most common opthalmology slides with anwers

Most Commom Ophthalmology slides with answers

Maded by SMT team www.sciencesway.com

What is the diagnosis? Complications ?

Answers Diagnosis : Entropion of lower lid with trichiasis Complications: Chronic conjunctivitis, conjunctival scar, corneal ulcer & corneal opacity

What is the diagnosis? Treatment ?

Answers Diagnosis : Cicatricial ectropion Treatment : V to Y plasty or Z plasty

- What is the diagnosis? - Surgical operation in the lid ?

Answers Entropion in lower lid, trichiasis & corneal ulcer Surgical operation: Lateral canthotomy, lateral canthoplasty

Diagnosis treatment

Answers :-Stye ttt of P.F. “ staph. Aureus”-local antibiotics & eye drops-Hot fomentation


Diagnosis Complications treatment
Answers: -Diagnosis: Ophthalmia neonatorum -Complications: Corneal ulceration , iridocyclitis -ttt: -Prophylactic ttt. -Curative ttt: lotions, topical and systemic antibiotics and atropine ointment in case of corneal involvement.

Diagnosis etiology

Answer: Phlyctenular conjunctivitis (limbal phlycten) Etiology : Hypersensitivity reaction to endogenous antigens e.g. bacterial antigens as T.B & chlamydia.

Diagnosis treatment

Answers: -Bulbar spring catarrhal ttt :topical steroids, mast cell stabilizers, anti histaminic Dark glasses & cold compresses.

Diagnosis 2 causes

Answers: -phlycten -Causes: Hyper sensitivity to an endogenous antigen e.g. tuberculo-protein, Intestinal parasites, staphylococcal blepharoconjunctivitis.

Comment on lashes complications

Answers: -Ulcerative blepharitis -Complications: Chronic conjunctivitis, Madarosis, trichiasis, ptylosis, epiphora, Ectropion, corneal ulcer.

What is this sign called? pathogenesis

Answers:Sign:Marcus –Gunn phenomenonPathogenesis:Faulty Innervation“motor fibers from 5th nerve reach levator instead of the 3rd nerve”


Diagnosis treatment
Answers: Diagnosis: mucopurulent conjunctivitis Ttt: -Eye lotions -Antibiotics ointments e.g. tobramycin at night -Antibiotic eye drops -Hot foments

Comment on conjunctiva & cornea What are the indications of surgical treatment ?

Answers: Diagnosis: Ptyregium Comment : Conjunctiva > conj. Epith. hyperplasia Cornea >covered by apex of Ptyregium. Indications of surgical ttt: - If encroaches the pupillary area - Progressive type - Cosmetically annoying the patient - Recurrent cases

Cause of this appearance 2 eye drops

Answers: Cause: post. Synechiae 2 eye drops: Atropine sulfate corticosteroids

Diagnosis Name 2 causes

AnswerDiagnosis :rubeosis iridis – Peripheral iridectomy Causes :Diabetic Retinopathy and CRVO

Diagnosis What is the visual complaint?

Answers: Diagnosis: Irido-dialysis Visual complaint : Uniocular diplopia

Diagnosis Factors affecting prognosis

Answers: Diagnosis: Lt. congenital ptosis Factors affecting prognosis: Amount of ptosis Extent of levator function If 3rd nerve palsy >> correct squint first If 5th nerve palsy >> postpone the op. till 5th n. regenerates .



A 68y patient complaining of sudden diminution of vision. What is the Diagnosis? mention two systemic predisposing condition
Answers: Diagnosis: CRVO 2 Systemic P.F.: Systemic hypertension & Diabetes mellitus

Diagnosis Antiviral drugs for ttt

Answers:Diagnosis:Herpetic corneal ulcer “Dendritic ulcer”Antiviral drugs:Acyclovir , vidarabine , T3F & IDU

Diagnosis What is the suspected refraction of this patient?

Answers:Diagnosis: Keratoconus “ Munson`s sign”Suspected refraction:axial myopia & Astigmatism.

Diagnosis 2 posterior segment diseases cause it

Answer Diagnosis: rubeosis iridis Causes: Diabetic Retinopathy and CRVO

Diagnosis Deferential diagnosis

Answers:Diagnosis : CRAOD.D.: “For cherry red spot”Commotio retinaeQuinine poisoningMacular hole surr. By RDAmauratic family idiocy

Diagnosis Expected field of vision

Answers: Diagnosis: Glaucomatous cupping of optic nerve Expected field of vision: Tubular field.

