The photograph below depicts: | OphthalmologyWeb: The Ultimate Online Resource for Ophthalmologists

Tuesday, September 22, 2009

The photograph below depicts:

A punctum occluded by an intracanalicular collagen plug
A punctum occluded by a silicone punctal plug
A punctum occluded by punctal cautery
A punctum occluded by an extruding Jones tube

Correct Answer: A punctum occluded by a silicone punctal plug

The picture depicts a punctum occluded by a permanent silicone plug with a collarette to keep it in place at the punctal opening.

The patient depicted in the photograph below would be best treated with:
1. Acetylcysteine 10% drops
2. Prednisolone drops
3. Sodium cromolyn drops
4. Olopatadine drops
check the answer
A 40 y.o. female pictured below comes to the office with swelling of both upper lids, mild shortness of breath and symptoms of dry eyes. One would expect to see as part of her work up:
1. A monocytic B cell infiltrate of her lacrimal glands
2. Pain on palpation of her lacrimal glands.
3. An elevated ACE.
4. A history of breast cancer.
check the answer
The following is true of the photograph below:
1. This particular stain stains only devitalized and dead cells and mucus.
2. This eye has been stained with 2% rose Bengal.
3. This stain pools in epithelial erosions and stains exposed basement membrane.
4. This stain may be a more sensitive indicator of early or mild cases of keratoconjuncitivitis sicca.
... check the answer
After permanent punctal occlusion with cautery:
1. 5-10% rate of recanalization is expected.
2. 10-20% rate of recanalization is expected.
3. 20-30% rate of recanalization is expected.
4. 30-40% rate of recanalization is expected.
check the answer
The most common cause of mucin deficiency is:
1. Vitamin D deficiency
2. Vitamin C deficiency
3. Vitamin K deficiency
4. Vitamin A deficiency
check the answer

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