Quiz: Headache and Sudden Loss of Vision

A 20-year-old female presented with headache and sudden loss of vision in both eyes. Her past ocular, medical, social, and family histories are unremarkable and she is on no medications. Best corrected visual acuity at presentation was 20/200 right eye and CF (counting fingers) left eye. Pupillary responses were reported as normal. Intraocular pressures were … Read more

小测试:机动车事故引发的头部创伤

一名30岁男性遭遇了机动车事故,头部受伤,导致意识丧失。醒来后,他主诉复视,视物倾斜。通过收下巴,向上看,可以避免重影。视网膜检查如图,眼部其他检查基本正常。 开始测试  

Quiz: Shaking and Tilted Vision

This 26-year-old man presented with complaints of intermittent visual disturbance that he describes as “shaking and tilted vision”. This happens variably from as often as every day, sometimes only a few times a week, and usually lasts a few seconds to a few minutes. Uncorrected visual acuity was 20/25 in each eye. Ocular motility was … Read more

小测试:视力模糊持续几周

一位47岁的妇女注意到自己过去几周视力模糊。双眼视力为20/40(6/12,0.5)。除以下视频中所示的检查结果外,其他检查结果均正常。     开始测试  

小测试:机动车事故

急诊室请您去评估一位发生了轻度机动车事故的患者。除了脖子痛之外,无其他主诉。瞳孔对光线的反应是对称的,除下图所示外,其余检查均正常。     开始测试  

小测试:数月来视力持续下降

一位56岁的女性,注意到自己几个月来左眼视力下降。右眼视力为20/20(6/6, 1.0),左眼视力为20/60(6/18, 0.3),左眼有相对性传入性瞳孔障碍。患者眼底如下图所示。     开始测试  

小测试:夜间视物困难

一名21岁女性因在夜间驾驶时视物困难,前来就诊做常规检查。除口服避孕药外,既往眼病史、病史和社会生活史均无异常。除了一位外祖母患有老年性黄斑变性以及几位家族成员有中度屈光不正外,家族眼病史无其他异常。 右眼和左眼的裸眼视力均为6/6 (1.0)。双眼屈光度为-0.50,色盘测试正常,眼压正常。裂隙灯检查眼前节无异常,后节如照片所示:   开始测试  

小测试:一周内视力恶化

一名23岁的男子注意到自己左眼视力在一周内恶化。右眼视力为20/20 (1.0) ,左眼视力为20/200 (0.1)。左眼有相对性传入性瞳孔障碍,且左眼视盘如图所示。     开始测试  

小测试:咀嚼时伴有疼痛

一位73岁的女性,咀嚼时有疼痛感,且有头痛。下图所示眼突然失明。有相对性传入性瞳孔障碍。请问我们应该如何进行检查和治疗?     开始测试