Ophthalmology Quiz RMU Eye Department

A 16 yr old high Myope boy comes to the eye opd with c/o sudden loss of vision in Rt eye.visual Acuity in Rt eye is 6/60.on examination inferior Rhegmatogenous RD with an infero-temporal break is seen with no PVR.what is the best Treatment plan in this patient?

A 20 yr old young man presents to eye opd with c/o blurring of vision and distortion of images in both eyes which is sudden in onset after a flue like illness. His VA is 6/24 in both eyes. On fundus examination multiple creamy white lesions are seen scattered all over the retina in both eyes and involving the macular area also. Most probable diagnosis is:

A 25 year old patient presents with reduced vision a few weeks after undergoing phacoemulsification with IOL in his right eye. On examination his VA is 6/36 OD and 6/6 OS. FFA is done and shows a flower petal like hyperfluorescence. You decide to perform electrophysiological testing. Which of the following is the most relevant investigation in this patient?

An 11 year old boy on routine fundoscopy is found to have a yellowish egg-yolk like lesion at the centre of the macula in both eyes. His BCVA is 6/6p OE. Electrophysiological testing is done. Which of the following is the most likely information to be obtained?

30 years old woman referred by optometrist for unusual appearance of optic disc of her left eye. Her VA was 6/6 in right eye and 6/12 in left eye. Dilated fundus examination revealed Orange to reddish juxtapapillary mass with tortuous dilated vessel in left eye. History revealed her mother died of brain hemorrhage in fourth decade of life and brother was operated for renal carcinoma. The most probable phakomatosis she is suffering from

65 year old Caucasian man came to clinic for routine checkup. His fundus evaluation showed an incidental finding of grayish pigmented dome shaped mass inferotemporal to disc with dimensions of 6mm×5mm in right eye.VA in same eye was 6/12. His ICGA showed hypoflourescence. Bscan showed acoustic hollowing. Which is best possible treatment modality for this patient?

A) Transcleral choroidectomy

B) Transpupillary thermotherapy

C) Episcleral Plaque radiotherapy

D) Stereotactic radiotherapy

E) Enucleation and chemotherapy

A 68 years old patient, presents to Eye OPD with complain of sudden painless sectoral visual loss in his right eye. On examination his VA of RE is 6/9 and on fundal examination he is found to have a superotmporal branch retinal vein occlusion. What would be the treatment of choice for this patient

A 78 years old patient presents to OPD with the complain of visual loss in his right eye 6 months back. His past record shows that he was diagnosed as a case of Central Retinal Artery Occlusion (CRAO) by some ophthalmologist. Now on examination, he is found to have VA of PL + ve RE. What will be the most probable finding in right fundus

A 45 years old male, diabetic for last 20 years, suddenly developed many thousands of tiny floaters followed by blurring of vision in right eye. His left eye has been completely blind for 2 years. On examination of Right eye there was poor visualization of inferior and temporal retina. The visible findings in right fundus were NVDs, NVEs, old laser scars and 2 tractional retinal bands near temporal arcade. Left fundus showed rather more extensive tractional retinal bands, also involving the macula, laser marks, NVDs and NVEs. What’s the most Probable cause of sudden loss of vision in right eye?

22 years old male presented with gradual blurring of vision both eyes alogwith nyctalopia for last 2 years. On examination best-corrected visual acuity was 6/36 both eyes. The positive ocular examination findings were: B/L extensive bony spicules pigmentation extending from the vascular arcades to the periphery, marked arterial attenuation, waxy disc pallor with unhealthy maculae. Visual fields were grossly constricted. What is the common autosomal dominant disorder associated with this retinal disease?

A thirty five years old male presented with halos around light in right eye for two weeks. He has complaint of night blindness since childhood. Which drug will most probably be helpful for resolution of his current complaint

A twenty five years old high myopic male presented with sudden curtain like decrease in vision of right eye. It is associated with flashes and floaters, his anterior segment show cells + one and IOP 28 mmg. What is the most probable diagnosis

A twenty years old male presented with sudden decrease in vision in left eye for five days. He has history of trauma with tennis ball four weeks ago. What is the most likely cause of his decrease vision?

A 1 month old baby boy is brought by his parents to eye outpatient department. His peadiatrician has referred him for visual assessment as he was born on 28th week of gestation and weighed 1.8 kgs. His dilated fundus examination shows a thin, flat grey-white line running parallel to orra serrate in zone 1. There are also dilated tortuous vessels involving the temporal quadrant of retina. Vitreous haze is also present

Follow-up and observation

Intravitreal anti VEGF injections

Laser ablation within 72 hours

Laser ablation after 2 weeks

Pars Plana Vitrectomy after 2 weeks

A 32 weeks of gestation, 1.5 kgs male child born to a 25 years old lady. He had respiratory distress. He remained on ventilator for 2 days then on 100% oxygen therapy for three days. Lead in: for an early diagnosis of retinopathy of prematurity when should the screening start

A 40yr old man has sudden painless decrease in vision LE for 3 days. LE DVA of 6/18 improved to 6/9 with +1.0DS. RE Funduscopy showed acute central serous chorio retinopathy, confirmed on OCT. Which one of the following treatments give its earliest resolution:

A 45 year old hypertensive woman presents to you in OPD with complaint of gradual decrease of vision of right eye in 2 weeks.There is no history of trauma. On exam there is grade-II hypertensive retinopathy with Right macular edema. On FFA there is uniform filling of macro aneurysm along with flower-Patel appearance. Most likely initial management should be

Ophthalmology Quiz RMU Eye Department

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