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Quiz Challenge: Elderly Lady with Sudden Vision Loss

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[vc_row][vc_column][vc_column_text] Quiz Challenge: Elderly Lady with Sudden Vision Loss Dr Daniel Chiu 67 yo healthy caucasian woman with one day history of sudden loss of Left vision. Known mildly elevated LDL-cholesterol. Otherwise no hypertension or diabetes Initial examination shows LVA of CF, IOP 14 at the Eye & Ear Hospital. Noted Left macula slightly pale and much nerve fiber layer haemorrhage around optic disc. Closure venous pressure was elevated. Subsequent…

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Quiz Challenge: Dog Bite

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[vc_row][vc_column][vc_column_text]Quiz Challenge April 2019 Dr Charles Su [/vc_column_text][vc_column_text] This 45 yo man was bitten on the face by a dog with this injury in the lower lid. What do you need to keep in mind as the possible first health practitioner to see him? [/vc_column_text][vc_toggle title="Click here for answer."]He has a severe lower lid laceration with avulsion of its medial end. The globe might be injured so a rough idea…

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Quiz Challenge January 2019(ii)

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[vc_row][vc_column][vc_column_text]Quiz Challenge January 2019 (ii) Dr Elaine Wong [/vc_column_text][vc_column_text] 3 year old boy found to have a few black patches in both eyes. What is this? [/vc_column_text][vc_toggle title="Click here for answer."]Racial / Scleral Melanosis This is a benign paediatric…

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Quiz Challenge January 2019(i)

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[vc_row][vc_column][vc_column_text]Quiz Challenge January 2019 (i) Dr Elaine Wong [/vc_column_text][vc_column_text] 10 year old boy presents with a red, painless, but slightly enlarging lesion that has been present for the last 2 years. What is this? [/vc_column_text][vc_toggle title="Click here for answer."]Conjunctival Amelanotic Naevus Conjunctival Naevi are common benign lesions that usually appear in childhood. They are usually located around the interpalpebral conjunctiva and near the limbus. Most naevi are well circumscribed with…

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Young Man with Red, Painful Eye

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[vc_row][vc_column][vc_column_text] Case Study: Young Man with Red, Painful Eye Dr Robyn Troutbeck Presentation 18 year old male Red, painful eye for 1 week Increasing floaters VA 6/6 [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_separator][vc_column_text] What is the most likely diagnosis? a) Cotton wool spot b)…

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42 Year Old Male with a Sudden Decrease in Vision

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[vc_row][vc_column][vc_column_text] Case Study: 42 year old male with sudden vision decrease Dr Robyn Troutbeck Presentation The 42 year old male below presented with a sudden decrease in vision in the RE. The photo demonstrates significant subretinal fluid over the macular region. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_separator][vc_column_text] The differential diagnosis includes: a) Central Serous Chorioretinopathy b) Vogt- Koyanagi- Harada Syndrome c) Posterior scleritis d) All of the above[/vc_column_text][vc_toggle title="Click for answer"]Answer: d. More history and…

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Elderly Man with Subtle Macular Changes

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[vc_row][vc_column][vc_column_text] Case Study: Elderly Man with Subtle Macular Changes Dr Daniel Chiu Presentation 70yo male with LVA 6/12 on asymptomatic eye check. RVA is normal with subtle macular pigment disturbance only[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text] What do you see in the fundus photo? 1. Macular naevus 2. Macular hole 3. Macular RPE pigment clumping 4. Optic atrophy 5. Inferior retinal detachment A. 1 & 4 B. 2 & 5 C. 2 alone D. 2…

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