EMQ: 24
Lesions seen on ophthalmoscopy
a)
Papilloedema
b)
Papillitis
c)
Optic atrophy
d)
Glaucoma
e)
Central retinal artery occlusion
f)
Angioid streaks
g)
Central retinal vein occlusion
h) Choroidoretinitis
i)
Retinitis pigmentosa
j)
Drusen
1) On examination of the fundus you note linear dark-red
streaks beneath the blood vessels
Answer: f) Angioid streaks
Angioid streaks present as linear red or grey streaks
beneath the retinal vessels
2) On examination of the fundus you note the disc is
swollen. It is red and appears cloudy with exudates on the disc and in the
overlying vitreous
The veins are not distended
Answer: b) papillitis
This is the typical appearance of papillitis
3) On examination of the fundus you note that the fundus
is pale. There are few vessels, which look thin. There is a cherry red spot at
the macula
Answer: e) central retinal artery occlusion
This is the typical appearance of central retinal artery
occlusion
4) On examination of the fundus you note black pigment,
which has the appearance of bone corpuscles, scattered throughout the retina
Answer: I) retinitis pigmentosa
This is the typical appearance of retinitis pigmentosa
5) On examination of the fundus you note that the veins
are tortuous and engorged. Multiple haemorrhages and soft exudates are seen.
There is papilloedema
Answer: g) central retinal vein occlusion
This is the typical appearance of central retinal vein
occlusion. The focus is on the veins
Revision Tip
Read up the description and causes of lesions in the
fundus ACES for PACES pages 474-478
