NAME-rajappa

AGE- 68
GENDER- male
ADDRESS- bommasandra bangalore
PRESENTING COMPLAINT: diminition of vision for far and near vision in right eye
since 1 month
HISTORY OF PRESENTING ILLNESS: patient complaints of diminition of vision in far and near
in right eye since 3months patient gives a history of cataract surgery of right eye 1 month back after
surgery he complaints of diminition of vision for far and near associated with paina nd watering since 1
month
no complaints of floaters/flashes.
• no complaints recurrent urtis.
PAST HISTORY: nothing significant
No H/O DM, HTN, TB, EPILEPSY, ASTHMA
FAMILY HISTORY: Nothing significant
PERSONAL HISTORY: : Mixed diet
Normal appetite
Adequate sleep
Normal bowel and bladder movements
No habits
ON EXAMINATION:
GPE -Patient is conscious, co-operative, well oriented to time, place and person. Moderately
built and nourished
VITALS: PR-84/min, RR-16/min, BP-110/90 mm Hg, temperature-Afebrile
SYSTEMIC EXAMINATION
CVS- S1 S2 heard , no murmurs
RS- NVBS heard
PA - Soft , non-tender
CNS -No focal neurological deficits
OCULAR EXAMINATION
HEAD POSTURE- normal
FACIAL SYMMETRY- symmetrical
OCULAR SYMMETRY-orthotropic

PARTS OF THE EYE RIGHT EYE LEFT EYE

EYE BROWS Normal (N) Normal (N)
ORBITAL MARGINS N N
LIDS N N
LACRIMAL APPARTUS N N
CONJUNCTIVA Limbal scar present N
SCLERA N N
CORNEA
 SIZE N N
 SHAPE N N
 SURFACE N
 TRANSPARENCY
 SENSATION N
N
N
AC Slightly deep ac Normal depth
No abnormalities noted
IRIS Tremolousness of iris Normal color and pattern
Surgical iridectomy in
superior quadrant of iris
PUPIL Jet black pupil Single, centrally placed, 2-
3mm in size, regular,
round, reactive to both
direct and consensual light
reflex
LENS 3rd and 4th purkinje N
images are absent
IOP 12mmHg 12mmHg
VISUAL ACUITY (unaided) 1/60 6/6
NEAR VISION (unaided) N36 N6
COLOUR VISION No red-green desaturation No red-green desaturation
OCULAR MOVEMENTS
-UNIOCULAR N N
-BINOCULAR Full

PROVISIONAL DIAGNOSIS:
right eye aphakia
Left Eye Within Normal Limits

NAME-ravindra reddy
AGE- 64
GENDER- male
ADDRESS- attibele
PRESENTING COMPLAINT: diminition of vision in for near objects right eye since 8
months
HISTORY OF PRESENTING ILLNESS: Diminision of vision in RIGHT eyes since 8 months. he
gives history of cataract surgery in right eye 8 months back
No complaints of floaters/flashes.
• No complaints recurrent URTIs.
PAST HISTORY: history of right eye cataract surgey SICS with pciol, No H/O DM, HTN,
TB, EPILEPSY, ASTHMA
FAMILY HISTORY: Nothing significant
PERSONAL HISTORY: Mixed diet
Normal appetite
Adequate sleep
Normal bowel and bladder movements
No habbits
ON EXAMINATION:
GPE -Patient is conscious, co-operative, well oriented to time, place and person. Moderately
built and nourished
VITALS: PR-84/min, RR-16/min, BP-110/90 mm Hg, temperature-Afebrile
SYSTEMIC EXAMINATION
CVS- S1 S2 heard , no murmurs
RS- NVBS heard
PA - Soft , non-tender
CNS -No focal neurological deficits
OCULAR EXAMINATION
HEAD POSTURE- normal
FACIAL SYMMETRY- symmetrical
OCULAR SYMMETRY-orthotropic
PARTS OF THE EYE RIGHT EYE LEFT EYE
EYE BROWS Normal (N) Normal (N)
ORBITAL MARGINS N N
LIDS N N
LACRIMAL APPARTUS N N
CONJUNCTIVA LIMBAL SCAR PRESENT N
SCLERA N N
CORNEA
 SIZE N N
 SHAPE N N
 SURFACE N N
 TRANSPARENCY N N
 SENSATION N N
AC SLIGHTLY DEEP AC Normal depth
No abnormalities noted
IRIS NON TREMULOUS IRIS Normal color and pattern
PUPIL Single, centrally placed, 2- Single, centrally placed, 2-
3mm in size, regular, round, 3mm in size, regular, round,
 reactive to both direct and reactive to both direct and
consensual light reflex consensual light reflex
LENS 3RD AND 4TH PURKINJE N
IMAGES PRESENT
IOP 21mmHg 12mmHg
VISUAL ACUITY (unaided) 6/9 WITH 6/6 PN 6/6
NEAR VISION (unaided) N36 N12
COLOUR VISION No red-green desaturation No red-green desaturation
OCULAR MOVEMENTS
-UNIOCULAR N N
-BINOCULAR Full

