣ OCT is the gold standard for diagnosis 📊 2️⃣ Many cases resolve spontaneously (~30–40%) ⏳ 3️⃣ Treat if symptomatic (VA ↓ / metamorphopsia / progression) 👁️ 4️⃣ Options: Ocriplasmin, Pneumatic, Vitrectomy 🛠️ 5️⃣ Worse outcome if with ERM/DMO/AMD ⚠️

A 🔴 on the Retina caused by a ⚽️ on the Face. What else can Blunt trauma cause?? What else needs to be ruled out ?? #Ophthalmology #MedTwitter #EyeTrauma

Blunt Trauma Eye : 1️⃣ Always start with VA 2️⃣ Exclude globe rupture 3️⃣ Look for hyphema, iridodialysis, lens injury 4️⃣ Fundus: VH, commotio, choroidal rupture, RD 5️⃣ IOP & pupils #Ophthalmology

Dendritic Keratitis ❄️ 1️⃣ Branching epithelial ulcer with terminal bulbs = classic sign 2️⃣ Steroids worsen → geographic ulcer 3️⃣ Reduced corneal sensation 4️⃣ Treat with antivirals, not antibiotics 5️⃣ Recurs often → consider oral prophylaxis #Ophthalmology #medtwitter

Diagnosis and Management #OphthoTwitter ??? #Ophthalmology #MedEd #MedTwitter

👁️‍🗨️ Granular Corneal Dystrophy 🍞 “Breadcrumb” white stromal deposits ✨ Clear spaces between opacities 🧒 Onset 1st–2nd decade, slow progression 🚫 Recurrent erosions rare (vs lattice) 🔬 PTK early | DALK/PKP if advanced

Diagnosis : • Epiretinal Membrane • PseudoMacular Hole • Splitting of Retinal layers Management : • Mostly observe unless significant metamorphosis/DOV • In Severe Cases : VIT+ERM Removal 💎 Observe till you can #Ophthalmology #MedTwitter

𝐀𝐧𝐭𝐞𝐫𝐢𝐨𝐫 𝐂𝐡𝐚𝐦𝐛𝐞𝐫 𝐈𝐎𝐋 Checklist is you see this patient ▶️ 1️⃣ Watch corneal endothelium (edema / cell loss 2️⃣ Check IOL position & stability 3️⃣ Examine angle (PAS / crowding / glaucoma) 4️⃣ Look for iris changes (pigment / UGH) 5️⃣ Monitor IOP & optic nerve

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What’s that 🫧 ?

Acute anterior uveitis + hypopyon → think of: 1️⃣ HLA-B27 uveitis 2️⃣ Behcet’s disease (shifting sterile hypopyon) 3️⃣ Infective endophthalmitis (purulent) 4️⃣ Tuberculosis / Sarcoid (granulomatous) 5️⃣ Herpetic uveitis (with keratitis/↑IOP) #Ophthalmology #MedTwitter

This is a very interesting OCT Scan. What all can you tell me about it ?? What’s happening here ?? What to do about it ?? #Ophthalmology #MedTwitter #Retina #MedEd

Myopic Foveoschisis 1️⃣ Splitting of retinal layers in high myopia 2️⃣ OCT = gold standard diagnosis 3️⃣ Symptoms: blur, metamorphopsia (may be silent early) 4️⃣ Risk: macular hole / RD progression 5️⃣ Tx: PPV ± ILM peel, gas; observe if stable