3. • Analysis of every phrase
• Take care of every word
• Every word has a significance
• Don’t rush to the final diagnosis
• Write in a step wise approach
6. • Female patient aged 46 years old
complaining of right rapid deterioration of
vision since yesterday with pain,
photophobia, lacrimation and headache.
• A. What is the differential diagnosis of the
case ?
7. • Examination of this case revealed: right eye
VA: 1/60, ciliary injection, corneal edema,
shallow anterior chamber, with dilated oval
pupil. Fundus coul not be examined due to
hazy media.
• Left eye VA: 6/9 with +4 glasses, shallow
AC
• B. Comment on final diagnosis and how to
manage such case
9. • Male pat. Farmer, aged 6oys came to
complain of diminution of vision (fogy
vision) of both eyes, more in the right eye.
• Gradual, progressive, painless since 6
months in the right eye and recently in the
left eye.
• It is more in the day light.
• No treatment received before.
10. • On examination:
• VA: OD 3/60. OS 6/36 not corrected
• Anterior segment was normal, pupil was
regular and reactive, greyish coloration
of the pupillary area with presence of iris
shadow in both eyes, IOP was normal,
fundus was normal
11. • Comment on the case
• Age: senile problem
• C / O ………...DD
• Exclusion of other pathologies
• Final diagnosis
• Investigation
• Management
17. • Male patient 50 years old
• Co/ Left red eye , pain photophopia ,
lacrimation& diminution of vision .
• Past History
• Diabetes millitus
• Chronic inflammation of left lacrimal sac
20. • 50 years female
• Co/ sudden appearance of black curtain in
front of left eye with marked diminution of
vision
• Past history of wearing heavy glasses for
long period
23. • A Male diabetic patient aged 50 years old.
• Came to complain of a rapid diminution of
vision of the left eye, with photopsia and
micropsia, the duration of diabetes was
15ys.
• There was positive family history.
24. • On examination it was found that the visual
acuity after correction of the Rt eye was
6/12 & the left eye was C.F. 3/60.
• By fundus biomicroscopy the macular area
was found edematous with spots of deep
hemorrhage.