PROVISIONAL DIAGNOSIS:
Right Eye PSEUDOPHAKIA
Left Eye Within Normal Limits

NAME-SHARADHA
AGE- 50
GENDER- FEMALE
ADDRESS- ELECTRONIC CITY
PRESENTING COMPLAINT: REDNESS IN THE RIGHT EYE SINCE 2 DAYS
HISTORY OF PRESENTING ILLNESS- PATIENT WAS APPARANTLY NORMAL 2 DAYS BACK
AFTER WHICH SHE PRESENTED SUDDEN ONSET OF REDNESS IN RIGHT EYE 2 DAYS BACK AS SOON AS SHE
GOT UP IN THE MORNING
• No complaints of floaters/flashes.
• No complaints recurrent URTIs.
 • PAST HISTORY: , No H/O DM, HTN, TB, EPILEPSY, ASTHMA
FAMILY HISTORY: Mixed diet
Normal appetite
Adequate sleep
Normal bowel and bladder movements
No habbits
PERSONAL HISTORY: Mixed diet
Normal appetite
Adequate sleep
Normal bowel and bladder movements
No habbits
ON EXAMINATION:
GPE -Patient is conscious, co-operative, well oriented to time, place and person. Moderately
built and nourished
VITALS: PR-84/min, RR-16/min, BP-140/90 mm Hg, temperature-Afebrile
SYSTEMIC EXAMINATION
CVS- S1 S2 heard , no murmurs
RS- NVBS heard
PA - Soft , non-tender
CNS -No focal neurological deficits
OCULAR EXAMINATION
HEAD POSTURE- normal
PARTS OF THE EYE RIGHT EYE LEFT EYE
EYE BROWS Normal (N) Normal (N)
ORBITAL MARGINS N N
LIDS N N
LACRIMAL APPARTUS N N
CONJUNCTIVA ACCUMULATION OF N
BLOOD UNDER THE
CONJUNCTIVA ,BRIGHT
RED COLOR, large patch-
10*10mm,visibility of the
outer border or posterior limit
of haemorrhage with the
conjunctiva
Interconjunctival haemoorhage
moves with the conjunctiva
SCLERA N N
CORNEA
 SIZE N N
 SHAPE N N
 SURFACE N N
 TRANSPARENCY N N
  SENSATION N N
AC Normal depth Normal depth
No abnormalities noted No abnormalities noted
IRIS Normal color and pattern Normal color and pattern
PUPIL Single, centrally placed, 2- Single, centrally placed, 2-
3mm in size, regular, round, 3mm in size, regular, round,
reactive to both direct and reactive to both direct and
consensual light reflex consensual light reflex
LENS N N
IOP 12mmHg 12mmHg
VISUAL ACUITY (unaided) 6/6 6/6
NEAR VISION (unaided) N12 N12
COLOUR VISION No red-green desaturation No red-green desaturation
OCULAR MOVEMENTS
-UNIOCULAR N N
-BINOCULAR Full
FACIAL SYMMETRY- symmetrical
OCULAR SYMMETRY-orthoPHORIC
PROVISIONAL DIAGNOSIS:
Right Eye SUBCONJUNCTIVAL HAEMORRHAGE
Left Eye Within Normal Limits

