5th DARE TO WIN

How do you interpret this clinical case?

• This is a complex bacterial conjunctivitis and needs stronger antibiotics.

• This is not a conjunctivitis and needs urgent care

• This is probably a reaction to the oral antibiotics she took for the conjunctivitis.

• B and C are both correct

The increased pressure in the cavernous sinus can lead to compression of which cranial nerves?

• All the divisions of the CN V

• CN II, CN V, CN VII

• CN III, CN IV, CN VI, CN V (V1 and V2)

• CN II, CN VIII, CN IV

What needs to be done?

• Call the neuroradiologist and neurologist and perform an angio CT

• Control the intraocular pressure with hypotensive medication

• Admit the patient in the hospital for urgent care

• All are correct

What is the most probable cause of the bleeding and how does it affect the dynamics of the aqueous humor?

• Rupture of the vasculature of ciliary body, leading to bleeding into the anterior chamber and altering intraocular pressure

• Retinal injury, causing an increase in aqueous humor production and subsequent bleeding

• Trauma to the optic nerve, compromising the circulation of aqueous humor

• Corneal detachment, causing blood leakage into the posterior chamber

What is the diagnosis?

• Hypopion

• Hyphema

• Ruptured globe

• None of the above

What to do next?

• Take the patient to the operating room to clean the blood

• Ask the patient to lay down in bed horizontally as much

• Prescribe anti inflammatory and hypotensive drops

• None of the above

After stopping the treatment for the glaucoma diagnosis, the intraocular pressure rose to 23 mmHg in both eyes. What was the first line treatment that might have been prescribed earlier?

• Latanoprost drops

• Apraclonidine drops

• Oral Acetazolamide

• Pilocarpine drops

Which one of the following conditions are not a possible causes of Increased Intraocular Pressure?

• Central retinal vein occlusion

• Hydrocephalus

• Uveitis

• Ischemic optical neuropathy

What to do?

• The patient has glaucoma so he should continue with the prostaglandin drops.

• The patient does not have glaucoma but has ocular hypertension, so he should continue the prostaglandin drops

• The patient does not have glaucoma but has ocular hypertension. However, since the pachymetry is 620 µm we can follow up without medication.

• Perform laser trabeculoplasty