Glaucoma after cataract surgery — aphakic glaucoma
A 5-year-old boy who had congenital cataract surgery (lensectomy with anterior vitrectomy) at six weeks of age is brought for […]
Clinical Cases
Topic-wise clinical case discussions for eye-care professionals and students
A +12.00 baby — IOL or contact lens after infant cataract surgery
A 2-month-old boy has just had bilateral lensectomies for dense congenital cataracts. Surgery went well. The parents now ask the […]
The brow fell too — brow ptosis and the heavy upper lid
A 70-year-old woman with heavy upper lids is scheduled for blepharoplasty elsewhere, but on examination her eyebrows sit low — […]
Her eyes clamp shut but are perfectly healthy — benign essential blepharospasm
A 58-year-old woman cannot keep her eyes open — her eyelids clamp shut in forceful spasms many times a day, […]
Coarse one way, fine the other — Bruns nystagmus of a cerebellopontine angle tumour
A 52-year-old man has noticed over six months that his left ear is going deaf, and recently he feels unsteady. […]
A child’s new nystagmus — brainstem glioma
A 6-year-old girl presents with six weeks of newly noticed shaky eye movements, clumsiness, and morning headaches with vomiting. Her […]
Head tilted away — a fourth nerve palsy
A 40-year-old man presents with vertical double vision that is worst when reading and walking downstairs. He has adopted a […]
Swollen-looking discs that aren’t papilloedema — optic disc drusen
A 22-year-old woman is referred urgently with ‘bilateral papilloedema’ found at a routine optometrist visit. She does have headaches, which […]
A wedge of darkness — branch retinal artery occlusion
A 61-year-old man notices a sudden, painless wedge-shaped blind area in the upper part of vision in his right eye […]
Stars in the vitreous — asteroid hyalosis versus synchysis scintillans
A 66-year-old man with type 2 diabetes attends diabetic retinopathy screening. He has no visual symptoms and sees 6/9 in […]