A "Dirty Alexander" is when your girl or guy is choking on your cock, And you pull out and you twist his/her nipple till he/she screams and drop a load at the same time on either eye giving him/her different colored eyes like Alexander the Great.
He is going to the eye doctor because he said the Dirty Alexander gave him pink eye.
Nickname given to bales of marijuana thrown overboard or out of airplanes. Origin is reportedly from members of the US Coast Guard in the area of Southern Florida.