CASE-1

A 46 Years Old Male Residing At Patan Working In Factory Came To Eye O.P.D GMERS Dharpur
RE -Painless Swelling on upper eyelid"1week
Mild Heaviness In The Lid 1week
Mild Defective Vision "1week

No H/O Glasses
No H/O Eye Discharge
No Trauma
No Addiction

O/E
Vision N (Right Eye) 6/12
(LeftEye) 6/9
S/L/E

RE LE
Lids& Adnexa Nodular swelling at upper Normal
eyelid
Conjunctiva Normal
Cornea Normal
Clear Clear

Sclera Normal
Ant. Chamber Normal
N.depth,quiet N.depth,quiet
Pupils NSRL NSRL
Lens Clear
IOP(NCT) 12mm hg
Clear
EOM 13 mm hg
Full in all direction Full in all direction

20.09.200s
CASE-2
A 11 Years Old Female Child Residing At Patan ,School Going Child Came To Ophthal O.P.D With Chief
Complain Of

RE Pain, Redness, Watering & swelling of upper *1 Week

eyelid
No H/O Glasses
No H/O Trauma
No Systemic llness
No Other Family History

o/E
Vision (Right Eye ) 6/12, Left Eye 6/12

S/L/E

RE E
Lids & Adnexa Upper eyelid edema,redness Normal
& pus point near eyelash
margin
Conjunctiva Normal Normal
Cornea Clear Clear

Sclera Normal
Ant. Chamber
Normal
N.depth,quiet N.depth,.guiet
Pupils NSRL NSRL
Lens Clear Clear
IOP (NCT)
14 mm hg8 13 mm hg
EOM Full in all direction Full in all direction
 CASE -7
38 years old male
growth over cormea ( leftpresented
was to
ophthalmology OPD with chief complaints of fleshy
eye) since 6 month which was slowly
vision, occasional redness and progressive
associated with diminution of in nature
watering
in left eye.
Patient had no h/o pain, discharge, itching, trauma
No h/o spectacle use
No h/o DM, HTN, BA, IHD, CVA
P/h/o ocular surgery (
No known drug pterygium) 6 years back in right eye
allergy

Ocular examination
VA: Distance & NearRE-6/6,
N6
LE-6/24 with ph 6/6, N6
SL/E
RE LE
Lids& Adnexa Normal Normal
Conjunctiva Normal Triangular fold of
conjunctiva extending onto
the cornea by crossing nasal
limbus and reaches at nasal
margin of pupillary margin
Cornea Clear Rest-Clear

Sclera Normal Normal

Ant. Chamber
N.depth,quiet N.depth,quiet
Pupils NSRL NSRL
Lens Clear Clear
IOP(NCT) 14 mm hg 13 mm hg
EOM Full in all direction Full in all direction
CASE-4
come To Ophthalmology Department
Residing At Patan ,Teacher By Occupation
A 42 Years Old Male
with chief complaints of

For Near X 6months

BE:-Gradual ,Painess Diminution ofvision

No H/O Glasses
No H/O Trauma/ Eye
Systemic illness-NAD
Addiction-NAD

o/E
Vison (right eye )-6/6(for distance ) and n/12 (for near)
(left eye)-6/6 (for distance )and n/12 (for near)
S//E
RE LE

Lids&Adnexa Normal Normal

Normal Normal
Conjunctiva Clear
Clear
Cornea

Sclera Normal Normal

Ant. Chamber N.depth,qulet N.depth,quiet
NSRL
Pupils NSRL
Lens Clear Clear
1OP (NCT) 14 mm hg 13mm hg
Full in all direction Full in all direction
EOM
 CASE-8
40 years old male was presented to ophthalmology OPD with chief complaints of
redness, iritation, pain, watering, diminution of vision in left eye since 1 week. Patient
had H/O trauma with branch of tree while
working in his garden 1 weck back
No h/o spectacle use
No h/o ocular surgery in past
No hlo any systemic illness
No known drug allergy

