Bumping into doorframes — bitemporal hemianopia
A 52-year-old man presents because he keeps bumping into doorframes on both sides and recently narrowly missed a cyclist approaching […]
Clinical Cases
Topic-wise clinical case discussions for eye-care professionals and students
One pupil bigger than the other — Adie’s tonic pupil
A 28-year-old woman notices in photographs that her right pupil is larger than her left. It is more obvious in […]
Headache, jaw pain, then half the vision — arteritic optic nerve stroke in giant cell arteritis
A 72-year-old woman has had a new headache at her temples for two weeks — combing her hair hurts, and […]
The third painful red eye — HLA-B27 anterior uveitis and the back-pain clue
A 35-year-old man presents with his third episode in two years of a painful, red, light-sensitive right eye. Each episode […]
She squints in daylight — albinism, nystagmus, and the classroom plan
A 9-year-old girl with very fair skin and white hair is brought by her parents. Her eyes have shaken since […]
The kettle and the medicine bottles — daily-living training
A 79-year-old widow with advanced glaucoma lives alone, has burned herself on the kettle twice, and misses her eye drops […]
Rainbow haloes at 9 pm — an acute angle-closure attack
A 68-year-old woman presents to the emergency department at 9 pm with sudden severe pain in her right eye, blurred […]
A blind, painful eye — end-stage absolute glaucoma
A 70-year-old man is brought by his son because his right eye has been constantly aching for months. The eye […]
Cataract or retina first? — timing cataract surgery in diabetic retinopathy
A 66-year-old woman with type 2 diabetes of 13 years has a dense cataract in her right eye (vision 6/60) […]
Injection or laser? — anti-VEGF treatment decisions in DMO
A 54-year-old woman with type 2 diabetes of 11 years has centre-involving diabetic macular oedema in both eyes. Vision is […]