Ophthalmology

Question 1

• Painful, light-sensitive, pupil mid-dilated, eye is red
• Often, the cornea will be hazy

Answer 1

Acute Angle-Closure Glaucoma

Question 2

Answer 2

• Corneal infection with Herpes Simplex
• Other infections of the cornea are usually bacterial, which cause round ulcers

Question 3

Answer 3

Hyphema

Question 4

Answer 4

Vitreous Hemorrhage

Question 5

Answer 5

Central retinal artery occlusion

• There’s a little cherry red spot
• The white part of the reina is from lack of ophthalmic artery blood supply

Question 6

Answer 6

Calcification causing Amaurosis Fugax

Question 7

Answer 7

Amaurosis Fugax from a temporary arterial obstruction

Question 8

Answer 8

Talc emboli in IV drug user causing Amaurosis Fugax

Question 9

Answer 9

• “Blood and Thunder” retina
• Caused by central retinal vein occlusion

Question 10

Answer 10

• Retinal Detachment
• The hazy material below the “V” shape is the detached area of the retina

Question 11

Answer 11

• Ischemic optic neuropathy: giant cell arteritis
• Note the swollen disc with indistinct borders

Question 12

Answer 12

Papillitis

-Swollen, inflamed disc that’s elevated with indistinct margins

Question 13

Answer 13

• Blephritis
• Lid crusting, redness, and loss of lashes

Question 14

Answer 14

Ectropion

Question 15

Answer 15

Entropion

Question 16

Answer 16

Hordeolum (AKA “Stye”)

Question 17

Answer 17

Orbital Cellulitis

Question 18

Answer 18

Dacryoadenitis

Question 19

Answer 19

Dacryocystitis

Question 20

Answer 20

Gonococcal Conjunctivitis

Question 21

Answer 21

Viral Conjunctivitis

Question 22

Answer 22

Allergic Conjunctivitis

Question 23

Answer 23

Subconjunctival Hemorrhage

Question 24

Answer 24

Episcleritis

Question 25

Answer 25

Pinguecula

Question 26

Answer 26

Pterygium

Question 27

Answer 27

Corneal Abrasion

Question 28

Answer 28

Acid Burn

Question 29

Answer 29

Corneal Abscess

Question 30

Answer 30

Iritis

Question 31

Answer 31

• Primary Open-Angle Glaucoma (POAG)
• Note the large, deep cupping of the optic nerve head

Question 32

Answer 32

Congenital Glaucoma

Question 33

Answer 33

Cataract

Question 34

Answer 34

Congenital Cataract

Question 35

Answer 35

Optic (disc) Atrophy

Question 36

Answer 36

Non-Proliferative Diabetic Retinopathy (NPDR)

Question 37

Answer 37

• Proliferative Diabetic Retinopathy
• Note the new vessels on the retina that are very thin and fine

Question 38

Answer 38

Diabetic Vitreous Hemorrhage

Question 39

Answer 39

AV Nicking from HTN

Question 40

Answer 40

• Hypertensive changes
• Swollen disk, hemorrhages, cotton wool spots

Question 41

Answer 41

Leukemia Retinopathy

Question 42

Answer 42

Sickle Cell Retinopathy

Question 43

Answer 43

Sarcoidosis

Question 44

Answer 44

Sarcoidosis “Candlewax drippings” in sarcoid vasculitis

Question 45

Answer 45

Basal Cell Carcinoma

Question 46

Answer 46

Choroidal melanoma

Question 47

Answer 47

Melanoma of the iris

Question 48

Answer 48

Conjunctival Lymphoma

Question 49

Answer 49

Metastatic Carcinoma of the Choroid

Question 50

Answer 50

Kaposi’s Sarcoma

Question 51

Answer 51

-Subcapsular cataract from steroid use

Question 52

Answer 52

Bullseye lesion from Chloroquine

Question 53

Answer 53

Whorl lesion in the corneal epithelium from Amiodarone usage