Peds/Cornea
Glaucoma/Retina
Neuro/Wildcard
Plastics/Optics
General/Uveitis
100

This type of card is used to assess vision in preverbal children.
What is a Teller card?
100
This one of the following is associated with an increased risk of retinal detachment.

Cobblestone degeneration
RPE hyperplasia
Meridional folds
Cystoid degeneration

What are meridional folds?
100
These six structures pass through the superior orbital fissure.
What are cranial nerves III, IV, V-1, VI, sympathetic nerve fibers, and the superior ophthalmic vein?
100

This patient presents with right sided ptosis after cataract surgery. This is what you would expect her levator function to be.
What is normal (~15mm)?
100
This is one of many things wrong with this photograph...
What is 1 piece PCIOL in AC?
200
The germ cell layer that this structure is derived from.
What is neural crest?
200

What is Congenital Hyperplasia of the RPE (CHRPE)
200
Two most common causes for internuclear ophthalmoplegia.
What are stroke and demyelination?
200
The term for an extra set of eyelashes growing from meibomian gland orifices.
What is distichiasis?
200

Your patient presents with acute vision loss (HM x 1 hour) and an RAPD. These are your steps in management.
CRAO
What are: 1) Order ESR/CRP/CBC. 2) Consider IOP lowering 3) Consider YAG embolectomy (if embolus visible). 4) Check carotid arteries for bruits and refer for stroke prevention.
300
A 5 year old child with a history of strab surgery at age 2 and monofixation syndrome performs the Worth 4-dot for you. These are the number of dots you expect her to see at distance and at near.
What are 2 or 3 dots at distance, and 4 dots at near?
300
In the Endophthalmitis Vitrectomy Study (EVS), this was the presenting vision that benefited from immediate vitrectomy as opposed to initial tap and inject.
What is LP or worse?
300
A 19-year old college student presents with petechial rash, neck pain, fever, and lethargy. His roommate notes that several others in the dorm have also presented to the ER with similar symptoms.
This is the most likely organism that is causing his symptoms.
What is Neisseria meningiditis?
300
The type of ablation pattern (central, peripheral, ellipsoid) seen in myopic LASIK.
What is central?
300
An 85 year old patient presents with progressive vision loss x 3 weeks, with current VA of 20/100. IOP is 12 but there is florid NVI and 1+ flare OS. The fundus demonstrates midperipheral hemorrhages and narrowed retinal arteries.
This is the definitive treatment option for this disease.
What is carotid artery endarterectomy/stenting?
400
The minimum residual stromal bed thickness that must be left after refractive surgery.
What is 250 microns?
400
A disc finding associated glaucomatous appearing visual defects in with young, myopic individuals.
What is optic disc torsion?
(Ophthalmology 2014, 121(5), 1013-9.)
400
Onset of CPEO before age 20, salt and pepper retinopathy, heart block, hearing loss...
What is Kearns-Sayre syndrome?
400
OD-3.00, ADD +2.00
OD-1.00, ADD +2.00
What is 1.6PD?
400
A 35 year old woman presents with an episode 9 months ago of acute peripheral field loss with associated flashing lights. A visual field test at the time showed an enlarged blind spot.
On exam today, she has 20/20 vision but a right RAPD and the fundus appearance and visual field shown below.

The most likely diagnosis is...
What is AZOOR (acute zonal occult outer retinopathy)?
Note the clumping of RPE with corresponding VF defect, history of photopsias, and poor recovery of vision over time (in contrast with MEWDS which usually resolves).
60% of AZOOR is initially unilateral, but 60% (of unilaterals) become bilateral eventually. Fluorescein angiography demonstrates window defect.
500
After performing this strabismus surgery for a vertical deviation, you notice that the patient's right lower lid has advanced upwards.
What is a right inferior rectus resection?
500
A 55-year-old man presents with necrotizing retinitis caused by this organism. A histological section of his retina is shown below.
What is cytomegalovirus? (CMV)
Note the enlarged cell with large eosinophilic intranuclear or intracytoplasmic inclusion bodies.
Note the Owl's Eye appearance.
500
Three Canadian physicans named Steele, Richardson, and Olszewski identified this tauopathy which is associated with characteristic square wave jerks.
What is progressive supranuclear palsy?

Features include: Supranuclear ophthalmoplegia
Neck dystonia
Parkinsonism
Pseudobulbar palsy
Behavioral and Cognitive impairment
Imbalance and Difficulties walking
Frequent falls

500

35M PMHx seasonal allergies
2 yr painless progressive diplopia and enophthalmos.
What is silent sinus syndrome? (Chronic maxillary atelectasis) Chronic hypoventilation of maxillary sinus (?secondary to obstruction of middle meatus) causes negative pressure developing, which over time causes collapse of the sinus. Note the lack of bony destruction which would be characteristic of malignancy or infectious causes. Treatment = maxillary antrostomy
500

21 y/o presents with decreased vision, floaters and this fundus appearance. His VA is 20/250.
He states that 5 years ago he almost died after taking a sulfa drug because of a "weird rash".
This is your course of management for this patient.
What is oral clindamycin or intravitreal clindamycin + dexamethasone. (Ophthalmology. 2011;118:134-41)
Bactrim DS (trimethoprime-sulfamethoxazole) and sulfadiazine are not a good idea (this guy might have SJS).
Azithomycin alone or with pyrimethamine is also an options for treatment.
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