- downward slanting eyes

- sparse eyebrows

- supraorbital ridges less prominent

- flat frontonasal angle

- Malar eminence less prominent

- Zygomatic arches are non fused,infact on palpation           in this patient a depression was felt

- External ear canals not present ( atresia )

- External ears - malformation

- small jaw -> micrognathia

- mandible underdeveloped

- this patient presented with history of decreased hearing...was finally diagnosed as Treacher Collins Syndrome..a rare entity ...











Reflections On Treacher Collins Syndrome.......
Check out this inspiring larger - than - life blog
http://www.treachercollins.org

Blood underneath the conjunctiva,often in one sector of the eye.

Sometimes the entire view of the white of the eye (sclera) can be obstructed by blood.

What Causes Subconjunctival hemmorhage ?

• Trauma : most common cause
• coughing,sneezing,constipation,epileptic fits,strangulation : these cause sudden venous congestion of the head leading to subconjunctival hemorhage
• inflammation of the conjunctiva : which may be caused by bacterial or viral infections
• Hypertension
• Blood dyscrasias : like anemias , luekaemias
• Bleeding disorders : like hemophilia
• Antiplatelet or anticoagulant medications : like aspirin,clopidogrel,warfarin
• in some cases,the cause is unknown

" But doc, my eye looks really scary " !!!

• there is no specific treatment,the accumulated blood slowly gets reabsorbed in 7-21 days. ( so now u can guess how "scary" red eye really is )
• Reassuring the patient forms the most important part of the treatment. 

DONT's :  - use medications like aspirin,clopidogrel as these may aggravate bleeding ( if you do use them for  other medical ailments then do consult with your healthcare specialist )
            - since the eyes may be itchy,artificial tears may be prescribed but some argue it may delay or interfere with the natural healing process.
Do's :   - if a specific underlying cause is discovered then it must be treated.
           - in case of assosciated infection of the conjunctiva , antibiotic eye drops are prescribed.

Notes for the Doc - Remember to : 

1. Ask for history of  eye rubbing,trauma,severe cough,medications used,bleeding or clotting disorders.
2. Ask whether this has frequently happened before.
3. And plz do check the Blood pressure !!

Have you suffered from Red Eye , what was your experience , what do you think you should or should not have done ,what queries would you have liked to ask..please feel free to share and comment 

Also some sterile gauze pieces,cotton swabs,towels