A 55-year-old woman, in good health, visits your clinic with a complaint of an itchy, watery, red right eye that has been bothering her for one day. She reports no vision problems and there is no discharge from the eye. Upon examination, you observe chemosis and redness in the affected eye. What is the most appropriate course of action to take next?
A 65-year-old man presents with a brief history of painless diplopia that he first noticed while reading. The images are horizontally and vertically separated, although he notes that the degree of separation varies. During examination, the visual acuities are 6/6 in either eye. There is no pupil abnormality. There is a left ptosis, partially covering the pupil, and reduced abduction and depression of the left eye, both in abduction and adduction, with other ocular movements appearing normal. There is no other abnormality on examination. He reports that his right upper eyelid sometimes droops as well.
What is the most probable diagnosis? Choose ONE option only.
A 35-year-old man presents to the Emergency Department claiming to have lost the vision in his left eye. While sitting at his desk he started to see a shower of black spots in his vision. These rapidly increased, becoming larger and more numerous until he could not see at all. This has persisted over a period of five hours. He has diabetes, which has been very poorly controlled in the past. He previously had laser treatment to both eyes; however, he has not attended follow-up appointments in the last 12 months.
What is the most likely explanation for this patient’s presentation?
A 25-year-old man has a 3-week history of persistent conjunctivitis in his right eye. He has tried using over-the-counter medication but this has not helped. Of note, he returned from a visit to Amsterdam four weeks ago, following which he was treated for urinary symptoms at the local walk-in centre. On examination, he has some mucopurulent discharge and hyperaemia. The inferior tarsal conjunctival follicles are obvious.
What is the most likely diagnosis?
A 40-year-old woman presents with progressively worsening headaches over the past four months. The headaches are more severe in the morning, when she lies flat, and when she coughs or strains. She also experiences brief episodes of blurred vision.
Her blood pressure is 150/90 mmHg, and her heart rate is regular at 72 bpm. Her BMI is 36 kg/m2.
An image of the left retina is displayed below:
The right retina has a similar appearance.
What is the most probable diagnosis?
A 75-year-old man who had a right cataract surgery two weeks ago comes to see you to ask for help, as he has lost/mislaid the postoperative (post-op) medication given to him after the surgery, sometime in the last 24 hours. He says that he has a post-op ophthalmology clinic appointment scheduled for four weeks’ after surgery.
Which one of the following would be the best next step in managing this man’s condition?
You are conducting a HGV medical examination on a 65-year-old truck driver. He reports a decline in his vision but doesn’t use corrective lenses. What is the method used to verify if he should be cautioned against driving according to DVLA standards?
A 5-week-old girl presents to your clinic with a three-day history of mild yellow discharge from her right eye and a 9 mm erythematous swelling inferior to the medial canthus of the right eye. Her mother reports that her eyes have always been watery. Upon examination, she has a temperature of 38.3°c. What is the most probable diagnosis?
A 42-year-old diabetic man is seen in the Diabetes Clinic with decreased visual acuity. When referred to the Eye Clinic, the Ophthalmologist inquires about the patient’s risk factors for macular edema.
What is the most significant risk factor? Choose ONE answer only.
A 32-year-old man comes to the clinic after getting cement in his eye while working on a construction site. He is experiencing severe pain in the eye, sensitivity to light, and is having difficulty with examination due to intense blepharospasm. What is the most suitable initial course of action in this scenario?