African still-life: cases mix of June 2016

EN: (from right to left, from top to bottom):

Raw 1: giant retinal tear with retinal detachment; bulk papillomatous OSSN in HIV patient; stromal keratitis in a young girl, responded well for steroids treatment alone; extensive conjunctival OSSN involving cornea.

Raw 2: traumatic lens rupture in a young male, resulted in 6/6 vision after lens washout with IOL implant; status 1 year after conjunctival flap for descemetocele in an old single eye patient, awaiting keratoplasty; uveitic cataract in a single eye old lady with 360 posterior synechia, massive anterior synechia, and no RD – resulted in a good vision after complex SICS-vitrectomy-IOL procedure, and became seeing first time after 7 years of blindness; beautiful case of lamellar cataract.

Raw 3: melted cornea resulted in anterior staphyloma with huge uveal exposure in a child; scleral autograft closing corneal perforation resulted from cobra spit envenomation; bulk upper eyelid nevus, lonely kissing nevus; self-mutilation in psychiatric patient resulted in neck cut, lid full thickness laceration with some tissue loss and cheek laceration. Central picture: intumescent bilateral cataract in 14 yo girl, treated with SICS and resulted in perfect postoperative vision.

Center: bilateral white juvenile cataract in 14yo girl. Successfully recovered vision after bilateral SICS.

Raw 4: spontaneous dislocation of morgagnian cataract through the breaks in the anterior capsule; complex corneal laceration with uveal prolapse treated with repair; traumatic orbital cellulitis; pronounced skin scars and cicatricial lower lid entropion caused by insect bite.

Raw 5: Haab’s striae in congenital glaucoma case; classical picture of funnel-shaped retinal detachment; aggressive recurrent pterygium; traumatic lens rupture with embedded multiple corneal wooden foreign bodies.

Raw 6: evisceration process; bilateral corneal opacities in absence of congenital glaucoma (?mucoviscidosis; ?CHED); congenital extensive limboscleral dermoid in a baby; extensive basal cell carcinoma in an elderly male patient.

African tropical ophthalmology cases mix