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?
What is the most common visual field defect associated with multiple sclerosis?
A 60-year-old woman has been recently diagnosed with chronic open-angle glaucoma. The Ophthalmologist also comments that she has mild bilateral cataracts. When light from a pen torch is shone into the left eye, both pupils constrict. When the torch is moved to the right eye, both pupils appear to be more dilated.
Which of the following most correctly identifies the significance of this finding?
A 75-year-old woman with a history of polymyalgia rheumatica presents to her General Practitioner with a sudden loss of vision in her right eye. For the previous few days, she had been suffering from right-sided temporal headache, muscle aches and tiredness. She also noticed her jaw was getting painful after a few minutes of chewing.
What single investigation would most strongly support the most likely diagnosis?