Diagnosis 2 syndromes associated with it mention effect on optic nerve

Answers:Retinitis Pigmentosa2 Syndromes : Bardet - biedl syndromeRefsum’s diseaseEffect on optic n.:Waxy disc pallor due to consecutive optic atrophy


The optic disk of this patient show…….Name a cause for this condition Answers Comment : Papilleodema Cause: Elevated intracranial tension.

A 57y patient with sudden painful drop of vision IOP is stony hard Name 2 medication for emergency treatment of this case
AnswerDiagnosis: Acute congestive glaucoma2 Medications for emergency : hyper-osmotic agent, topical miotics, topical steroidsTtt: ttt essentially surgical recent….surgical iridectomy late….their is PAS ,an external fistulizing operation .

Nerve& muscle affected ? Direction of gaze which diagnose this case ? The main complaint of the patient
Answer Nerve& muscle affected: Rt Abducent nerve-RT. Lateral rectus Direction of gaze: To the right Main complaint: Binocular Diplopia

Diagnosis Component of it

Answers: Diagnosis: hypermetropia Components: Total , Latent , Manifest hyperopia

Type of squint & its angle Confirmatory test

Answers: Type of squint : exotropia angle: 30 Confirmatory test: Cover test

Diagnosis treatment

Answers: Diagnosis: After cataract TTT: - No interference if vision is not affected - If thick : surgical intervention

Diagnosis treatment

Answers: Diagnosis: myopia TTT: - eye glasses with concave minus lenses - contact lenses - refractive surgery if indicated



What s this inustrument calledUsed for…….. Answers: Instrument: Applanation tonometry (gold mann) usage: IOP measurement

What is the upper lid abnormality? What are the complications?

Answers: Comment : Left upper lid ptosis Complications: Amblyopia & Squint scoliosis and ocular torticollis.


Comment on lensThis is an association of………..syndrome AnswerComment :lens subluxation Syndrome:Marfan’s syndrome

A 68y old woman with cataract extraction . Complaining of drop of vision which was managed What was the cause of drop of vision? What was the management?
Answer Cause: posterior capsular opacification (after cataract) Management: YAG laser capsulotomy

Comment on the lower lid Name 2 possible complications of this conditions

Answers: Comment: Senile ectropion 2 possible complications: xerosis corneal ulcer

Diagnosis Name 2 surgical procedures for ttt of this condition

Answers: Diagnosis : Buphthalmos 2 Surgical procedures: -goniotomy -trabeculotomy

What are these field defect called? Name the cause

Answer Field defect: Bitemporal hemianopia Cause: Optic chiasma lesions (nasal fibers damage) e.g. Pituitary gland tumor


What's the error of refraction in this patient ? What're the complications of this case ?
Answer Error of refraction : High myopia Complications: Chorio-retinal degenerations retinal tears retinal detachment

Diagnosis 3 causes

Answers Diagnosis: Symblepharon Causes: - Post-trachomatous - Post-operative ( Pterygium excision) - Ocular cicatricial pemphigoid

The eye lid & Conjunctiva show possible findings in the crystalline lens

Answers Comment : Ecchymosis & subconjunctival hemorrhage" Possible findings: (Concussion cataract " Rosette-shaped" - Lens subluxation or dislocation)

Diagnosis 2 causes

Answers: Diagnosis : Lens subluxation Causes: Marfan's syndrome Homocystenuria & Trauma

What's the sign called ? 3 possible causes

Answers Sign : Leukocoria Causes : Retinoblastoma congenital cataract Retinpathy of prematurity

What is the error of refraction ? How to correct ?

Answers Error of refraction: Hypermetropia Correction : Spherical Convex "plus" Lens

Diagnosis mention caustive organism

Answers: Diagnosis : Hypopyon corneal ulcer Causative organism: pneumococci

Diagnosis Mention disease cause this

Answers: Diagnosis: exophthalmos Disease : Hyperthyrodism

Diagnosis treatment

Answers: Diagnosis: Corneal foreign body TTT: Surgical removal

Diagnosis mention muscle affected and its nerve supply

Answers: Diagnosis: Left upper lid ptosis Muscle affected : levator palpebrae sup. innervation: oculomotor n.

Diagnosis Mention 2 complications

Answers: Diagnosis: sublaxated &cataractous lens Complications: lens dislocation 2ry Glaucoma Iridocyclitis

Diagnosis Mention 2 complications

Answers:Diagnosis: Blood staining of the cornea “total hyphema or 8-ball hyphema”2Complications:Elevation of IOPCorneal staining

Diagnosis Mention 2 ttt

Answers: keartic precipitates ttt : Topical : Atropine sulfate & corticosteroids. Systemic: systemic steroids (in severe cases) & Antibiotics (in infective cases)

sederosis bulbi Patient with foreign body in his eye from one year In picture you will see one eye normal &other eye(black iris)