NAME-RAKHI
AGE- 28
GENDER- MALE
ADDRESS- BOMMASANDRA
PRESENTING COMPLAINT: SWELLING IN RIGHT UPPER EYELID SINCE 3
MONTHS
HISTORY OF PRESENTING ILLNESS:Patient was apparantly normal 3 months back after
which he developed swelling in right upper lid insidious in onset and gradually progressive in
nature,initially it was of the size 2mm.now it was progressed to 4mm,no complaints of
pain,redness,watering or diminution of vision
• No complaints of floaters/flashes.
• No complaints recurrent URTIs.
PAST HISTORY: No H/O DM, HTN, TB, EPILEPSY, ASTHMA
FAMILY HISTORY: Mixed diet
Normal appetite
Adequate sleep
Normal bowel and bladder movements
No habbits
PERSONAL HISTORY: Mixed diet
Normal appetite
Adequate sleep
Normal bowel and bladder movements
No habbits
ON EXAMINATION:
GPE -Patient is conscious, co-operative, well oriented to time, place and person. Moderately
built and nourished
VITALS: PR-84/min, RR-16/min, BP-110/90 mm Hg, temperature-Afebrile
SYSTEMIC EXAMINATION
CVS- S1 S2 heard , no murmurs
RS- NVBS heard
PA - Soft , non-tender
CNS -No focal neurological deficits
OCULAR EXAMINATION
HEAD POSTURE- NORMAL
FACIAL SYMMETRY-SYMMETRICAL
OCULAR SYMMETRY-ORTHOTROPIC
PARTS OF THE EYE RIGHT EYE LEFT EYE
EYE BROWS Normal (N) Normal (N)
ORBITAL MARGINS N N
LIDS DIFFUSE,ROUND N
SWELLING AWAY FROM
LID MARGIN,NON
TENDER,SKIN CAN BE
MOVED OVER THE
SWELLING
LACRIMAL APPARTUS N N
CONJUNCTIVA ON EVERSION OF LID N
CONJUNCTIVA OVER
SWELLING APPEARS
BLUISH
SCLERA N N
CORNEA
 SIZE N N
 SHAPE N N
 SURFACE N N
 TRANSPARENCY N N
  SENSATION N N
AC Normal depth Normal depth
No abnormalities noted No abnormalities noted
IRIS Normal color and pattern Normal color and pattern
PUPIL Single, centrally placed, 2- Single, centrally placed, 2-
3mm in size, regular, round, 3mm in size, regular, round,
reactive to both direct and reactive to both direct and
consensual light reflex consensual light reflex
LENS N N
VISUAL ACUITY (unaided) 6/6 6/6
NEAR VISION N6 N6
COLOUR VISION No red-green desaturation No red-green desaturation
OCULAR MOVEMENTS
-UNIOCULAR N N
-BINOCULAR Full
PROVISIONAL DIAGNOSIS:
Right Eye CHALAZION
Left Eye Within Normal Limits

NAME-RAKESH
AGE- 25
GENDER- MALE
ADDRESS- BOMMASANDRA
PRESENTING COMPLAINT: SWELLING IN THE RIGHT UPPER EYELID SINCE 3
DAYS
HISTORY OF PRESENTING ILLNESS: :Patient was apparantly normal 3 days back after which
he developed swelling in right upper lid insidious in onset and gradually progressive in nature,initially it
was of the size 2mm.now it was progressed to 4mm,complaints of pain,redness,watering and no
rdiminution of vision
No complaints of floaters/flashes.
No complaints recurrent URTIs.
PAST HISTORY: , No H/O DM, HTN, TB, EPILEPSY, ASTHMA
FAMILY HISTORY: : Mixed diet
Normal appetite
Adequate sleep
Normal bowel and bladder movements
No habits
PERSONAL HISTORY: Mixed diet
Normal appetite

