The classroom lights hurt — tinted lenses and filters in albinism
A 14-year-old boy with oculocutaneous albinism squints painfully under his classroom’s fluorescent lights and gets headaches most school days. His […]
Clinical Cases
Topic-wise clinical case discussions for eye-care professionals and students
Starting school at four — classroom accommodations for a preschooler with albinism
A 4-year-old girl with albinism is starting preschool. Her parents are worried she will not cope: she squints in bright […]
Narrow angles found by chance — the primary angle-closure suspect
A 60-year-old hyperopic woman (+4.00) attends for a routine glasses prescription. She has no eye symptoms at all — no […]
The good eye needs laser too — fellow-eye iridotomy after angle closure
A 62-year-old hypermetropic woman survived a classic acute angle-closure attack in her right eye last night — pain, vomiting, haloes, […]
Focal leaks or a swollen sponge — focal versus diffuse DMO on OCT
A 57-year-old woman with type 2 diabetes of 10 years reports wavy, blurred central vision in her right eye for […]
Within 500 microns of the centre — clinically significant macular oedema
A 61-year-old man with type 2 diabetes is referred from screening with ‘maculopathy’. His vision is 6/9 in the right […]
Calcium across the cornea — band keratopathy and EDTA chelation
A 48-year-old woman with long-standing chronic uveitis presents with gradual vision loss, glare and a gritty sensation in both eyes. […]
Slept in her lenses — bacterial keratitis with hypopyon
A 24-year-old woman presents with a severely painful, red, light-sensitive right eye that started yesterday and worsened overnight. Vision in […]
Glued shut by morning — acute bacterial conjunctivitis
A 32-year-old man wakes with both eyes glued shut by thick yellow discharge for two days. The eyes are red […]
Itchy all year with eczema — atopic keratoconjunctivitis in an adult
A 28-year-old man with lifelong eczema and asthma has intensely itchy, red eyes all year round, worse in winter. His […]