Clinic: Images deck

Question 1

Answer 1

anterior subcapsular cataract

Question 2

Answer 2

Posterior subcapsular cataract

Question 3

Answer 3

EKC

Question 4

Answer 4

AMD

Question 5

Answer 5

BRVO

Question 6

Answer 6

Ischaemic CRVO

Question 7

Answer 7

Non ischemic CRVO

(variable dilated, tortuos veins; retinal heamorrhages; retinal thickening; OD oedema)

Question 8

Answer 8

BRVO

Question 9

Answer 9

CRAO

Question 10

Answer 10

BRAO

Question 11

Answer 11

L ONH with inferior notch and a CDR of 0.8
(This is a cfp by the way so not flipped)
(this particular patient from pharma also had a superior arcuate VF defect and was diagnosed with NTG, Diurnal IOP was identified as 21, then put on xalatan with a target pressure of 15)

Question 12

Answer 12

R: sup rim vessel bayonetting (blue arrow), inf rim thinning (white arrow), subtle RNFL loss (black arrow)
L: sup rim thinning (blue arrow), inf rim thinning (white arrow)
NB: This was a patient with early asymptomatic glaucoma (pharma june 2020)

Question 13

Answer 13

GCC thickening from a significant R ERM

Question 14

Answer 14

Fundus: R inf RNFL thinning L sup/inf RNFL thinning
OCT: R Inf-temp wedge-like RNFL defect L sup/inf-temporal wedge-like RNFL defect
VF (24-2): were not concordant with structural findings
(this patient from pharma also had heavily pigmented TM, posterior iris bowing, and bilateral krukenberg spindle - so everything together suggested a structural pigmentary glaucoma, and pt was referred to ophthalm for consideration of tx. IOP was R 15 L 19. CCT was 600ish OU)

Question 15

Answer 15

Choroidal naevi with drusen at the macula (left) and midperiphery (right)

Question 16

Answer 16

Choroidal naevus with a central pigmented area and a surrounding halo. Are associated with reduced rate of transformation to choroidal melanoma

Question 17

Answer 17

papilloedema

Question 18

Answer 18

Recent superior retinal detachment
[H33.011-013]

Question 19

Answer 19

CRVO

Question 20

Answer 20

BRVO

Question 21

Answer 21

Stage 3 Hypertensive Retinopathy (due to presence of the haemorrhages)

Question 22

Answer 22

atrophic/dry amd

Question 23

Answer 23

glaucomatous optic atrophy

Question 24

Answer 24

Subretinal haemorrhage in exudative/wet AMD

Question 25

Answer 25

Full thickness macula hole

Question 26

Answer 26

Degenerative drusen temporal to the macula (H35.361-363). This is actually an asymptomatic 20-30yo genetic problem.

Question 27

Answer 27

Macula Pucker secondary to ERM [H35.371-373]

Question 28

Answer 28

Retinitis Pigmentosa

Question 29

Answer 29

Central serous chorioretinopathy (CSCR. H35.711-713)

Question 30

Answer 30

Asteroid hyalosis [H43.21-23]

Question 31

Answer 31

Recent onset Retrobulbar Neuritis (a week ago or less probably. H46.11-13). Trololol

Question 32

Answer 32

Epiretinal membrane

Question 33

Answer 33

Vitreous degeneration

Question 34

Answer 34

Choroidal naevus temporal to the macula

Question 35

Answer 35

Corneal infiltrates seen in adenoviral keratoconjunctivitis (so we're talking EKC, PCF) [B30.0 - decision maker plus]

Question 36

Answer 36

Metallic foreign body embedded in the peripheral cornea

Question 37

Answer 37

Band keratopathy. Legit. It doesn't look like it but still. Normally looks white-ish. (H18.423 ). Btw did you know band keratopathy can occur more peripherally ssometimes rather than central.

Question 38

Answer 38

Hyphema secondary to blunt ocular trauma

Question 39

Answer 39

Posterior synechia in chronic iridocyclitis [https://www.youtube.com/watch?v=oOrWDt1o1gk]

Question 40

Answer 40

Temporal pallor of the optic disc in partial optic atrophy [H47.291-293]

Question 41

Answer 41

Recurrent corneal erosion occurring in the pupillary region

Question 42

Answer 42

CL induced exposure keratopathy causing a peripheral staining pattern

Question 43

Answer 43

corneal bulging or rupture of descemets membrane secondary to post lasik ectasia

Question 44

Answer 44

Congenital optic pit with associated macular edema

Question 45

Answer 45

Sudden corneal opacification in acute corneal hydrops (i.e. in keratoconus)

Question 46

Answer 46

Railroad track image characteristic of posterior polymorphous dystrophy

Question 47

Answer 47

EBMD

Question 48

Answer 48

corneal guttata (indicative of a corneal endothelial dystrophy like Fuchs)

Question 50

Answer 50

Lash collarettes associated with anterior blepharitis. [a ring-like formation around the lash shaft]

Question 51

22yo F patient, morning headaches.

Answer 51

mild papilloedema LE with few week old haemorrhage