This patient presented 2 days ago with a lump in his eye. He is a retired GP, with a history of pterygium. Spot diagnosis: this is a HUGE ocular surface neoplasia. Such neoplasia CAN develop at the head of pterygium. Whilst there is a chance it is non-invasive, the risk here is ocular invasion and …
Interpreting patient stories. Everything in life is a narrative, and interpreting the clinical narrative improves your clinical skill. It is an important part of being a clinician, and places increasing reliance on yourself, rather than “tests”. That makes our work meaningful. This is the story of a man who popped in to see me, complaining …
This man had radiation applied to the eye to treat a pterytgium over 20 years earlier. Over time, the radiation causes melting of the wall of the eye, and a dark patch appears where radiation was applied. This dark patch is actually the colour inside the eye, which has now become visible because the wall …
Pterygium grow from the white of the eye over the coloured part of the eye. Mostly they arise from the nose and grow outwards, but they can do the reverse, and grow from the outside in, and some people can have both of them. This lady in her 50’s had pterygia on both sides of …
Radiation puts a hole in the wall of the eye This man received radiation treatment for a pterytgium 20 years earlier. Over time, the radiation caused the wall of the eye to melt, and a dark patch appeared where radiation was applied. This dark patch is actually the colour inside the eye, which has now …
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