Adequate sleep

Normal bowel and bladder movement

No habbits
ON EXAMINATION:
GPE -Patient is conscious, co-operative, well oriented to time, place and person. Moderately
built and nourished
VITALS: PR-84/min, RR-16/min, BP-110/90 mm Hg, temperature-Afebrile
SYSTEMIC EXAMINATION
CVS- S1 S2 heard , no murmurs
RS- NVBS heard
PA - Soft , non-tender
CNS -No focal neurological deficits
OCULAR EXAMINATION
HEAD POSTURE- NORMAL
FACIAL SYMMETRY-SYMMETRICAL
OCULAR SYMMETRY-ORTHOPHORIC

PARTS OF THE EYE RIGHT EYE LEFT EYE

EYE BROWS Normal (N) Normal (N)
ORBITAL MARGINS N N
LIDS DIFFUSE SWELLING SEEN ON LID N
MARGIN ,PINK IN
NORMAL,TENDER TO
TOUCH,PREAURICULAR LYMPH
NODE ENLARGED SKIN CAN NOT
BE MOVED OVER SWELLING
LACRIMAL APPARTUS N N
CONJUNCTIVA N
SCLERA N N
CORNEA
 SIZE N N
 SHAPE N N
 SURFACE N

N
 TRANSPARENCY N
  SENSATION N
AC Normal depth Normal depth
No abnormalities noted No abnormalities
noted
IRIS Normal color and pattern Normal color and
pattern
PUPIL Single, centrally placed, 2-3mm in size, Single, centrally
regular, round, reactive to both direct and placed, 2-3mm in
consensual light reflex size, regular,
round, reactive to
both direct and
consensual light
reflex
LENS N N
VISUAL ACUITY (unaided) 6/6 6/6
NEAR N6 N6
COLOUR VISION No red-green desaturation No red-green
desaturation
OCULAR MOVEMENTS
-UNIOCULAR N N
-BINOCULAR Full

PROVISIONA DIAGNOSIS:
Right Eye STYE
Left Eye Within Normal Limits
NAME-Ravi kumar
AGE- 55 years
GENDER- male
ADDRESS- Hoskote, Bangalore

PRESENTING COMPLAINT: Fleshy mass in the right eye since the past 6 months

HISTORY OF PRESENTING ILLNESS:

The patient was apparently well 6 months back when he noticed a fleshy growth in the right eye
insidious in onset, gradually progressive, on the nasal side. Associated with foreign body
sensation and irritation. Not associated with pain, redness, and watering.

PAST HISTORY:
Not a known case of diabetes, hypertension, asthma, IHD.
No history of ocular trauma, ocular surgeries

FAMILY HISTORY:
Nothing significant
PERSONAL HISTORY:
Diet-vegetarian, appetite-normal, sleep-undisturbed, Bowel and bladder-regular

ON EXAMINATION:

GPE -Patient is conscious, co-operative, well oriented to time, place and person. Moderately
built and nourished

VITALS: PR-84/min, RR-16/min, BP-110/90 mm Hg, temperature-Afebrile

SYSTEMIC EXAMINATION
CVS- S1 S2 heard , no murmurs
RS- NVBS heard
PA - Soft , non-tender
CNS -No focal neurological deficits

OCULAR EXAMINATION

HEAD POSTURE- Normal

FACIAL SYMMETRY- Symmetrical
OCULAR SYMMETRY-Orthophoric

Right eye left eye

PARTS OF THE EYE RIGHT EYE LEFT EYE

EYE BROWS Normal (N) Normal (N)
ORBITAL MARGINS N N
LIDS N N
LACRIMAL APPARTUS N N
CONJUNCTIVA Fleshy growth on the nasal N
side, encroaching on the
cornea. Vascularization
present
SCLERA N N
CORNEA
  SIZE N N
 SHAPE N N
 SURFACE Fleshy mass encroaching on N
less than1mm of cornea

