Ali H.N Future Eye Doctor

This lovely 8 year old child was referred by her pediatrician for a left peri-orbital swelling.
On palpation a soft mobile subcutaneous mass was located just under the head of the left eyebrow of which I’m suspecting a dermoid cysts.
Nevertheless, a treatment was initiated immediately for abscess causing peri orbital cellulitis. Abscess was drained first in the office.
Marked recovery shown in the next few images.
Imaging is next. The lesion must be imaged to confirm the diagnosis and to distinguish it from an encephalocoele or mucocele, assuming a dermoid cyst.
On a side note: This lovely patient is also a cancer survivor 💪.
Couldn’t be happier to see her smiling and laughing on f/u day.

The “Appalling” .
When this young female walked in to the office with Hx of unilateral left vision loss “due to” mature (swipe to see), my attention was more directed toward this godawful looking dilated Episcleral vessel at 5 o’clock (image 1). Otherwise, known as “Sentinel Vessel”. Seen in Anterior choroidal melanoma.
Although I was unable to confirm in office since I couldnt see the posterior pole clearly due to cataract obstructing the view and the Bscan machine was down. The patient was urgently sent to retina/oncology. Sure enough this poor lady was diagnosed with “Choroidal Melanoma” and is now Status post plaque therapy. Fortunately doing well spiritually 🙏 and there’s no need to enucleate the eye.