Ocular examination:
VA: Distance &Near-RE-6/6, NG
LE-6/60 with ph 6/18, N12
S/LE

RE
Lids& Adnexa Normal Mild lid edema in both eyelids
Conjunctiva Normal Diffuse conjunctival congestion-
alongwith circum corneal congestion
Cornea Clear Whitish stromal infilterate (dimention
7*3.4 mm) 2 mm from limbus onto
cormea,extending from 9 to 12 o'clock
position with few satellite lesions,
along with superficial corneal
vascularisation at limbus from 9 to 12
o'clock position
Sclera Normal Normal
Ant. Chamber N.depth,quiet N.depth, 3+ cells,hypopyon 2mm
Pupils NSRL NSRL
Lens Clear Clear
IOP (NCTD 14mm hg 13mm hg
EOM Full in all Full in all direction
direction
 CASE-6
with
to ophthal department
at patan and
housewife by occupation came
A 40 year old female residing
chief complain of
of face
*
15 days
Right eye-acute pain radiating half
to

-watering*15 days
redness15 days

sudden diminution of vision*15 days

in past
No history of such episodes*
6mont5hs
history of glasses for near
no history of trauma /eye surgery
under management
hitroyof rheumatoid arthritis *2 year
no history of addiction

o/E
vision right eye 6/60
left eye 6/6
s/L/E
LE
RE
Both eyelid edema Normal
Lids &Adnexa Normal
Diffuse conjunctival
Conjunctiva
congestion,circum ciliary
congestion
Keratic precipitates on Clear
Cornea
endothelium

Normal Normal
Sclera N.depth,quiet
Ant. Chamber Cells 2+, hypopyon 1 mm
Few posterior synechia, fixed NSRL
Pupils
sluggishreaction tolight
Pigment on anterior lens Clear
Lens
capsule
13 mm hg8
IOP (NCT 22 mm hg8
Full in all direction Full in all direction
EOM
CASE-5
come to casualty with
Female Residing At
Patan house wife by occupation
A 50 Years Old
chief complaints of

Over Face since 1 hour

LE Acute Pain Radiating
diminution of vision
Nausea

vomiting
in theatre ,so
while watching movie
in morning then developed this symptoms
Pt was asymptomatic
rushed immediately to hospital
No history of glasses
No history of eye disease/eye surgery
/trauma
No addiction

O/E
Vison (right eye -6/6
(lefteye)-CF3m

s/LVE
RE LE
Normal
Both eyelid edema
Lids &Adnexa Mild diffuse conjunctival
Normal
Conjunctiva congestion, circum ciliary
congestion
Epithelial edema,hazy
Cornea Clear

Normal Normal
Sclera shallow
Ant. Chamber shallow Fixed,oval,semi dilated, not
NSRL
Pupils
reacting to light
Clear Clear
Lens 40mm hg
1OP (NCT) 14mm hg
Full in all direction Full in all direction
EOM
 CASE-3
Diminution
Residing At Patan Came To Ophthal Dept With Complain Of
A 65 Years Old Male Patient
of Vision In Both Eye

PRESENT HISTORY
Loss Of
Then Developed Gradual Painless And Progressive
Pt Was Assymptomatic Before 8 Months
Vision In Both Eye(RE->LE)

No H/O Trauma
H/O DM,HTN
No History Of Addiction

Vision
(Right Eye) PL+PR+HM+

(Left Eye )CF1mtr

RE LE
Lids&Adnexa Normal Normal
Conjunctiva Normal Normal
Cornea Clear Clear

Sclera Normal Normal

Ant.Chamber N.depth,quiet N.depth,quiet
NSRL NSRL
Pupils
Lens Iris shadow absent Iris shadow present
IOP (NCT) 14mm hg 13mm hg
EOM Full in all direction Fullin all direction

RE LE