Quiz: Decreasing Vision Over Several Months

A 56-year-old woman notes decreasing vision in the left eye over several months. Visual acuity is 20/20 (6/6) right eye, 20/60 (6/18) left eye and there is a left relative afferent pupillary defect. Her fundus is shown below.

Quiz: Difficulty Seeing at Night

A 21-year-old female presented for a routine exam with complaints of difficulty seeing while driving at night. Past ocular, medical and social history were unremarkable with the exception of oral contraceptive use. Family ocular history was notable only for senile macular degeneration in a maternal grandmother and moderate refractive errors in several family members. Uncorrected … Read more

Quiz: Worsening Vision Over One Week

A 23-year-old man notes worsening vision in the left eye over one week. Visual acuity is 20/20 (6/6) right eye and 20/200 (6/60) left eye. There is a left relative afferent pupillary defect. The left optic disc is shown.

Quiz: Pain with Chewing

A 73-year-old woman has pain with chewing and headaches. She lost vision suddenly in the eye shown. There is a relative afferent pupillary defect.

Quiz: Monocular Elevation Deficiency

This 15-year-old girl presented with ptosis and inability to elevate the right eye past the horizontal median noted since early childhood, possibly since birth. Abduction and adduction of both eyes are normal.

Quiz: Brief Episodes of Visual Blur

A 24-year-old obese woman complains of brief episodes of visual blur in the right eye. She is having headaches. Visual acuity is 20/20 OU (6/6 OU) and there is no relative afferent pupillary defect. Visual fields are full to confrontation and exam is otherwise normal except for the fundus appearance.  

Lecture: Deadly Ptosis

Adult onset ptosis is often a benign mechanical condition. However, acquired ptosis can also be the sign of potentially life-threatening conditions. This webinar will cover myasthenia gravis, Horner syndrome, oculomotor cranial nerve palsy and chronic progressive external ophthalmoplegia. Lecturer: Dr. Karl Golnik, Neuro-ophthalmologist, University of Cincinnati, Ohio, USA December 20, 2018

Quiz: Acute Onset of Vision Loss

A 12-year-old previously healthy male presents with acute onset of vision loss in both eyes approximately two months ago while in school. He denies any other symptoms at the onset of vision loss. He denies any pain with eye movement, nausea, vomiting, or headaches. He is on no medications and has no history of prior eye problems. He … Read more

Quiz: Intermittent Visual Blurring

A 34 year-old African American female reports a two-week history of intermittent visual blurring, worse with bending over. She reports an associated bilateral, frontal headache which lasts a few hours but improves with lying down. She denies tinnitus, loss of sensory or motor function. Her blood pressure, when checked twice daily, is never more than … Read more