小测试:进行性眼周肿胀

全身无其他疾病的55岁男性,主诉右眼流泪18个月,伴有右眼渐进性的眼周肿胀,在颞上、眉弓附近。没有眼痛、视力下降或复视。检查结果显示,眼压、双眼活动和瞳孔正常,双眼矫正视力均为20/20 (1.0)。外眼检查显示右侧眼球突出和下垂,右上眼睑皱褶抬高。Hertel眼球突出计测量值右眼为23 mm,左眼为18 mm。裂隙灯检查提示右眼轻度结膜充血,其他无明显异常,散瞳眼底检查正常。 病变活检图像(苏木精-伊红染色) SMA、p63、calponin和CK5/6的免疫染色阳性 低放大倍数(左图)       高放大倍数(右图) 开始测试  

小测试:无痛的右眼泪腺窝

一名57岁女性,表现为无痛性右泪腺窝肿物,伴有复视。MRI、术中病理和切片活检标本结果如图。   开始测试  

Quiz: Ptosis Since Birth

This 30-year-old patient presents with ptosis of the left eye present since birth. He is interested in having it fixed and has no other complaints. Visual acuity is 20/20 uncorrected in each eye. What could be done in this situation? Start Quiz  

Quiz: Epiphora & Blurred Vision

This 78-year-old male presents with complaints of blurred vision, discomfort, and epiphora. Pinhole visual acuity is 20/80 right eye and 20/100 left eye. Moderate cataracts are present bilaterally. What could be happening? Start Quiz  

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:左眼睑红肿和刺激

一名78岁白人女性,有甲状腺功能减退、骨质疏松和开角型青光眼病史,在过去一个月内出现左眼睑红肿和刺激症状。这种刺激未导致眼痛或视力改变。有轻微的流泪和眼红,但无分泌物。家族史、社会生活史和过敏均非致病因素。全面问诊无异常发现。 双眼视力、瞳孔检查、眼压、活动性和对比视野检查均正常。 外眼检查如下图所示。眼前节检查仅发现左眼鼻侧轻度结膜充血以及左眼鼻侧角膜有轻度点状上皮缺损。散瞳眼底检查仅发现双眼轻度杯盘比扩大。   开始测试  

Quiz: Eyelid Nodules

A 13-year-old female presents with complaints of multiple eyelid nodules for one month. Past ocular, medical, medication, family, and social histories are all unremarkable. Visual acuity is 20/20 uncorrected in each eye and the eye examination is notable for only the findings visible in these photographs of the right eye. Start Quiz