Quiz: Visual Hallucinations

This 89-year-old female presents with a complaint of blurry vision and “seeing multiple colors” in both eyes for the past day.  In addition to the unusual colors, she also reports seeing multiple strange shapes.  She denies any pain, floaters, or previous episodes.  She has a history of neovascular age related macular degeneration (ARMD) in both … Read more

Quiz: Decreased Vision in Both Eyes

A 7-year-old male presented with decreased vision in both eyes. There is no history of previous eye issues or surgery and no family history of unusual eye conditions. The child is otherwise healthy. Uncorrected visual acuity is 20/400 right eye and 20/320 left eye. Slit lamp examination findings are as seen in the photos. What … Read more

Quiz: Red Eye & Larvae

A 15-year-old male presents with a red eye present since awaking that day. He reports that he “removed a number of larvae” from his right eye earlier that morning. Now the eye is red, congested, and has a foreign body sensation. Visual acuity is 20/20 uncorrected in either eye. On slit lamp examination, one “larvae” … Read more

Quiz: Chronic Conjunctivitis

A 76-year-old female presents with chronic conjunctivitis, tearing and discharge of the left eye. There is also edema and slight pain on palpation in the inner canthus of the left lower eyelid. Her visual acuity is normal, and the remainder of the examination is unremarkable. Start Quiz  

Quiz: Progressive Periocular Swelling

An otherwise healthy 55-year-old male presented with a history of 18 months of tearing in the right eye and progressive periocular swelling near his right brow.  There was no eye pain, vision loss, or diplopia.  Examination revealed best corrected visual acuity of 20/20 in both eyes with normal intraocular pressure, motility, and pupils.  External exam … Read more

Quiz: Occasional Photopsias

A 65-year-old white male with occasional photopsias is referred from an outside ophthalmologist for a pigmented lesion of his eye. The patient has an extensive cardiac history and a smoking history of 30 packs of cigarettes a year. Visual acuity, intraocular pressure, pupils and anterior segment exam are all normal for both eyes. Dilated fundus … Read more

Quiz: Pain, Redness & Headache

A 60-year-old black male presents with a three-day history of right eye pain, redness, right temporal headache and epiphora for the past 3 days. He denies any history of recent eye trauma or eye surgery. He has a history of poor vision in the right eye for many years. Past ocular history is significant for … Read more