Opthalmology

Question 1

sudden painless loss of vision, severe retinal haemorrhages (cheese and tomato’s) on fundoscopy
Flame-shaped and blot haemorrhage

Answer 1

Central retinal vein occlusion

Question 2

Central artery vein occlusion

Answer 2

pale retina with a red macula (cherry-red spot)

Question 3

Retinal detachment

Answer 3

Preceding flashes or floaters
fall in visual acuity
field defect
Painless sudden vision loss

Question 4

neonatal conjunctivitis

Answer 4

Refer immediately to an ophthalmology unit

Question 5

Marcus Gunn

Answer 5

Afferent pupillary defect

When a light is swung from eye to eye the right pupil dilates when light is shone into it

Question 6

optic neuritis

Answer 6

entral scotoma, loss of colour vision and a relative afferent papillary defect

“Patient sees nothing. Doctor sees nothing.”

Question 7

Iritis/anterior uveitis

Answer 7

Painful red eye
Photophobia
Poor vision
    \+
Constricted pupil

Question 8

Galucoma

Answer 8

Painful red eye
Photophobia
Poor vision
    \+
Dilated pupil

Question 9

allergic conjunctivitis

Answer 9

Sodium cromoglicate

lodoxamide and nedocromil

Question 10

Sjogren’s syndrome

Answer 10

Dry eye
dry mouth
bilateral parotid swelling

Question 11

eye condition that needs DVLA notification

Answer 11

bilateral glaucoma

Question 12

Absent red reflex

Answer 12

Cataract or retinoblastoma

Question 13

Common eye condition after (2-4 months) of cataract surgery

Answer 13

Cystoid macular oedema