AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
GRADED A++
< 70 yo blindness
DM retinopathy (MCC)
> 70 yo blindness
Macular degeneration
Afferent papillary defect, marcus- gunn pupils
Optic nerve lesion. Tertiary syphilis (marcus-gunn)
Bilateral pinpoint pupils
Pontine hemorrhage
Bilateral DILATED pu;ils
Anticholinergics, TCA, anti- parkinsonian drugs, profound hypoxemia
Bilateral hemianopia
Optic chiasm lesion
Loss of central vision
Ipsilateral optic nerve lesion
Superior contralateral quadrantopia
Temporal optic radiation
Temporal field loss
Ipsilateral optic tract lesion
, Eye trauma, diplopia. Exophthalmos, fixed upward gaze, hyphema
Orbital blow-out fracture; Immediate ophthalmology referral
Painless, nontender nodule on upper or lower eyelid
Chalazion
Painful swelling of upper or lower eyelid
Hordeolum
Painless, yellow triangular nodule on conjunctivia
Pinguecula (more common on nasal side)
Curtain or veil over my eyes, new onset floaters
Retinal detachment
Transient monocular vision loss
Amaurosis fugax - TIA, emboli
Painless vision loss. History of TIA, palpitations, arrhythmia, carotid disease,
embolic source
CRAO (pale retina, cherry red macula)
Painless vision loss. History of HTN
CRVO (blood & Thunder, retinal hemorrhages)
Vision loss over hours to days, painful EOM
Optic Neuritis (assoc. w/ MS)
Recurrent episodes of vision change, diplopia that resolve
MS
Red eye, watery discharge, preauricular LAD
Viral conjunctivitis