Ophthalmology

Question 1

what investigation would you do if someone had a possible eye foreign body with high speed projectile?

Answer 1

orbital x-ray

Question 2

what are some common symptoms of acute glaucoma?

Answer 2

eye pain
halos
n&v
reduced vision

Question 3

photophobia and mild LOV, most likely dx

Answer 3

iritis

Question 4

red eye with pain that prevents sleep, most likely dx

Answer 4

severe scleritis/keratitis

Question 5

what test do you do on any patient with eye symptoms?

Answer 5

visual acuity

Question 6

how do you report visual acuity

Answer 6

6/….
counting fingers
hand movement seen
light

Question 7

symptoms/signs of ocular allergy

Answer 7

ITCH, no itch, no allergy
lid and conjunctival oedema
watery eye with mild mucous production

Question 8

complications of ocular allergy

Answer 8

corneal abrasions from conjunctival oedema

Question 9

dry eye especially if reading for a while. sometimes irritable and foreign body sensation.
OE: red eye borders, mild oedema

dx?

Answer 9

Blepharitis

Question 10

Blepharitis tx

Answer 10

lubricant drops
warm compress
lid hygiene (systane/baby shampoo)

Question 11

flashes in corner of eye “like someone’s taking a photo”

dx?

Answer 11

retinal detachment

Question 12

sx: floaters
OE: loss of RUQ of visual fields
dx?

Answer 12

retinal detachment