My guess is the images are flipped to make it look like he’s looking at Geordi in the meme. In the last panel or also looks like he’s sitting in Troi’s chair. His neck decoration is on the wrong side too.

Mirror universe

This isn’t real world, its just a hallucination, you aren’t really here right now, you are actually in a vat of goo, powering a cyborg’s air fryer.