History taking

Question 1

What do “flashes” suggest

Answer 1

Flashes are called photopsia

These suggest posterior vitreous detachment

Question 2

What may symptoms of vitreous detachment precede?

Answer 2

Symptoms of vitreous detachment may precede retinal detachment

Question 3

Patient may complain of a progressively developing field defect, like a “shadow” or a “curtain”

Answer 3

Retinal detachment

Question 4

Symptoms of this eye condition may be worse in the morning

Answer 4

Blepharitis

Question 5

This condition is worse with eye movment

Answer 5

Scleritis

Question 6

What is the sclera?

Answer 6

The white outer layer of the eye, at the front it is continuous with the cornea

Question 7

Is the eye dry or gritty?

Answer 7

Keratoconjunctivitis

Blepharitis

Question 8

Is the eye watery?

Answer 8

Keratitis, iritis

Allergic conjunctivitis

Question 9

Is there any photophobia?

Answer 9

Keratitis, iritis, glaucoma

Question 10

What is enopthalmos?

Answer 10

Posterior displacement of the eyeball within the orbit

Question 11

Signs of blow-out fracture

Answer 11

Patients with blowout fractures may have enopthalmos with limitation of eye movements, particularly upward and downward gaze

Question 12

Is the eye sticky

Answer 12

Bacterial conjunctivitis

Blepharitis

Question 13

What might an enlarged blind spot be a sign of?

Answer 13

Swollen optic disc

Question 14

Anisocoria

Answer 14

Asymmetry between pupils

Question 15

Lack of a normal consensual pupillary response may suggest

Answer 15

Damage to one or both optic nerves

Damage to Edinger-Westphal nucleus