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3 weeks post phaco/trab

65 year old s/p phacotrab with MMC 3 weeks prior to her presentation with 20/60 vision/IOP at 18 mm Hg.What do you see? What other co...

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8 year old with abnormal pupil

8 year old was found to have a fixed dilated pupil OD and small reactive pupil OS. See the pictures attached. Child came along with...

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65 year old with 20/200 vision c/o loss of peripheral vision

60 year old with black man presents with gradual loss of peripheral vision; IOP 12 mm HG OU on no meds. Optic nerve and OCT attched....

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Black dot in white angle

63 yo white male presents for a routine exam. Gonio picture is attached. IOP is 13//15. 1. What is pictured on gonio exam? 2. What is...

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65 year old with 20/200 vision

65 year old african american patient post un complicated cataract surgery presents with decreased vision. OCT findings attached. 1. W...

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42 year old with painful right eye

42 year old african american male presents with a painful right eye. Exam findings - Corneal epithelial staining /infiltrates, fine K...

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68 year old with abnormal pupil in the left eye

68 year old presented with glaucoma and abnormal pupil in the left eye. She was treated with Express and later AGV. IOP is controlled...

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45 yrs old presents with 20/40 OU and abnormal fundus appearance

Examine the attached fundus photograph and FA and answer the questions1. Vitamin A is a recommded treatment for this condition -T or...

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65 year old presents with distorted pupil

65 year old with distorted pupil. Has underlying glaucoma and s/p catarcat surgery.What do you expect the vision in the right eye to ...

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24 year old with bilateral red eyes of 5 days duration

24 year old african american patient presents with red teary eyes x 5 days . See attached photoWhen and if steroids are indicated in ...

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23 year old female with 3 weeks h/o red eye

23 year old female from india with 3 weeks h/o red right eye.. Exam picture attached.What is the pathophysiology of this condition?Wh...

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Eye pain with decreased vision in a 70 year old

70 yeat old presents with 2 day history of eye pain, minimal redness, IOP 42 mm Hg and vision of 20/40 OD. OS was normal. Slit lamp...

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Loss of vision in patient with history bilateral poor vision

23 year old presents to teh clinic with sudden loss of vision following severe bout of rubbing of the right eye Whta is the diagnosis...

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45 year old with bilateral VF defects

45 year old presents with vision of 20/20 OU; IOP 18 OD and 22 OS ; Pachymetery 545 OU; disc and VF attached. What is the likelyhood...

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9 year old with IOP of 30 OS and 24 OD

The most common corneal abnormaility associated with this condition is what ?Diagnosis: Axenfeld-Rieger syndromeThe most common corn...

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78 year old with 20/200 vision

78 year old presents with 20/200 vision in the right eye. OCT of the macula is shown. OCT of the left eye suggest normal retina with ...

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54 year old presents with blurred vision

54 year old with NTG presents with blurred vision. Fundus exam revealed scattred hemorrhages in the superior temporal quadrant. What ...

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Bilateral central visual field defects

54 year old female has the attached visual field defects. The most successful strategy to prevent her from loosing her central vision...

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3 year old with bilateral shallow chambers

3 year old presented for routine exam has an ocular exam shown in the picture. Note the first two were undilated and the third was fo...

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Tearing and eye pain

76 year old with constant tearing and eye pain has the apperance of the lid shown in the picture. What is the best way to manage this...

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45 year old with boggy pink conjunctiva and glaucoma

45 year old presented with a boggy conjunctiva (fIg 1) and diplopia. H/O intractable glaucoma in this eye x 2 years for which he was ...

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7 year old with limbal mass and decreased vision

7 year old presents with a limbal fleshy lesion and decreased vision. This lesion was surgically excised 2 years prior to presentatio...

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Swollen disc: Blurred vision

42 year old presents with blurred vision OD. Exam -20/20 OU; IOP 16 OU; NO RAPD; Color vision Full; Fundus exm attached. Upon questio...

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Black dot

60 year old with history of glaucoma presented to the clinic for the first time. On your exam you see what was shown in the picture. ...

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Story behind this angle?

43 year old presents with 20/30 OD, 20/20 OS ; IOP at 25 mm Hg OD on and 18 mm Hg OS on timolol/dorazolamide combo OU. Gonioscopy p...

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Holes and Glaucoma

67 year old presented with anterior segment as shown in the attached photo. VA 20/100; IOP 42 on 2 topical drops. What do you think i...

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Pain and loss of vision

72 year old patient with had trabeculectomy surgery for poorly controlled open angle glaucoma. His is S/P bypass and on asprin and BP...

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Bears and tracks

16 year old presented for routine exam. Dilated fundus exam showed the findings seen in the attached picture. What question do you ne...

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Intolerance to sunlight and tearing in a one year old

One year old presents with tearing and h/o intolerance to sunlight. What one drug would you avoid in the treatment of this condition...

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1 week h/o of diplopia followed by sudden loss of vision

82 year old presented with 1 week h/o diplopia. Examination suggested left 4th CN palsy, VA 20/20 OU/ IOP 12 OU. Routine tests includ...

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6 year old with cat eyes

6 year old was noticed to have cat eye apperance by mom. 20/20 vision/ IOP 28 mm HG OU. Anterior segment exam as shown in the attach...

