A 72-year-old African American male complains of 3-4 days of blurry vision, flashes, floaters and lightheadedness. His medical history is notable for stroke, hypertension, and hyperlipidemia. His vision is 20/30 right eye and 20/20 in the left eye. His external and anterior exams are unremarkable. His fundus photos and fluorescein angiogram at 36 seconds (A) … Read more
You must watch the video before taking the quiz: Authors: Lorraine M. Provencher, MD & Thomas A. Oetting, MD, MS Credit: Visit Eyerounds.org for additional open-access high-quality ophthalmic educational material (atlas images, cases, tutorials, and videos) and https://www.facebook.com/cataract.surgery/ for a compendium of top-notch educational cataract surgery videos.
A 39-year-old with history of a left facial nerve palsy is referred by his neurologist for a general eye examination to rule-out ocular problems secondary to lagophthalmos. Visual acuity is 20/20 in either eye. Intraocular pressures are normal. Anterior segment examination is normal with no evidence of corneal exposure. Dilated funduscopic examination is notable for … Read more
A 42-year-old male presents with a slowly progressive decrease in vision for the past 1-2 years. Past medical history is significant for diabetes and hypertension. His medications are glipizide, metformin, lisinopril, hydrochlorothiazide and amlodipine. He has no known past ocular history. BCVA is 20/150 and 20/100 in the right and left eyes, respectively. Anterior segment … Read more
A 64-year-old male with a past medical history of primary open angle glaucoma, hypertension and hyperlipidemia presents with decreasing vision and worsening eye pain. He had undergone cataract extraction, intra-ocular lens implantation and placement of a Cypass microstent in the right eye 5 days ago. His vision is 20/200 in the right eye (baseline vision … Read more
A 73-year-old African-American male presents with complaint of epiphora in both eyes. He also reports itching and crusting for the last year after his cataract surgery. Despite using artificial tears 3-4x/day (minimal relief) and an oculoplastics evaluation for his lower lid ectropion, he remains symptomatic. His past ocular history is significant for hypertensive retinopathy, proliferative … Read more
A 40-year-old Hispanic male with a history of HIV presents with blurred vision, flashes and floaters in both eyes for 1 week. Best-corrected visual acuity is 20/25 in the right eye and 20/30 in the left eye. Intraocular pressures are 9 in the right and 11 in the left eye. There is an afferent pupillary … Read more
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