A 38 year old male presents following a high

velocity injury to his left eye. In your workup, you put fluorescein dye in his

eye, and look at it under the cobalt blue light at the slit lamp. There is a small

point on his cornea where you can see what looks like a waterfall flowing

through the fluorescein. This is known as Seidel’s sign, and in this clinical

situation it is indicative of what?

A 30 year old female presents with a red

left eye, after chopping wood. She feels something is in her eye.

You notice a small foreign body embedded in the periphery of her

left cornea. There are no signs of penetrating eye injury. Which of

the following options is the best order of steps to attempt foreign

body removal (under supervision if required)?

How confident do you feel in your answer to Question Three?

How confident do you feel in your answer to Question Five?

A 60 year old man presents with 24 hour history of a very painful red

right eye. You note that his red right eye has a mid-dilated pupil that is only

minimally reacting to light, and a cloudy cornea. You suspect an acute angle

closure attack, and in your work-up you perform tonometry to assess the

intraocular pressure. Which of the following intraocular pressure measurements would confirm your

suspicion that this is an acute angle closure crisis?

How confident do you feel in your answer to Question Four?

A 70 year old lady presents with reduced vision

in her right eye. While wearing her distance glasses, with her left eye

occluded, at 6 metres away from the Snellen chart she cannot see the top

letter, an ‘X’ with a small numeral next to it that reads ‘60’. You move her to

3 metres away, at which point she accurately reads this top letter. How do you

record her right eye visual acuity?

How

confident do you feel in your answer to Question Two?

A 24 year old woman presents with pain on movement of her left eye, and reduced vision in that eye. Her pupils are of equal size, and both constrict to direct and consensual reflex testing. When performing the swinging torchlight test, as you move the torch from the right eye to the left, the left pupil dilates. What is this finding called?

How confident do you feel in your answer to question one?