I.
Case 1
A. Chief Complaint:
B.
C.
D.
E.
F.
II.
A 31-year-old male presents with decreased vision at
distance and near with his current spectacle correction.
Clinical Finding:
Scissor Motion on Retinoscopy
Initial Diagnosis:
Keratoconus
Differential Diagnoses:
1.
Pellucid Marginal Degeneration
2.
Keratoglobus
3.
Anterior Lenticonus
4.
Posterior Lenticonus
Revised Diagnosis:
_______________________________________
Treatment and Management:
_______________________________________
_______________________________________
Case 2
A. Chief Complaint:
B.
C.
D.
E.
F.
III.
A 68-year-old male was referred for a diabetic eye health
evaluation.
Clinical Finding:
Retinal Hemorrhages
Initial Diagnosis:
Diabetic Retinopathy
Differential Diagnoses:
1.
Posterior Pole Retinal Hemorrhages
a) Diabetic Retinopathy
b) Hypertensive Retinopathy
c) Venous Occlusive Disease
d) Val Salva Maneuver
2.
Peripheral Fundus Grounds
a) Diabetic Retinopathy
b) Hypertensive Retinopathy
c) Venous Occlusive Disease
d) Hypoperfusion Retinopathy / Ocular
Ischemic Syndrome
e) Sickle Cell Retinopathy
f) Retinal Tractional Disease
Revised Diagnosis:
_______________________________________
Treatment and Management:
_______________________________________
_______________________________________
Case 3
A. Chief Complaint:
B.
C.
D.
E.
F.
A 10-year-old male was referred for decrease vision in
the right eye.
Clinical Finding:
Compound Hyperopic Astigmat OD >>> OS
Initial Diagnosis:
Anisometropic Amblyopia
Differential Diagnoses:
1.
Strabismus Amblyopia
2.
Occlusion Amblyopia
3.
Organic Amblyopia
4.
Microtropia
Revised Diagnosis:
_______________________________________
Treatment and Management:
_______________________________________
_______________________________________
IV.
Case 4
A. Chief Compliant:
B.
C.
D.
E.
F.
V.
A 72-year-old male complaining of sudden painless loss
of vision in both eyes.
Clinical Finding:
Bilateral Optic Nerve Pallor
Initial Diagnosis:
Anterior Ischemic Optic Neuropathy
Differential Diagnoses:
1.
Glaucoma
2.
Anterior Ischemic Optic Neuropathy
3.
Chronic Papilledema
4.
Traumatic Optic Neuropathy
5.
Leber’s Optic Neuropathy
6.
Leber’s Congenital Amaurosis
Revised Diagnosis:
_______________________________________
Treatment and Management:
_______________________________________
_______________________________________
Case 5
A. Chief Complaint:
B.
C.
D.
E.
F.
VI.
A 47-year-old female presents with redness in the left
eye for the past 2 weeks. The symptoms are greater in
the morning upon awakening. The patient reports a
history of corneal trauma in the left eye approximately 5
years ago.
Clinical Finding:
An area of corneal staining with loose epithelium.
Initial Diagnosis:
Recurrent Corneal Erosion
Differential Diagnoses:
1.
Corneal Abrasion
2.
Herpes Simplex Keratitis
Revised Diagnosis:
_______________________________________
Treatment and Management:
_______________________________________
_______________________________________
Case 6
A. Chief Complaint:
B.
C.
D.
E.
F.
Hospital inpatient consult for conjunctivitis in both eyes.
The condition has been recalcitrant to long-term topical
mast-cell stabilizer therapy.
Clinical Finding:
Bilateral Conjunctival Edema
Initial Diagnosis:
Allergic Conjunctivitis
Differential Diagnoses:
1.
Angioedema
2.
Venous Congestion
3.
Myxedema
4.
Acquired blockage or scarring of orbital
lymphatics
Revised Diagnosis:
_______________________________________
Treatment and Management:
_______________________________________
_______________________________________
VII.
Case 7
A. Chief Complaint:
B.
C.
D.
E.
F.
VIII.
A 20-year-old male presents with a unilateral red eye
(OS) for 1 week. He attributes the redness to extremely
old overworn soft contact lenses.
Clinical Finding:
Round well-circumscribed area of corneal epithelial loss
with an underlying infiltrate
Initial Diagnosis:
Bacterial Corneal Ulcer
Differential Diagnoses:
1.
Fungal
2.
Acanthameoba
3.
Herpes Simplex Virus
4.
Mycobacteria
Revised Diagnosis:
_______________________________________
Treatment and Management:
_______________________________________
_______________________________________
Case 8
A. Chief Complaint:
B.
C.
D.
E.
F.
IX.
A 65-year-old male presenting with painless decrease in
vision in one eye.
Clinical Finding:
Circular Well-Delineated Red Macular Lesion
Initial Diagnosis:
Macular Hole
Differential Diagnoses:
1.
Lamellar Hole
2.
Pseudo-hole
3.
Juxta-foveal Telangectasia
Revised Diagnosis:
_______________________________________
Treatment and Management:
_______________________________________
_______________________________________
Case 9
A.
B.
C.
D.
A 12-year-old male presents for soft contact lens fitting.
High Compound Hyperopic Astigmat
Bilateral Meridional Amblyopia
1.
Organic Amblyopia
2.
Occlusion Amblyopia
3.
Juvenile Macular Degeneration
E. Revised Diagnosis:
_______________________________________
F. Treatment and Management:
_______________________________________
_______________________________________
X.
Chief Complaint:
Clinical Finding:
Initial Diagnosis:
Differential Diagnoses:
Case 10
A. Chief Complaint:
A 70-year-old male with multiple systemic diseases
presents with the compliant of severe recent reduction in
vision.
B. Clinical Finding:
C. Initial Diagnosis:
D. Differential Diagnoses:
Severe Retinal Exudation
Retinal Macro-Aneurysm
1.
Retinal Venous Occlusive Disease
2.
Angiomatosis Retinae
3.
Coat’s Disease
E. Revised Diagnosis:
_______________________________________
F. Treatment and Management:
_______________________________________
_______________________________________