A 2-year-old otherwise healthy boy presents with a lesion of the right eye that has rapidly enlarged over the past 4 days. There is associated photosensitivity but no pain, redness, swelling or discharge. The patient is able to fix and follow well in both eyes and appears orthophoric. Intraocular pressures are normal. The left eye … Read more
(video source) Quiz Courtesy of Dr. Lorraine Provencher & Dr. Tom Oetting
This 46-year-old man presents with blurred vision in the left eye that has worsened over the past 2 days. He reports intense redness and pain in that eye starting one day earlier. He also reports a “white dot” on the cornea with slight blurring of his vision 2 months ago. He has no significant past … Read more
A 31-year-old Caucasian female presents with a 2 week history of acute onset of right eye pain followed 3 days later by subjective temporal field loss, blurriness of vision, and decreased color vision. The patient reports relatively severe pain with eye movements. Other history is not significant. Examination showed best corrected visual acuity of 20/50 … Read more
A 29-year-old white male presents with a small, stationary blurred spot in the center of his vision in the right eye that has been present for the past 2 weeks. Prior to onset of symptoms, he had recently recovered from a flu-like illness. He is otherwise healthy and reports no known past ocular history. He … Read more
low magnification (left photo) high magnification (right photo) An otherwise healthy 55-year-old male presented with a history of 18 months of tearing in the right eye and progressive periocular swelling on the right, superotemporally, near his brow. There was no eye pain, vision loss, or diplopia. Examination revealed best corrected visual acuity of 20/20 in … Read more
A 51-year-old African American female, with a history of controlled hypertension, has noted decreased vision in the right eye for 1.5 years. She denies any associated eye pain, photosensitivity, redness, swelling, or precipitating events. Ocular history is only notable for moderate myopia. Systemic medications include: lisinopril, hydrochlorothiazide, and amlodipine. Examination revealed best-corrected visual acuity of 20/70+ … Read more
A 2-year-old presented with these very characteristic lens opacities. The family reports that the child was born with “white pupils” of both eyes and had difficulties tracking or following objects. His vision appears to have gotten worse over time. The fundi of both eyes are difficult to visualize on ophthalmoscopy.
A 65-year-old white male with occasional photopsias is referred from an outside ophthalmologist for a pigmented lesion on his eye. This patient has an extensive cardiac history and a smoking history of 30 packs of cigarettes a year. Vision, intraocular pressure, pupils and anterior segment exam are normal for both eyes. Dilated fundus exam of … Read more