 TRANSPARENCY N
 SENSATION N N
AC Normal depth Normal depth
No abnormalities noted No abnormalities noted
IRIS Normal color and pattern Normal color and pattern
PUPIL Single, centrally placed, 2- Single, centrally placed, 2-
3mm in size, regular, round, 3mm in size, regular, round,
reactive to both direct and reactive to both direct and
consensual light reflex consensual light reflex
LENS N N
IOP 12mmHg 12mmHg
VISUAL ACUITY (unaided) 6/9 (no improvement with 6/6
pinhole)
NEAR VISION (aided) N6 N6
COLOUR VISION No red-green desaturation No red-green desaturation
OCULAR MOVEMENTS
-UNIOCULAR N N
-BINOCULAR Full
PROVISIONAL DIAGNOSIS:
Right Eye Progressive (Grade I) Nasal Pterygium;
Left Eye Within Normal Limits

NAME-Sharadhamma

AGE-58 years

GENDER-female

OCCUPATION-Vegetable Vendor

ADDRESS-Hoskote, Bangalore

PRESENTING COMPLAINTS:

Pain in right eye since 7 days.

HISTORY OF PRESENTING ILLNESS:

• Patient was apparently normal 7 days back, following which she developed pain in right eye,
sudden in onset, gradually progressive to the present state, , excessive lacrimation and redness
of the right eye .Complaints of blurring of vision present.

• Patient gives history of sustaining trauma to the right eye 15days ago with vegetable
matter .Patient has not taken treatment for the same.

• No complaints of floaters/flashes.

• No complaints recurrent URTIs.

• PAST HISTORY:

Not a known case of type 2 diabetes mellitus, hypertension, tuberculosis, Asthma, IHD.

FAMILY HISTORY:

Nothing significant.

PERSONAL HISTORY:

Diet- mixed; Appetite- normal; Sleep- adequate; Bowel& bladder- Normal & regular

ON EXAMINATION:

GENERAL PHYSICAL EXAMINATION: 58 year old adult female, moderately built and nourished.
Conscious, Co- operative. Well oriented to time, place and person

Vitals:

• BP:130/80mm/hg

• RR:16cpm

• PR:78bpm

• Temp: Afebrile

• SYSTEMIC EXAMINATION

• CVS- S1 S2 heard. No murmurs.

• RS- Normal vesicular breath sounds heard. No

• added sounds.

• P/A- Soft, non-tender, no hepatosplenomegaly.

• CNS- No focal neurological deficit

• OCULAR EXAMINATION:

• HEAD POSTURE: Normal

• FACIAL SYMMETRY: Symmetrical

• OCULAR POSITION:Symmetrical

• PARTS OF THE • RIGHT EYE • LEFT EYE

EYE

• EYE BROWS • Normal (N) • Normal (N)

• ORBITAL • N • N
MARGINS

• LIDS • N • N

• LACRIMAL • N • N
APPARTUS

• CONJUNCTIVA • CircumcornealCongestion+ • N

• Mild chemosis +

• SCLERA • N • N

• CORNEA • 10mm • 10mm

• SIZE • Normal • Normal

• SHAPE • present • absent

• ULCER • central • within normal limits

• Location • 6mmx5mm

• Size • ring shaped

• Shape • Feathery
MarginsDepth
• deep seated involving 70% of
• Surrounding area the stromainfiltrate seen at
10’0 clock position
• SENSATION surrounding the main lesion
and epithelial defect with
infiltrate seen at 2’o clock
position.

