A 19-year-old male patient visits his general practitioner with a complaint of sore eyes. He reports experiencing stickiness in his eyes upon waking up and a gritty sensation when he blinks. Dry eyes are not a concern. Upon examination, the only notable finding is slightly red eyelid margins. What is the most suitable treatment for the probable diagnosis?
A 7-year-old boy comes to your clinic with his mother. He reports that for the past year, he has been experiencing intermittent episodes of red, itchy eyelids. These episodes usually resolve on their own, but the current flare has been ongoing for over a month. The boy has not experienced any changes in his vision.
During the examination, the boy is cheerful and cooperative. His eyelids appear slightly red, and there is some foamy discharge on the lid margins with matting of the eyelashes. On the superior lid of his right eye, there is a small, tender, red lump in the medial canthus. However, his eye is not painful or red, and he has no fever.
What is the best initial management option for this 7-year-old boy?
A 25-year-old pregnant woman visits her General Practitioner (GP) with a complaint of redness, grittiness, and stickiness in both eyes for the past 5 days. She also reports experiencing whitish-yellow discharge on her lids, particularly in the morning. Upon examination, her vision is 6/6 in both eyes, and there is diffuse injection of the conjunctivae with mild chemosis. The cornea shows no fluorescein uptake. What is the recommended first-line treatment for this patient’s eye condition?
A 22-year-old woman comes to the General Practitioner (GP) complaining of redness, watering, and burning in both eyes for the past week. Upon examination, her vision is 6/6 in both eyes, but the conjunctivae are diffusely injected. Tender preauricular lymphadenopathy is noticeable when the face and neck are palpated. Further questioning reveals that she also has a sore throat and a stuffy nose. What is the initial treatment for this patient’s eye issue?
A 56-year-old female patient complains of photophobia and a painful, red left eye. During examination, a dendritic corneal ulcer is observed. The patient has recently finished taking oral prednisolone for an asthma flare-up. What is the recommended treatment for this condition?
A 72-year-old patient with poorly controlled type 2 diabetes mellitus arrives at the emergency department complaining of sudden visual disturbance that has been present for the past 2 hours. He describes dark spots obstructing his vision in his right eye, with a yellowish tint to his vision. What is the probable diagnosis?
A 54-year-old man visits his optician for a check-up after being diagnosed with type 2 diabetes mellitus. During the examination, the doctor examines the back of his eye using a slit lamp and observes the presence of cotton wool spots. What is the probable underlying pathology responsible for this finding?
A 7-year-old girl presents to the emergency department with complaints of swelling around her left eye. She has been experiencing this for the past 2 days and has also been feeling feverish and lethargic. The patient denies any history of trauma or vision loss.
Upon examination, the patient has a temperature of 38.2ºC and is found to have left-sided proptosis. All eye movements are painful and reduced in the affected eye. Fundoscopy is normal, and the patient has a visual acuity of 6/6 in the right eye and 6/12 in the left eye.
What is the most likely diagnosis?
As an FY-2 doctor in ophthalmology, you encounter a 59-year-old male patient who complains of pain in his right eye, accompanied by tearing and reduced vision. Upon examination, you diagnose a corneal ulcer. What is the most probable cause of this condition?
A 29-year-old man visits his General Practitioner (GP) with complaints of painful red eye on one side. Upon examination, the GP observes reduced visual acuity, photophobia, eye watering, and a poorly reactive pupil. The patient is suspected to have uveitis. What is the most suitable course of action for managing this patient?