Category: Ophthalmology

MRCP-0712

A 29-year-old accountant presents to the emergency department complaining of left eye pain. He has not been able to wear his contact lenses for the past 24 hours due to the pain. He describes the pain as severe and wonders whether he has ‘got something stuck in his eye’. On examination, there is diffuse hyperaemia of the left eye. The left cornea appears hazy and pupillary reaction is normal. Visual acuity is reduced on the left side and a degree of photophobia is noted. A hypopyon is also seen. Which of the following is the most likely diagnosis?

MRCP-0713

A 67-year-old retired physician presents to ophthalmology clinic after seeing his optician. Raised intra-ocular pressure and decreased peripheral vision was noticed. His past medical history includes asthma and type 2 diabetes mellitus. What is the most appropriate treatment given the likely diagnosis?

MRCP-0714

A 70-year-old retired software developer with a history of primary open-angle glaucoma presents with sudden painless loss of vision in his right eye. On examination of the right eye, the optic disc is swollen with multiple flame-shaped and blot haemorrhages. Which of the following is the most likely diagnosis?

MRCP-0715

A 62-year-old laboratory technician presents to the ophthalmology emergency department with sudden onset painless loss of vision in the right eye. He describes it as having a dense shadow over his vision, progressing from the periphery to the centre. He has no past medical history of note. Which of the following is the most likely diagnosis?

MRCP-0716

A 39-year-old professor presents with visual problems. He has had very poor vision in the dark for a long time but is now worried as he is developing ‘tunnel vision’. He states his grandfather had a similar problem and went blind in his 50’s. Which of the following is the most likely diagnosis?

MRCP-0702

A 68-year-old fashion designer presents to his GP complaining of pain in his right eye. On examination the sclera is red and the pupil is dilated with a hazy cornea. Which of the following is the most likely diagnosis?