Question 1

During an eye examination, the provider notes a red-light reflex in one eye but not the other. What is the significance of this finding?&#10;A) Normal physiologic variant&#10;B) Ocular disease requiring referral&#10;C) Potential infection in the &#34;red&#34; eye&#10;D) Potential vision loss in one eye

Accepted Answer

A red-light reflex in only one eye, also known as an absent red reflex, is a significant finding that suggests an ocular disease requiring a referral to an ophthalmologist for further evaluation, such as a cataract, retinoblastoma, or other issues affecting the retina or lens.

Question 2

A provider performs an eye examination during a health maintenance visit and notes a difference of 0.5 mm in size between the patient's pupils. What does this finding indicate?&#10;A) A relative afferent pupillary defect&#10;B) Indication of a difference in intraocular pressure&#10;C) Likely underlying neurological abnormality&#10;D) Probable benign, physiologic anisocoria

Accepted Answer

A difference of 0.5 mm in size between pupils is within the range of normal physiological variation seen in many individuals, and does not indicate any underlying pathological condition. This is known as benign, physiologic anisocoria, and does not require further evaluation or treatment. Choice A, B, and C are incorrect as they suggest underlying pathological conditions, which are not supported by this finding.

Question 3

A patient comes to clinic with diffuse erythema in one eye without pain or history of trauma. The examination reveals a deep red, confluent hemorrhage in the conjunctiva of that eye. What is the most likely treatment for this condition?

A) Order lubricating drops or ointments.
B) Prescribe ophthalmic antibiotic drops.
C) Reassure the patient that this will resolve.
D) Refer to an ophthalmologist.

C

Accepted Answer

The patient likely has a subconjunctival hemorrhage, which is fairly common and typically resolves on its own within a week or two. Lubricating drops or ointments may be recommended for comfort, but antibiotics are unnecessary since there is no infection present. Referral to an ophthalmologist is not necessary unless there are additional concerning symptoms or the hemorrhage persists for an extended period of time. Reassuring the patient that the condition will resolve on its own is appropriate.

Deck 52: Evaluation of the Eyes