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Ophthalmology Unsolved Cases

A boy presented with red, itchy, watery eyes and small elevated lesions on both upper eyelids, which was diagnosed as allergic conjunctivitis. A 3-year-old girl presented with a left squint and decreased vision in the left eye, which was diagnosed as esotropia. A 50-year-old man presented with gradual painless vision loss and a white pupil reflex in the right eye, consistent with cataract. A 57-year-old woman presented with gradual painless vision loss, elevated intraocular pressure, and visual field defects, consistent with glaucoma.

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Dr-Irfan Habib
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125 views2 pages

Ophthalmology Unsolved Cases

A boy presented with red, itchy, watery eyes and small elevated lesions on both upper eyelids, which was diagnosed as allergic conjunctivitis. A 3-year-old girl presented with a left squint and decreased vision in the left eye, which was diagnosed as esotropia. A 50-year-old man presented with gradual painless vision loss and a white pupil reflex in the right eye, consistent with cataract. A 57-year-old woman presented with gradual painless vision loss, elevated intraocular pressure, and visual field defects, consistent with glaucoma.

Uploaded by

Dr-Irfan Habib
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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1. A 11 years old boy was brought to OPD with red, itchy and watery eyes since 2 years.

He has
small elevated lesions on both upper tarsal conjunctivas.
A. What is the diagnosis?
B. Explain the other signs.
C. How will you manage?
D. What complications can develop due to drugs prescribed in this condition?

2. A 3 years old girl is brought to you because her parents think she has developed a left squint.
On examination her acuities 6/6 right and left 6/60 unaided.
A. Define strabismus.
B. What are the different types of strabismus?
C. How will you manage esotropia under 3 years of age?

3. A 50 years old man complains of gradual painless loss of vision from right eye. On examination
his right eye pupil gives white reflex. His visual acuity with right eye is counting fingers, and left
is 6/18.
A. What is your appropriate diagnosis?
B. How will you manage the case with latest surgical concepts?

4. A 57 years lady presented with left eye gradual painless loss of vision. On examination her right
eye V/A is 6/24 and left 6/60. The intraocular pressure is 34mmHg in left eye. On perimetry
there are marked visual field defects.
A. What is your diagnosis?
B. What medical treatment you will provide to control IOP?
C. Name any one surgical procedure if medical treatment is gone failed.

5. An 08 years old boy is referred with foreign body sensations in both eyes. On examination the
lids were swollen. The lashes were observed misdirected and mating with crusts which on
peeling caused bleeding of lid margins.
A. What is appropriate diagnosis?
B. How will you manage?

6. A 27 years old man has come to OPD with bilateral swollen eye lids with mucopurulent
discharge. On cleaning the eyes the discharge appears again and again. On slit lamp
examination the conjunctiva are red and swollen.
A. What is the diagnosis?
B. Name any 3 types of conjunctivitis.
C. How will you manage the condition?

7. A 21 year old male has reported with right eye painful and watery discharge. The vision is
reduced and with difficulty to open the eye in presence of light. On examination there is
discontinuity of the corneal epithelium in the center.
A. What is your appropriate diagnosis?
B. Name the dye used to stain the cornea.
C. Give a brief non-surgical management.
8. A 30 years old woman has been referred to you with history of reduced visual acuity, pain and
watery discharge with severe photophobia from the right eye. On slip lamp examination her
conjunctiva is congested around limbus. Iris is muddy. Pupil is small irregular and adhered
posteriorly to the anterior lens capsule (posterior synechia).
A. What is the diagnosis?
B. Name the types of this clinical condition.
C. What is the medical non-surgical treatment?

9. A 21 years old male is complaining of difficulty in driving and looking at the board in the class
room due to blurring of vision for distant objects. His visual acuity for near is normal.
A. What type of refractive error he has developed and how will you define it?
B. Mention different types of errors of refraction.
C. What type of lens is used to correct this clinical condition?
D. Name any 02 surgical techniques for the correction of such type of refractive error.

10. A 12 years old girl comes to eye OPD with swollen, crusty lids, congested conjunctiva and
feeling of foreign body sensation. On detaching the crust from lid margin there is no bleeding
but only edema of lids.
A. What is your diagnosis?
B. How will you manage?

11. A 25 years old male complains of pain in right eye. He has reduced vision and on staining the
cornea, ulcer was present in the center of cornea.
A. What is the diagnosis?
B. How will you investigate?
C. How will you manage?

12. A 60 years old man presented with dimness of vision in left eye. On examination the colour of
the pupil was white due to cataract.
A. How will you investigate?
B. How will you manage?

13. A 67 years old farmer has noticed reduced vision in his right eye for one year. On examination
the intraocular pressure was 46mmHg in the right eye. On fundoscopy the optic disc ratio was
increased to 0.8. The anterior chamber was normal. There was no pain in the right eye.
A. Which type of glaucoma do you suspect?
B. How will you investigate and manage?

14. A 27 years old male comes to see you presenting with painless swelling of upper eyelid away
from the margin. He gives the history of 2 months.
A. What is your diagnosis?
B. How will you manage?
C. Differentiate between chalazion and stye.

15. A 4 months baby presents with an isolated right eye watering since birth. Her mother gives the
history of mating of eyelashes early in the morning on waking. There is no swelling and edema
of lids.
A. What is the diagnosis?
B. How will you manage if watering persists after frequent massage in the medial canthus?

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