Very early neovasculariation in a single use contact lens wearer. i think this is a significant event and needs to be tackled so that we dont build up problens over the next 20+ or so years that these patients are in contact lenses. The obvious choice here is to refit to a SiH lens and the patient is now moving to Trueye. I'll post an update in about 3 months to see how we get on!

Iris Neavus?

An intersting example of an Iris Neavus. Usually at 6 oclock, this one is at 11 and has a spherical component that extends into the pupil area - rather like a skin "tag". It is stable and has not extended for some considerable time.

Name that condition?

A fascinating coneal condition. Do you know what it is? Look carefully at the photo - there is corneal scarring on both nasal and temporal sides with more neovascular activity on the nasal side. Peer a bit closely and the scarring extends almost to the central cornea infront of the pupil with a little iron deposition. Vision is still good although there is as you might have imagined, signifcant astigmatism. Drop me a note if you recognise it! I'll let you know whether you are correct!