OPHTHO

Question 1

Shingle’s of the opthalmic branch of trigeminal nerve. What sign shows increased risk of corneal involvement?

Answer 1

Hutchinson’s sign - vesicles at the tip of the nose

Question 2

Common causes of sixth nerve palsy?

Answer 2

Diabetic neuropathy
Stroke
Infection
Trauma e.g. head knock

Question 3

Suspected orbital cellulitis. What investigations must be done immediately?

Answer 3

CT

to rule out local extension of the infection, which can lead to an intracranial abscess

Question 4

Wet vs Dry ARMD: Timeline

Answer 4

Wet = Months
Dry = Years

Question 5

Wet vs Dry ARMD: Fundoscopy findings

Answer 5

Wet = Macular oedema
Dry = Drusen (yellow protein deposits in the macula)

Question 6

Lid retraction, proptosis, lid lag and red, watery eyes
+ Grave’s disease

Answer 6

Thyroid eye disease

Question 7

Headache, red watery eye, onset in the dark.
Very acute.
Fixed, mid-dilated pupil + corneal oedema.
Hypermetropia (longsightedness)

Answer 7

Acute primary angle closure glaucoma.