Mohamed Abdelzaher

M.Sc.

FOURTH YEARBRAIN STORMING

A 64-year-old female patient, who had cataract surgery 3 days before presented with a red painful eye with decreasing vision. On examination, the eye was severely injected, severe corneal edema, anterior chamber cells and flare, cortical lens matter in the anterior chamber and IOP 40 mmHg. The best line of treatment is:1) Antibiotic drops

2) Miotics and beta blockers

3) beta blockers, Steroid drops, mydriatics

4) Antibiotics and beta blockers

THIS CHILD HAS ANIRIDIA,WHAT ARE THE MOST IMPORTANT ASSOCIATIONS?

• A 54 year old female patient presented to the ER with red painful right eye. VA was HM, ciliary injection, corneal edema, IOP 55 mmHg, pupil mid-dilated & fixed. Left eye shows shallow AC, VA was 6/24, IOP 16 mmHg.

• How would you manage:

- Right eye

- Left eye

• A 54 year old female patient presented to the ER with red painful right eye. VA was HM, ciliary injection, corneal edema, IOP 55 mmHg, pupil mid-dilated & fixed. Left eye shows deep AC, VA was 6/24, IOP 16 mmHg.

• How would you manage:

- Right eye

- Left eye

LOOK AT THE INFERIOR PUNCTUM,WHAT IS THIS??

DIFFERENTIAL DIAGNOSIS

DIFFERENTIAL DIAGNOSIS

WHAT IS THE USED TEST?

• A farmer had a left eye injury with a piece of cotton wood, two weeks later, he developed redness and defective vision. He received broad spectrum antibiotic drops and ointments for two weeks but he deteriorated more. The next step is:

1) Culture and sensitivity for specific antibiotics

2) Culture for virus

3) Culture for fungus

4) Culture for acanthamoeba

• This child gave a history of recurrent attacks of ocular pain, discharge and lacrimation.

• How to manage??

• Index myopia may be due to:1) Nuclear sclerosis

2) Cortical cataract

3) Posterior dislocation of the lens

4) Anterior dislocation of the lens

Name of the test

What is the finding

DIAGNOSIS

•What is the instrument??

•What are the characteristics of its picture?

• This is the fundus picture of a diabetic patient. He gave a history of rapid painless diminution of vision in left eye of 4 days duration. His VA is 3/60 OD, HM OS.

• How to manage??

DIAGNOSISCAUSES

• It is 4 a.m. and a 23 year old male patient is knocking your door. He is complaining of severe phtophobia, lacrimation and stitching ocular pain in his both eyes. He gave a history of welding. You stained the cornea and you found the following:

WhatTo do??

• Ptosis can occur in the following conditions exept:

1) Horner syndrome

2) Myasthenia gravis

3) Thyroid ophthalmopathy

4) III nerve palsy

This patient had chemical ocular injury with cement, what is the 1st aid management??

WHAT IS YOUR PROVISIONAL DIAGNOSIS?WHAT ARE THE INVESTIGATIONS MIGHT HELP YOU?��

WHAT IS THE OPERATION?INDICATION?

DRAW THE FIELD DEFECT CAUSED BY THE LESION

How to manage this case??

The ulcer healed leaving this opacity. Manage??

This picture 1 month after PKP, Manage??

MIX & MATCH

A

B

C

D

E

USING THIS INSTRUMENT, HOW CAN WE:- MEASURE IOP?- EXAM THE

FUNDUS?

WHAT IS THIS LESION?

• Name this sign

• Importance?

• A 54 year old female patient presented to the ER with red painful right eye. VA was HM, ciliary injection, IOP 55 mmHg, pupil mid-dilated & fixed, gonioscopy showed closed angle (grade 0). Left eye shows shallow AC (gonioscopy grade I), VA was 6/24, IOP 16 mmHg .

• How would you manage:

- Right eye

- Left eye

•Fill in the spaces

DIFFERENTIAL DIAGNOSIS

• 5th nerve palsy could cause:1) Ptosis

2) Proptosis

3) Neurotrophic keratitis

4) lagophthalmos

DIFFERENTIAL DIAGNOSIS

ACDEG

• A 45 year old male patient presented with BCVA 6/9 OU, IOP 25 mmHg OD, 29 mmHg OS, fundus exam shows C/D ratio 0.3 OU, standard automated perimetry showed no abnormality.

• How to manage??

NAME THE INSTRUMENT

WHAT IS THE OPERATION?WHERE IS THE ANATOMICAL SITE OF INJECTION?WHAT ARE THE DRUGS COULD BE INJECTED??

WHAT IS THIS??

WHAT IS THE TEST??

WORTH’S 4 DOT TESTWHAT ARE THESE RESULTS

1 2

43

• During retinoscopy you found the following:

This patient is:- Myopic- Hyperopic- Emmetropic