小测试:进行性视力下降

  42岁男性,在过去的1-2年中出现进展缓慢的视力下降。有临床意义的既往病史包括糖尿病和高血压。使用的药物包括格列吡嗪、二甲双胍、赖诺普利、氢氯噻嗪和氨氯地平。没有已知的眼病史。右眼和左眼的最佳矫正视力分别为20/150 (略差于0.15) 和20/100 (0.2)。有临床意义的眼前节检查结果为双眼轻度晶体核硬化。眼底检查显示黄斑部有硬性渗出,双眼周边血管变细且有散在的微动脉瘤。上图为双眼荧光素血管造影(fluorescein angiogram,FA)后期的图像。   开始测试  

Quiz: Corneal Precipitates

History: You are examining a middle-aged glaucoma suspect and find these small, stellate, pan-corneal precipitates. What other ocular findings would you look for? Start Quiz  

Quiz: Small Eyes & Nystagmus

A 3-year-old boy presented with small eyes and nystagmus. His best-corrected visual acuity is 0.1 (20/200) in both eyes. Horizontal corneal diameters were 7mm bilaterally. Slit-lamp examination showed a 360-degree symmetric iris remnant of approximately 2mm in each eye, mild cortical and posterior subcapsular cataract, and some vitreous coming around the lens into the anterior … Read more

Quiz: Eye Mass Since Birth

A 7-year-old boy presents with a right eye mass present since birth. He has no pain or other symptoms. What could be happening? Start Quiz