IN THE NAME OF ALLAH WHO IS MOST MERCIFUL AND GRACIOUS
Q .A 70 years old male underwent cataract surgery. On first post op day there was corneal haze with folds in descemet membrane along with severe foreign body sensation and markedly reduced vision. (1+2+2)
a. What is likely diagnosis?
b. What are the causes of this condition?
c. How will you treat it?
Q .A 60 year old male with history of un eventful cataract surgery reported 6 month postoperatively having poor vision in operated eye. On examination pupillary reactions are normal. Cornea is clear and fundus is normal. (1+2+2).
a. What is likely diagnosis?
b. How will you treat?
c. What are complications of procedure
Q : A tall young male referred from the physician presented to eye clinic with decrease vision in both eyes. Clinical examination showed the crystalline lens was displaced super temporally. (0.5+2+2.5)
a. What is the diagnosis?
b. Enumerate conditions likely to cause such picture.
c. How will you manage the case?
Q .A diabetic lady with poor vision was evaluated for cataract surgery by eye specialist. She had bilateral cataract with non proliferate diabetic retinopathy. (2+2+1).
a. Write pre op assessment you would like to carry out in this case.
b. Write down complications of cataract surgery
c. How will you manage a case of striate keratopathy?
3: A case of hard cataract was planned for cataract surgery. While performing cataract surgery posterior capsular rent occurred. (1.5+1.5+2)
a. Briefly describe various types of Intra ocular lenses.
b. What options are available to surgeon in case of posterior capsular rent?
c. Briefly describe various methods to calculate the power of IOL.
Q : An elderly diabetic lady presented with gradual painless decrease in visual acuity for the last one year. Her visual acuity in Right eye was 3/60 and in left eye 6/36 not improving with refraction (0.5+3+1.5)
a. What is the likely diagnosis?
b. Write down steps of Phacoemulsification.
c. How will you check macular functions in mature cataract?
Q. 2 what is procedure of choice
Q. A 50 year old diabetic underwent cataract surgery for right eye. on first post operative day he presented with severe pain redness and reduced visual acuity. on examination he has HM vision with corneal edema, hypopyon and poor fundal glow. on B-scan there are echogenic vitreous shadows, (1+2+2)
a. what is diagnosis
b. name two organisms resoposible
c. what is treatment
Q : A 60 years old female underwent uncomplicated phacoemulsification and intra-ocular lens (IOL) implantation. After one week, she presented in eye clinic with acute painful decrease in vision in the operated eye. (0.5+2+2.5)
a. What is likely diagnosis?
b. What are the different micro-organisms responsible?
c. How will you investigate and treat the case.
Q : Write notes on: (2.5+2.5)
a. Posterior capsule opacification.
b. Briefly describe the anatomy of crystalline lens
Q .A 4 month old child was brought by his parents with complaint of white pupillary reflex. Ocular examintion showed nuclear cataract in both eyes (1.5+1.5+2)
a. Give etiology of congenital cataract
b. Give relevant investigation.
c. How will you treat the case?
Q. A mother notes white spot in the black of eye of her childs right eye (3+2)
a. what are causes of leucocoria
b. what are investigations required in this case
a 5 year old child with white pupillary reflex without any shadows in B-scan and flat retina.
a. what is diagnosis
b.what will happen if operation is delayed till 15 years
c. how will you treat him so that he completely recovers his vision
Q . An elderly gentleman presents to you with the history of gradual and painless reduction in vision for the past 6 months. His best corrected visual acuity in the right eye is 6/60 and in the left eye is 6/12. He complains of further reduction of vision in bright light. (1+2+2) Q 2. what are complications if surgery is done
(a) What is your diagnosis?
(b) Enlist the investigations that you would like to perform.
(c) What are the treatment options?
Q: A 60 year old female presents with pain and reduced vision one week after uneventful cataract surgery of her right eye. On examination her visual acuity is HM, swollen eyelids and hazy media on distant direct ophthalmoscopy: (0.5+2.5+2)
a) What is most likely diagnosis? b) How will you proceed clinically to make your diagnosis? c) Give a protocol for intravitreal injection?
Q: A 63 year old man is referred to you by an optician with cataract in both eyes. He is using -4.50 DS in right eye and -2.25 DS in left eye. During surgery for right ECCE with IOL surgery, his blood pressure shoots up. The surgeon suddenly noticed shallow AC, iris prolapsed and vitreous extrusion: (0.5+2.5+2)
a) What is your diagnosis? b) What are the risk factors for this complication? c)How will you manage this case?
