A six-year-old girl presents to your clinic with a two-day history of red eyes. There was no known injury to her eyes. She has clear discharge from both eyes and no symptoms of a cold. Upon examination, her visual acuity is normal, but both upper eyelids are swollen and the conjunctiva is red bilaterally. There is no lymphadenopathy and she is not running a fever. You suspect she has acute infective conjunctivitis.
What is the best course of treatment for this patient?
A 68-year-old man presents to his GP with complaints of blurred vision in his left eye and difficulty reading, with lines appearing wavy. The GP suspects age-related macular degeneration. How urgently should the patient be referred for further assessment?
A 72-year-old man who had a left cataract surgery one week ago, presents with a one day history of intense dull, painful, red left eye with markedly reduced vision. He also has a left frontal headache and feels nauseated.
Which one of the following would be the best next step in managing this man’s condition?
A 32-year-old man comes to the clinic complaining of a red eye on the left side that has been bothering him for three days. He reports experiencing photophobia, pain, blurred vision, and tearing. There is no visible discharge, and he has never had a similar episode before.
What would be the best course of action for managing this patient’s symptoms?
A 63-year-old woman comes to the clinic with a brownish discoloration that has appeared medial to the iris. She has noticed it increasing in size over the past three months. She had lived in South Africa for the past 20 years and moved to the UK for her retirement six months earlier.
Her medical history includes hypertension, which is controlled with indapamide, and a cholecystectomy. During routine examination, you notice an irregularly edged brownish lobular lesion a few millimetres across, medial to the iris, within the conjunctiva.
What is the most appropriate next step?
Which of the following statements about the medical management of ophthalmic disease is not correct?
A 40-year-old woman presents with bilateral blurring of vision accompanied by light sensitivity and eye pain. Upon examination, you observe that her eyes are injected. She also reports experiencing ankle pain and displays tender erythematous lesions on her shins. A chest X-ray reveals hilar lymphadenopathy. What is the most probable diagnosis?
A 35-year-old lady, who has a history of hay fever, visited your clinic complaining of bilateral itchy, watery, and red eyes that have been bothering her for the past three days. She reported no discharge and no changes in her vision. You prescribed topical ocular mast cell stabilizers, but she returned two days later, stating that her symptoms have not improved. What would be the most appropriate next step in managing this patient’s condition?
A 60-year-old woman presents to you with sudden loss of vision in her left eye while shopping. She reports two similar episodes in the past month that resolved within minutes. She has no other symptoms and is generally healthy, with a history of hypertension and ischaemic heart disease. Her vision is reduced to counting fingers. What is the most probable diagnosis?
A 72-year-old man had cataract surgery seven months ago. Initially, this seemed very successful but he has recently become aware of blurring of his vision and glare when driving at night. He wonders if his cataracts have grown back. Examination of his eye reveals no abnormality of the pupils or fundus.
What is the single most likely diagnosis?