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Quizzes and Polls

Latest Quiz

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August 2015

New Pigmented Lesion Over a Site of Tumor Treatment

A 7-month-old boy was referred for monocular nystagmus and failure to thrive. He was born at full term weighing 3.63 kg after a normal pregnancy, labor, and delivery.

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August 2015

Vision Loss and Abnormal Sensation in a Young Man

A young man presented to the emergency department with a 1-day history of vision loss in the left eye. He had experienced eye redness for 1 week, which resolved with use of artificial tears; a mild posterior headache; and paresthesias of the left thumb and index and middle fingers.

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August 2015

Bilateral Acute-Onset Vision Loss in a Previously Healthy Man

A 40-year-old previously healthy man was seen with acute-onset bilateral decreased vision and metamorphopsia of 1-day duration. The patient denied any recent illness, travel, viral prodromal symptoms, headache, or skin lesions.

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August 2015

Lower Eyelid Lesion

An 11-month-old boy presented to the clinic with a papule on his right lower eyelid that had doubled in size since it first appeared 3 months earlier (Figure 1). He had been born at full term and was otherwise healthy. His medication regimen included a pediatric multivitamin.

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July 2015

Under the Guise of Retinitis

A man in his 30s presented with a 5-day history of bilateral redness, blurred vision, and photophobia. The patient had received a diagnosis of human immunodeficiency virus (HIV) infection 4 months before, with a nadir in his CD4 count of 11/μL.

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July 2015

Chronic Conjunctivitis and “Warts”

A 10-year-old boy presented to a cornea subspecialty clinic with a 6-month history of intermittent redness, swelling, and itching of the right eye. He had seasonal allergies but was otherwise healthy. He had not been wearing his contact lenses since the episodes started.

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July 2015

Diplopia After a Sinus Infection

An 18-year-old man presented with an upper respiratory tract infection that persisted for a week without improvement. Because of this infection, he went to an emergency department and was prescribed antibiotics for presumed sinusitis.

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July 2015

Bilateral Eyelid Nodules Impairing Lid Closure in 2 Siblings

Two brothers in their late teens presented with bilateral eyelid swelling and irritation that had lasted 1 year. There was no history of associated eyelid pain or bleeding.

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July 2015

Blurred Vision in a Woman Who Had Sphenoid Wing Meningioma

A woman in her early 40s with a history of recurrent meningioma of the right sphenoid wing after tumor resections, followed by adjuvant radiation, presented with fluctuating vision in the right eye for several months.

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June 2015

Serous Retinal Detachment Following Enucleation

A white man in his 30s with a remote history of right eye enucleation following globe trauma presented to our clinic in July 2014 with decreased visual acuity in the left eye.

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June 2015

Bilateral Choroidal Detachment in Waldenström Macroglobulinemia

A woman in her 60s presented with a 1-month history of painless, blurred vision in the left eye.

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May 2015

Chloroquine Retinopathy

A 38-year-old woman developed acute painless blurred vision in her right eye 3 weeks after receiving a single injection of corticosteroid in her deltoid for stenosing tenosynovitis.

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May 2015

New Pigmented Lesion Over a Site of Tumor Treatment

A woman in her 70s was referred for treatment of a choroidal melanoma of the left eye approximately 4 years ago. At presentation, she reported occasional photopsias, floaters, and blurred vision but no pain.

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April 2015

Serous Macular Detachment Following a Systemic Corticosteroid Injection

A 38-year-old woman developed acute painless blurred vision in her right eye 3 weeks after receiving a single injection of corticosteroid in her deltoid for stenosing tenosynovitis.

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April 2015

Mass Obscuring the Globe

A man in his late 30s presented to the emergency department for a left eye mass impairing his vision.

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March 2015

Visual Disturbance After Bariatric Surgery

A woman in her 30s presented to the hospital with decreased vision in both eyes, confusion, and ataxia for 3 weeks. She had undergone gastric bypass surgery 3 months before presentation, which was complicated by a gastric ulcer and stricture.

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March 2015

Penetrating Ocular Fishhook Injury

A man in his 30s presented with a fishhook injury to his left eye and lower eyelid after fishing in Everglades National Park.

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February 2015

Retinal Findings Leading to a Change in Diagnosis in a Newborn Child

At birth, a full-term newborn was noted to have numerous hypopigmented skin macules on the trunk, scalp, neck, face, back, and limbs after an uncomplicated pregnancy.

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February 2015

Subconjunctival Hemorrhages and Retinal Vascular Abnormalities

A woman in her mid-50s with a history of hyperlipidemia and arthritis presented with recurrent subconjunctival hemorrhages and retinal vascular abnormalities as noted by her general ophthalmologist.

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January 2015

A Painful Red Eye

A man in his 40s with a history of sinusitis presented with a 2-month history of worsening pain and redness of the right eye and nasal congestion.

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January 2015

An Adolescent With a Swollen Nerve

A previously healthy 13-year-old boy presented to an optometrist 2 days after the onset of blurred vision in his left eye.

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December 2014

Conjunctival Papillomatous Lesion

An otherwise healthy 8-year-old girl presented with a relatively rapidly growing reddish mass on the caruncle of the left eye.

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December 2014

Peculiar Protuberance

A 47-year-old woman complained of a lesion under her left lower eyelid. The patient noticed the lesion when looking in a mirror 3 years prior to presentation.

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November 2014

Acute Postoperative Visual Loss

A 50-year-old healthy woman underwent an uncomplicated elective clipping of a right middle cerebral artery aneurysm via pterional craniotomy. Ophthalmology was consulted urgently in the recovery room because of complaints of vision loss and ophthalmoplegia in the right eye.

