Ophthalmology

Question 1

Orbital cellulitis

Answer 1

Presents as unilateral onset swelling, proptosis and reduced eye movement

Question 2

Drusen

Answer 2

Yellow exudates seen in DARMD

Question 3

Ectropian

Answer 3

Outwards turning of the eyelid that causes soreness and eye watering

Question 4

Acute glaucoma

Answer 4

• severe pain
• vomiting
• red eye
• decreased visual acuity

Question 5

Acute angle-closure glaucoma

Answer 5

Definitive treatment is with laser iridotomy

Question 6

Anterior uveitis

Answer 6

• small fixed oval pupil
• ciliary flush and congestion
• associated rheumatology

Question 7

Acanthamoeba

Answer 7

Pain out of proportion with clinical presentation and contact lens use

Question 8

Retinitis pigmentosa

Answer 8

• night blindness
• tunnel vision
• family history

Question 9

Argyll-Robertson pupil

Answer 9

Pupil accommodates but pupillary reflex is absent

• neurosyphilis
• diabetes mellitus

Question 10

Blepharitis

Answer 10

• bilateral grittiness
• discomfort
• sticky in the morning
• manage with warm compress

Question 11

Anisocoria

Answer 11

When worse on bright light implies a problem with the dilated pupil

Question 12

Hutchinson’s sign

Answer 12

Vesicles from herpes zoster appearing on the nose and related to ocular involvement and anterior uveitis

Question 13

Anterior uveitis

Answer 13

Managed with steroid and cycloplegic drops

Question 14

Childhood squint

Answer 14

Refer to ophthalmology

Question 15

Latanoprost

Answer 15

Increases uveoscleral outflow

Question 16

Posterior vitreous detachment

Answer 16

Associated with flashes and floaters