A 9-year-old girl presents to the emergency department with increasing redness and swelling around her left eye over the past 48 hours. During the examination, she reports pain and double vision when her eye movements are assessed. There is also tenderness and erythema over the left eyelid. Her temperature is 38°C. Based on the probable diagnosis, what is the most suitable course of treatment?
A 25-year-old man visits his GP complaining of pain in his left eye, photophobia, and blurred vision that have been present for 2 days. He has no medical history but reports experiencing lower back pain that improves with exercise for the past year. During the examination, the doctor observes hyperemia of the sclera and yellow crusting on the patient’s eyelashes. The patient experiences pain during cranial nerve examination, making it difficult to follow the doctor’s finger with his eyes. Additionally, there is some swelling of his eyelids and constriction of the left pupil. What is the most appropriate next step, given the likely diagnosis?
A 57-year-old man presents with painful weeping rashes on his right upper eyelid and forehead, accompanied by acute punctate keratopathy. He had undergone chemotherapy for non-Hodgkin’s lymphoma about a year ago. No other abnormalities are observed. What is the most probable diagnosis?
After an uncomplicated pregnancy, a 20-year-old woman gives birth to a baby boy through vaginal delivery. During the one-week check-up, the infant is observed to have crusting and purulent discharge in the eyes. What should be the next course of action for the baby’s care?
A concerned mother brings her 8-month-old baby boy who has been experiencing recurrent eye problems. The baby has been having persistent sticky discharge and the mother has tried various drops and cleaning methods without success. Upon examination, the baby’s pupils are equal and reactive, the conjunctiva shows no signs of inflammation, the sclera is white, and the eyelids appear healthy. The baby has a normal gaze, a normal red reflex, and tracks objects in their visual field appropriately.
Based on the probable diagnosis, what is the best advice to offer the mother?
Which statement about childhood squints is accurate?
An 8-year old boy is referred for squint correction surgery on his left eye.
Regarding the extraocular muscles, which of the following statements is accurate?
A 35-year-old female accountant comes to the emergency eye clinic with a painful red eye on the right side. She reports a burning sensation around the eye, sensitivity to light, and excessive tearing. Fluorescein staining reveals a linear, branching epithelial defect. She has no history of wearing contact lenses and no significant medical history. What is the best course of action for management?
A 28-year-old man presented with a 5-day history of increasing pain, blurry vision and lacrimation in the left eye. He also felt a foreign body sensation in the affected eye. He had been doing some DIY work at home without wearing any goggles for the past few days prior to the onset of pain.
On examination, his visual acuities were 6/18 in the left and 6/6 in the right. The conjunctiva in the left was red. The cornea was tested with fluorescein and it showed an uptake in the centre of the cornea, which looked like a dendrite. You examined his face and noticed some small vesicles at the corner of his mouth as well.
What is the first-line treatment for this patient’s eye condition?
A 63-year-old man visits his optician for routine screening and is discovered to have elevated intraocular pressure without any symptoms. The diagnosis of primary open-angle glaucoma is confirmed. He has no significant medical history and is not taking any medications. Can you identify a potential treatment and its mode of action?