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Pain and swelling medial canthal area

65 year old presents with 3 days h/o increasing pain, swelling inferior to the medial canthal area. What question do you like to ask ...

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Unilateral red eye and bilateral mid dilated pupils

62 year old presented with red right eye and slight visual disturbance. External photos taken at presentation are attached. What is t...

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25 year old from the middle east with chronic red eye

25 year old from teh middle east presents with chronic red eye and FB sensation. Examination revealed what was shown in teh picture. ...

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Sudden loss of vision with macula changes

40 year old with sudden change in vision presents with the fundus picture and accompanying OCT. What is the most likely systemic dise...

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Retro orbital hemorrhage

44 year old presented to the ER with severe proptosis and loss of vision following a bout of coughing. Vision was LP and IOP 60 mm H...

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40 year old with poor vision

40 year old patient presents with poor vision from childhood . Ocular exam revealed CF vision OU, IOP 15 OU, normal anterior chamber ...

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why is this HVF test worse than last year

65 year old advanced POAG pt presents for follow up examination. H/O Trabeculectomy X 4 years ago IOP controlled on all visits since ...

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cherry red spot on the lid

48 year old tennis player presents with h/o gradually increasing lum on the upper lid. What is the diagnosis and management?Merkel ce...

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skin problem with eye manifestations

56 year old presents with red watery eyes. What do you notice ? what is the reason for redness and epiphora? What other ophthalmic ma...

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Patient with KPs with elevated IOP

24 year old female with head aches and 20/50 vision OS has a corneal scar with underlying KPs (see photos) and IOP of 42 (see attache...

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Poor vision with deafness

45 year old presents 20/50 vision OU has the following funds exam. Refraction could not improve the vision. OCT of the macula and FA...

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Baldness, droopy lids and X Mas -What is it?

65 year old male with baldness and droopy lids presents with decreased vision secondary to cataract. Examination of the cataract reve...

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Recurrent medial conjunctivitis

58 year old female presents with recurrent episodes of medial redness, crusting and medial lid tenderness. What is the diagnosis and...

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Occlusion vs Seclusion? Which one would you prefer?

what is the name of the condition presented in the photos? What is the most likely cause for this presentation?Seclusio pupilae where...

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abnormal pupil apperance post surgery

Describe what you see in this 70 year old rather obese patient who recently underwent phaco/trab ?The attached photo suggest pupillar...

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Key hole pupil

What is the condition that you see in the photograph ? The reason for the defect to be in that particular locations is ?Coloboma orig...

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Ptosis after cataract surgery

65 year old presented with complete ptosis of her right eye. On exam , she had complete lack of LPS action with (first photo) and re...

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Poor vision and abnormal retina

Describe the fundus findings in this patient with CFs vision OU. Name the systemic diseases associated with this conditionRetinitis p...

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Rare syndrome that causes lens subluxation

43 year old presents to the clinic with a history cataract surgery when she was little. Look at her physical stature and take a guess...

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Lid problem with epiphora.

77 year old with chronic irritation of right eye. Describe the pathophysiology of the condition that you see?The lower lid is turned ...

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Multiple lid lesions in a 32 year old

32 year old with with multiple lesions on the lids on both eyes and some on the face. What is the diagnosis? What underlying disease...

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New born with blue eyes

A new born baby was referred with bilateral bluish appearance of the cornea. What do you think is the diagnosis and how do you procee...

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Corneal thinning with decreased vision

58 year old presents with gradual loss of vision OD > OS . A profile picture of his cornea and topography are shown. What is the diag...

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Mature cataract with pain

33 year old s/p retinal detachment surgery with gas presents with increasing pain and white mature cataract. Her IOP was 43 mm Hg. Wh...

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Dryness with prominent eyes

55 year old female with feeling of dry eyes OD > OS . What is the most likely cause for her clinical appearance that is shown in the...

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odd macula and poor vision

Abnormal macular reflex with decreased vision in a 25 year old25 year old presented with decreased vision (20/100). Macular exam sug...

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Nevus of the conjunctiva and lid

60 year old came for routine exam. Her right eye has this appearance. What is this condition associated with ? Do you want to follow...

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Small eye with extreme hyperopia

This 50 year old female presented with IOPs > 30 OU on maximum medications. What should you be careful about if you choose to do tra...

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Dense pigmentation on 45 year old patient

Gonioscopy on a 45 year old . What do you see? Guess what the IOP might be ? What is the preffered first line of treatment in these ...

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Patient with optic nerve changes

55 year old presents with gradual decrease in vision OD with RAPD, pale disc and abnormal blood vessels on the disc. How do do you w...

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Patient with Pigment deposit in the inferior fornix

55 year old with POAG presents with this dark/black pigment in the inferior fornix. What do you think this is? Adrenochrome deposits...

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Pt with blurred vision and blurred optic disc margins

54 year old presented with blurred vision. Optic disc examination revealed the following in both eyes. What is the diagnosis? What on...

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Pt with white lesion on the lid and elevated IOP

46 year old with white deposit in the upper lid and IOP of 28 mm Hg. What do you think is the link? This patient received Kenolog ...

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