• Conjunctival Hemorrhage - Blood in the Eye One of the most frequent "emergency" visits in my office is due to a conjunctival hemorrhage. This is what it looks like: /caption] Although this looks dramatic and scary it is quite harmless most of the time especially if not accompanied by any discomfort and without a history of trauma......
• Ocular Melanoma and Routine Ophthalmoscopy August 6, 2008 Noah Klein, MD Noah Klein, MD, PC   Ocular Melanoma and Routine Ophthalmoscopy   I examined a 50 year old healthy woman today who came in for stronger reading glasses.  Because she had not had a dilated eye exam (ophthalmoscopy) for years I dilated her pupils and......
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Noah Klein, MD

Noah Klein, MD, PC

Ocular Melanoma and Routine Ophthalmoscopy

I examined a 50 year old healthy woman today who came in for stronger reading glasses.  Because she had not had a dilated eye exam (ophthalmoscopy) for years I dilated her pupils and found a melanoma in her left eye. I referred her immediately to an ocular tumor specialist.  With prompt modern treatment she stands an excellent chance of retaining her eyesight and surviving this cancer.

If I had not performed this “routine ophthalmoscopy” today she would not have been referred promptly to an ocular tumor specialist.  Instead the cancer in her eye would grow and perhaps lead to blindness in one eye, removal of the eye, or even death from metastatic disease.

I have seen many diseases of the back of the eye such as retinal detachments, macular degeneration and cancerous tumors. Many were detected with routine ophthalmoscopy.

Insurance companies refuse to pay ophthalmologists to perform “routine ophthalmoscopy.”  I suggest that when you see your ophthalmologist (Eye MD) you ask for this test and agree to pay for it out-of pocket. It could save your sight and maybe even your life.

There are 1400 new cases of ocular melanoma in the United States every year.

I hope you found this post helpful.

Dr. Noah Klein

• CORNEAL ULCER Eye pain, redness, light sensitivity and decreased vision can be caused by a corneal infection called an ulcer. A corneal ulcer is a collection of white blood cells in the cornea which is sometimes visible as a white dot in the cornea. You can get more information here. If you......
• WHAT IS GLAUCOMA? WHAT IS GLAUCOMA? Glaucoma is a disease of the optic nerve often associated with increased intraocular pressure (IOP). Elevated IOP alone is not enough to make the diagnoses of glaucoma. Some patients may have glaucoma when their IOP is within normal limits. This is called Normal Tension Glaucoma (NTG). Conversely......
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• BLEPHARITIS Blepharitis is an inflammation of the eyelids. Patients often complain of red eyes, eye irritation, itching, foreign body sensation (feeling of something in the eye), ocular discharge, crusting and flaking of the eyelashes. Some get red pimples on the eyelid and refer to them as styes. Get more information here. Most......

Dr Noah Klein MD

• Contact Lens Irritation Part 2: Dry Eye Dry eye is a very common cause of contact lens problems and contact lens intolerance. It causes wearers to feel as if there is something in their eyes, a foreign body sensation in their eyes, as if there is grit or dirt in the eye, and eye pain when......
• WHAT IS GLAUCOMA? WHAT IS GLAUCOMA? Glaucoma is a disease of the optic nerve often associated with increased intraocular pressure (IOP). Elevated IOP alone is not enough to make the diagnoses of glaucoma. Some patients may have glaucoma when their IOP is within normal limits. This is called Normal Tension Glaucoma (NTG). Conversely......
• Senator Barak Obama Has A Head Tilt August 18, 2008 Noah Klein, MD Noah Klein, MD, PC   Senator Barak Obama Has a Right Head Tilt    Watching the Saddleback Church Forum with Pastor Rick Warren interviewing Senator Barack Obama on Saturday August 16, I was struck by the marked and obvious tilting of the Senator’s head......
• Contact Lens Irritation Part 1: Contact Lens Solution Dr. Noah Klein Noah Klein MD, PC Many patients present to my office complaining of eye redness, eye irritation,  and a foreign body sensation (feeling of grit or sand in the eye) when wearing their soft contact lenses. They feel this way even when they try on a brand new pair......
• BLEPHARITIS Blepharitis is an inflammation of the eyelids. Patients often complain of red eyes, eye irritation, itching, foreign body sensation (feeling of something in the eye), ocular discharge, crusting and flaking of the eyelashes. Some get red pimples on the eyelid and refer to them as styes. Get more information here. Most......
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