Esotropia (manifest convergent squint) in a young child. (Courtesy of Elsevier)

Epicanthal folds, giving rise to pseudo-esotropia. (Courtesy of Elsevier)

Nuclear sclerosis with opacified lens.

Cataract (Age related cataract)
Posterior subcapsular cataract type seen on retroillumination. (Courtesy of Elsevier)

Presence of rust ring on cornea after removal of metallic foreign body.

Irregular dendritic (branch-like) lesion of corneal epithelium stained with fluorescein.

Adenoviral conjunctivitis with conjunctival injection. (Courtesy of Department of Ophthalmology, University of Toronto)

Adenoviral conjunctivitis with lid swelling, conjunctival injection and tearing. (Courtesy of Department of Ophthalmology, University of Toronto)

Subconjunctival hemorrhage as evidenced by a bright red colour. (Courtesy of Department of Ophthalmology, University of Toronto)

Pterygium extends onto the cornea (Courtesy of Department of Ophthalmology, University of Toronto)

Pingueculum is degenerative collagen within the interpalbebral fissure. (Courtesy of Department of Ophthalmology, University of Toronto)

Bullous retinal detachment with retinal folds on temporal aspect.

Elevated congested disc with indistinct margins, flameshaped hemorrhages, and dilated tortuous vessels.

Pallor of optic disc with sharp margin; attenuated vessels.

(NVD) Early fluorescein angiography image of the eye in image OP35 demonstrating areas of vascular leakage near the disc. 1. NVD; 2. Vascular leakage

(NVE) Fluorescein angiography image of the eye in image OP35 showing areas of vascular leakage.

Titled discs are associated with high myopia or moderate oblique myopic astigmatism. Although titled discs have no systemic or neurologic association, the visual field may show bitemporal field defects usually confined to the superior quadrant. Patients with severe myopia should be evaluated by a retina specialist at least once yearly with scleral depression and indirect ophthalmoscopy due to risk of retinal tear and subsequent detachment.

Titled discs are associated with high myopia or moderate oblique myopic astigmatism. Although titled discs have no systemic or neurologic association, the visual field may show bitemporal field defects usually confined to the superior quadrant. Patients with severe myopia should be evaluated by a retina specialist at least once yearly with scleral depression and indirect ophthalmoscopy due to risk of retinal tear and subsequent detachment.

Optic Disc Enlargement, thinning (or notching) of neuroretinal rim usually beginning inferiorly and deepening of optic cup. Notching thinning of neuroretinal rim tends to occur, inferiorly, then superiorly, then temporally, and nasal is the last on to be affected. (Courtesy of 2003 Dr. Yan)

Slight thinning of neuroretinal rim inferiorly and temporally, deepening of cup, development of pallor (late finding of glaucoma).

Optic Disc Enlargement, thinning (or notching) of neuroretinal rim usually beginning inferiorly and deepening of optic cup. Notching thinning of neuroretinal rim tends to occur, inferiorly, then superiorly, then temporally, and nasal is the last on to be affected. (Courtesy of 2003 Dr. Yan)

Endophthalmitis with Hypopyon

Prominent layer of purulent material in inferior aspect of anterior chamber. Note corneal edema and conjunctival injection.

Iritis
Ciliary flush and constricted pupil.

Scleritis with diffuse involvement on the deep episcleral vessals. (Courtesy of Department of Ophthalmology, University of Toronto)

Episcleritis with sectorial injection of the conjunctiva and episcleral tissue. (Courtesy of Department of Ophthalmology, University of Toronto)

Orbital Cellulitis
Diffuse edema and erythema of lids posterior to the orbital septum. (Courtesy of eylearn.med.toronto.ca)