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'Upside-down hyphema'
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These photos of an asymptomatic 71-year-old female were chosen as the winner of this month’s “Ocular Photography Challenge.” Lee Peplinski, OD, FAAO, of Louisville, Ky., said the patient had a rather extensive ocular history including high myopia, bilateral cataract surgeries and retinal detachment with a vitrectomy/scleral buckling procedure. A subsequent detachment with proliferative vitreoretinopathy resulted in another vitrectomy with placement of silicone oil.
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The patient’s vision in this eye never improved to better than hand motion or finger counting at a few feet after the original detachment and it remains at this level, Dr. Peplinski said. The images show approximately 2 mm of layered, emulsified oil droplets collecting in the superior angle of the anterior chamber. Her IOP has remained 12 mm Hg to 14 mm Hg on several visits (despite the obstructed angle), and her retina remains fully attached. As such, her retinal surgeon advised only continued monitoring. It has now been more than 18 months since these photos were taken, and her eye remains stable. These photos were taken with a Hitachi HV-D30 camera mounted in the EyeRes 2000 system (TelScreen).
As this month’s winner, Dr. Peplinski will receive camouflage binoculars, provided by Kowa.
New for 2012, Primary Care Optometry News and Kowa are pleased to introduce a separate student competition as part of the “Ocular Photography Challenge.” Students may submit photos that will be judged for the June issue only, and the prize will be a Kowa HA-2 tonometer.
Photos for the student competition must be received by May 1. In your submission, please specify that you are a student and include the name of your school.
How to submit
All submissions can be emailed to nhemphill@slackinc.com. They are judged anonymously by a panel of Primary Care Optometry News Editorial Board members.
Please provide a photo of at least 300 dpi, a 100-word description of the case including what imaging system was used and the name of your home town. Photos may not have been previously published. You will be asked to grant permission to SLACK Inc. to publish your photo.
Contestants are permitted to win once a year. Kowa provides the prizes, including one annual grand prize awarded to the winner chosen from among each round’s winners. Delivery of prizes may take up to 120 days.