• diminished

• ANTERIOR • Normal depth • N

CHAMBER
• Non-mobile hypopyon 2mm

• IRIS • Normal color • N

• Pattern-not visible

• PUPIL • Details not seen • Single,centrally

placed,2-3mm in
size,regular,round,rea
ctive to both direct
and consensual light
reflex

• LENS • Detail not seen • N

• VA • 6/60 • 6/18

• WITH PINHOLE • 6/36 • 6/18(P)

• NEAR VISION • N12 • N12

• OCULAR • N • N
MOVEMENTS

• -UNIOCULAR

• -BINOCULAR • Full
• PROVISIONAL DIAGNOSIS:

• Right eye corneal ulcer (? fungal);

• Left eye within normal limits

Name: Nirmala

Age: 56 Years

Gender: Female

Occupation: Fruit-vendor

Address: Whitefield, Bangalore

Chief complaints

1. increased watering in the left eye since the past 4 months associated with swelling near the eye
(between the eye and the bridge of the nose)

2. Swelling of area around the left eye since one week

History of Presenting Illness

• The patient was apparently well 4 months back when she noticed increased watering from left
eye which was insidious in onset and gradually progressive.

• It was associated with a swelling below the inner canthus that was gradually progressive and
painful on touch.

• There was also swelling of the area around the left eye since one week

• Patient gives history of matting of lashes on waking up in the morning and whitish discharge
present in the inner and outer corners of the eye

• no history of redness or itching of the eyes

• No history of trauma to the eye

• No history of similar episodes in the past

Past history

• Patient is a known case of type 2 diabetes mellitus since two years, not on regular medication

• Not a known case of hypertension, allergy, tuberculosis (active or old infection)

Family History: Nothing significant

Personal History:

Diet-mixed
appetite-good

sleep-undisturbed,

Bowel and Bladder-regular,

No history of cigarette smoking or consumption of alcohol

• On Patient is conscious, co-operative, well oriented to time, place and person. Moderately
built and nourished

• Pulse- 78/min , Respiratory Rate-16/min, BP-124/86mmHg, temperature- Afebrile

• SYSTEMIC EXAMINATION

• CVS - S1 S2 heard, no murmurs RS- NVBS heard

• PA– Soft, non-tender CNS- No focal neurological deficits

• Examination: Ocular Examination:

• Head posture: normal

• Facial symmetry: symmetrical

• Ocular symmetry: orthophoric

Anterior segment picture:

right eye left eye

PARTS OF THE EYE RIGHT EYE LEFT EYE

EYE BROWS Normal (N) Normal (N)

ORBITAL MARGINS N N

LIDS N Periorbital edema +, skin around

the eye is erythematous

LACRIMAL APPARTUS   Diffuse, soft-swelling measuring

10 x 6 mm inferomedial to the
 PUCTA N medial canthus of left eye. Skin
 LACRIMAL SAC AREA N  over the swelling appears
erythematous and tight.
 REGURGITATION Negative
On palpation, tenderness
TEST
present. Size of swelling
  confirmed to 10 x 6 mm .
Mucoid discharge expelled from
  lower and upper lacrimal puncta
on applying pressure.

PARTS OF THE EYE RIGHT EYE LEFT EYE

CONJUNCTIVA N N
SCLERA N N

CORNEA  

 SIZE N N

 SHAPE N N

 TRANSPARENCY N N

 SENSATION N N

ANTERIOR CHAMBER Normal depth Normal depth

  No abnormalities No abnormalities noted

noted

IRIS Normal color and Normal color and pattern

pattern

PUPIL Single, centrally Single, centrally placed, 2-3mm

placed, 2-3mm in in size, regular, round, reactive
size, regular, to both direct and consensual
round, reactive light reflex
to both direct
 and consensual
light reflex

PARTS OF THE EYE RIGHT EYE LEFT EYE

LENS Clear Clear

VISUAL ACUITY 6/6 6/6

NEAR VISION N6 N6

COLOUR VISION No red-green No red-green desaturation

desaturation

OCULAR MOVEMENTS    

-UNIOCULAR N N

-BINOCULAR Full

Fundoscopy:

Right eye: CDR 0.3/ margins distinct/ NRR healthy/ vessels normal/ FR +
Left eye: CDR 0.3/ margins distinct/ NRR healthy/ vessels normal/ FR +

Provisional Diagnosis

• Right Eye within normal limits

• Left Eye acute exacerbation of chronic dacrocystitis and preseptal cellulitis