A 5th class student studying in village reported in hospital with limited eye movements. On examination there is narrowing of palpebral aperture on adduction (1+2+2)
a. classify condition
b. enumerate clinical features and treatment plan
c. what are causes of pseudosquint
A 52 years old diabetic /hypertensive lady on insulin therapy reported in eye clinic with h/o diplopia and inward deviation of Right eye for last 02 month. Extra ocular movements show Right six nerve paralysis. Fundoscopy shows pre proliferative diabetic retinopathy. (1+2+2)
a. How will you differentiate between comitant and non comitant squint
b how will you investigate concomitant squint
c. write a note on cover tests
An eighth class student studying in heer reported to Avicenna hospital with slight face turn to one side with narrow palpebral fissure of one eye (2+2+1)
A. what are types of THIS syndrome
B. Enumerate clinical fingings
C. what is the significance of Hess Chart in paralytic squint
A 3 year boy was brought to eye OPD in avicenna Hospital by his parents with complaint of constant inward deviaion of his right eye. (1+2+2)
A. What is differential diagnosis in this case
B. describe clinical examination and managment in infantile esotropia
C. what is difference between refractive and non-refractive esotropia
Q. a mother brings her 4 year old child with inward deviation of eye since birth. (5)
how will you clinically investigate such child
Q . A 6 year child came with history of headache while doing home work. His mother noted that boy has difficulty in watching TV from distance along with occasional misalignment of eyes. ( 3+1+1)
a. write detailed clinical examination
b. what is you dianosis based on clinical workup
c. what is treatment
Q. a three year old child is brought by her mother with deviation of right eye since birth. on examination corneal light reflections on the lateral limbus when light is shown from front. cycloplegic refraction show no refractive error.
a. what is most probable diagnosis
b. what will happen if treatment is not done at this stage
c. what are the principles of treatment in this patient
Q. A 13 year girl complained of fatigued eye after reading with intermittent outward deviation of her eyes alternatly. HER vision is 6/6 right eye and 6/6P left eye. (1+2+2)
A. what is your diagnosis
B. How will you manage the case
C. write a note on cover test
a 5 year old child presents with 6/36 vision in right eye and 6/18 vision in left eye. On examination he is has 30 prism diopter inward deviation for distance which increases to 45 prism diopter for near. A correction of + 5 diopters in both eyes improves his squint (1+2+2)
a. what is most probable diagnosis
b. enumerate 4 ways to assess this child
c. give three basic steps of managing this patient.
Q. A 5 year old child is found to have 6/6 vision in the right eye and 6/24 in the left eye on routine school eye examination. His anterior and posterior segment examination is normal. His eyes are straight on Hirschberg test. (1+2+2)
a) What is the most probable diagnosis?
b) Give the classification of this condition.
c) How ill you manage this patient?
Q . classify squint
treatment of 6th nerve palsy
Q4: A 3 year child presented with recent onset of right in turned eyeball. The condition becomes worse on near gaze? (1+2.5+1.5)
a) What is your diagnosis? b) What are the differentiating features of accommodative and non-accommodative esotropia? c) How will perform cycloplegic retinoscopy?