2. A 50 Years old male patient presented
to the medical emergency room with
fever, malaise, rigors and cerebral
symptoms. By examination, he had
unilateral proptosis, edema and
congestion of the lids and
conjunctiva and tenderness and
edema over the mastoid region.
3. What is your provesional diagnosis?
What is the D.D. of this case?
What are the other ophthalmological
signs suspected to be found?
Is it an emergency case or not?
How could you manage this case?
4. A 45 years old female patient
presented with double vision on
looking upwards .She gave a history
of weight loss, excessive sweating
and increased irritability. By
examination, she had bilateral
proptosis. Anterior segment and
pupillary reactions were within
normal. BCVA of both eyes were 6/9
5. What is your provisional diagnosis?
What eyelid signs can be seen in this
patient?
What is the cause of the double
vision in this patient?
If diminution of vision occurs in this
patient what would be the possible
cause?
6. A 60 years old male patient presented to
ophthalmology casualty with acute
painless diminution of vision of his right
eye. Visual acuity of right eye was
HM.BP and of the left eye was 6/9.
Anterior segment examinations revealed
APD in the right eye. Posterior segment
examination revealed cherry red spot at
right macula.
7. What is the most probable
diagnosis?
What is the etiology of this
condition?
How could you manage this patient?
What is the D.D. of cherry red spot
of macula?
8. A 65 years old female patient
presented to ophthalmology clinic
with gradual painless diminution of
vision of her right eye. The patient
known to be diabetic 10 years ago.
9. By examination,BCVA of right eye
was 6/24 and of the left eye was 6/9.
Anterior segment examinations of
both eyes revealed IMSC. Posterior
segment examination revealed
bilateral hard exudates and dot hges
at mid-periphery of retina and right
hard exudates at the macular area.
10. What is the type of retinopathy does the
patient have?
What is the cause of the diminution of
vision of her right eye?
What are the investigations needed and
why?
How could you treat this patient?
11. A 70 years old female patient presented to
ophthalmology clinic with acute painless
diminution of vision of her right eye. The
patient known to be diabetic 15 years ago.
She received 3 laser cessions for each eye 1
year ago. BCVA of right eye was HM.GP.
and of the left eye was 6/24. Anterior
segment examinations of both eyes
revealed IMSC. Fundus of the right eye
could not be seen.
12. What is the most probable cause of her
right diminution of vision?
What are the fundus findings you
suspect to see in her left eye?
What is the investigation needed for
her right eye?
Mention causes of proliferative
retinopathy?
13. A 50 YOF presented by acute painless
diminution of vision of her right eye,
she complained of musca volitans and
photopsia which preceded the
diminution of vision. Her spectacle
corrections were -15.00D/-1.00Dx60, -
14.00D/-1.50Dx120
14. What is the probable cause of her
diminution of vision?
What are the types of this cause?
What are the signs suspected to be
seen in this patient?
What are the complications of high
myopia?
15. A 55 YOF presented with diminution of
vision of her right eye. She is known to be
hypertensive and glaucomatous on topical
anti-glaucoma TTT. By examination, BCVA
of both eyes were 6/24 and 6/9. Anterior
segment examination of both eyes were
normal. The right fundus showed dilated
tortuous veins with flame shaped
hemorrhages. The left fundus was normal
16. What is your provisional diagnosis?
What are the types of this disease?
What are the investigations needed?
What are the complications of all the
types of this disease?
How could you manage this disease?