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November 2014

Sudden-Onset Paracentral Vision Loss

An 84-year-old man with a history of diabetes mellitus type 2, hypertension, and a transient ischemic attack 4 years earlier presented to the University of Illinois at Chicago emergency department for evaluation of 1 day of decreased vision in his left eye.

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October 2014

Bilateral Neuroretinitis and Retinal Hemorrhages in an Immunocompetent Patient

A previously healthy woman in her early 20s presented with bilateral decreased vision of 2 weeks' duration in the left eye and 5 days' duration in the right eye.

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October 2014

Ocular Trauma and Airbag Deployment

A 60-year-old woman without any remarkable ocular or medical history presented to the emergency department 2 days after a motor vehicle crash with the chief concern of a "shadow" over her right eye.

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September 2014

Diffusely Swollen Eyelid

A 55-year-old man presented with diffuse, painful swelling of the right upper eyelid. The patient’s medical history was notable for rheumatoid arthritis that had been well controlled with methotrexate for 15 years.

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September 2014

Intractable Choroidal Effusion With Exudative Retinal Detachment in Sturge-Weber Syndrome

A 5-year-old boy with Sturge-Weber syndrome (SWS) and glaucoma receiving treatment since infancy elsewhere presented with raised intraocular pressure (IOP) in the right eye.

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August 2014

Shimmering Lights

A healthy 37-year-old man complains of “shimmering lights” and blurry vision in his right eye. He denies any other ocular discomfort. His best-corrected visual acuity is 20/30 OD and 20/20 OS.

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August 2014

Numbness of the Forehead

An 86-year-old man presented with left forehead numbness and intermittent left eyelid edema for the past several months. His medical history was significant for hypertension, gastroesophageal reflux, and prostate cancer.

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July 2014

More Than Just Multiple Sclerosis

A 51-year-old woman with a history of multiple sclerosis (MS) and 2 previous episodes of optic neuritis in both eyes presented with a 5-day history of photopsias and blurry vision in the left eye.

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July 2014

Transient Blurred Vision in a Neurologically Decompensating Patient

A healthy woman in her 50s presented to the emergency department with a severe headache for 2 days. Head computed tomography findings were negative and the following day, the headache subsided.

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June 2014

A Moving Black Spot in My Vision

A 22-year-old man had perceived a moving black spot in the visual field of his right eye and no other symptoms for 1 year.

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June 2014

Man With Blurry Vision

A 53-year-old man presented with progressively worsening blurry vision of the left eye. The patient reported redness in his eye for 2 days.

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May 2014

A Complicated Case of Sarcoidosis

A man in his 50s presented with blurred vision in his right eye greater than in the left. His medical history included squamous cell carcinoma of the lung diagnosed 1 year prior, which was resected.

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April 2014

Cotton-Wool Spots and Retinal Hemorrhages

A 56-year-old woman with a history of cirrhosis secondary to hepatitis C (diagnosed in 2011), hypothyroidism, and anemia presented with 6 months of blurred vision in both eyes.

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March 2014

Pigmented Ocular Fundus Lesions in a 6-Year-Old Girl

A 6-year-old girl was incidentally discovered to have fundus lesions after presenting with head trauma that resolved without permanent intracranial pathology.

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December 2013

Smudge in My Vision

A 49-year-old woman noticed a "smudge" in the central vision of her right eye with associated photopsias. On examination, visual acuity measured 20/50 OD.

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November 2013

More Than Just Optic Disc Swelling

A healthy woman in her 50s presents with sudden-onset, painless blurred vision in her right eye. She describes it as a black lace over her field of vision that she first noticed after waking 8 days prior to presentation.

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September 2013

Acute Bilateral Angle Closure

A 30-year-old woman with a history of migraine headaches presented to the emergency department with the sudden onset of blurred vision and a frontal headache.

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August 2013

"Lines Across My Vision"

A healthy 26-year-old woman complains of 3 days of increasing "lines across my vision" and a few photopsias in the right eye. She denies ocular discomfort or systemic symptoms.

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July 2013

Anterior Chamber Angiostrongyliasis

A 52-year-old man presented with a 1-day history of redness and photophobia in the right eye. He denied changes in visual acuity, discharge, pain, or systemic concerns (eg, headache, fever, nausea/vomiting, or nuchal rigidity).

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June 2013

Conjunctivitis, Fever, and Tender Skin Nodules

A 68-year-old man came to the emergency department with a 4-day history of abrupt-onset fever, maculopapular skin rash, bilateral eyelid pain, redness, and discharge.

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May 2013

Retinal Vasculitis, Aneurysms, and Neovascularization in Blau Syndrome

A 6-year-old white boy presented to our office for evaluation after failing 3 school vision screenings. On initial presentation, the patient’s visual acuity was 20/800 OD and 20/20 OS with a right afferent pupillary defect.

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April 2013

Woman With Sudden Loss of Vision

A 28-year-old woman of Irish descent with a history of seizures and high myopia with astigmatism developed sudden loss of vision in her right eye and headache the night before presentation.

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March 2013

Twenty-four–Year-Old Woman With a Droopy Eyelid

A 24-year-old woman presented to the Massachusetts Eye and Ear Infirmary with transient diplopia and a droopy right eyelid.

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February 2013

Intractable Graves Ophthalmopathy?

A 38-year-old, otherwise healthy man presented to the clinic for evaluation of his progressive Graves ophthalmopathy. His diagnosis dated back to 1992 when he was told that he may have hyperthyroidism.

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