A 45 years old man was referred by general practitioner with anisocoria. He also complained migraine on his right side since 3 days ago. He also noticed that his right upper eyelid was drop. No systemic disease in that patient. Ophthalmologic examination, visual acuity RE 6/6, LE 6/6. No restriction on gaze movement. Pupil diameter in RE 4 mm, LE 3 mm. Anisocoria was worse in dim light. Anterior and posterior segment within normal limit. The diagnosis for this patient was:

A 19 years old man came with chief complain sudden blur vision on his right eye. This happened 1 week ago and getting worse especially on his central vision. No redness or pain on his eyes. He had a cardiac disease since he was a child. His grandfather had same eye disease. Funduscopy on his right eye: hyperemic papil, teleangiectasis, and dilated vein. The diagnosis for this patient was:

A 46 year old woman came with chief complain double vision since 2 months ago. She described diplopia in primary position that worsened in right gaze. She also reported a whooshing sound in her right ear for 2-3 months. Past ocular history, the patient was in a bicycle accident four months before. Visual acuity 20/20 both eyes. Extraocular motility: -3 abduction deficit OD and full OS. Anterior segment examination: conjunctival injection OD, otherwise normal examination. Pupils within normal limit. Intraocular pressure: 14 mmHg OD, 12 mmHg OS. Dilated funduscopic examination within normal limit. Hertel examination: 21 mm OD, 17 mmOS, base 95 mm.

What’s the ancillary examination which is needed most on this case?

A 37 year old man came with chief complain pain in his right eye, especially when he saw the light. He also complained headache. The ophthalmologic examination: visual acuity 20/20 both eyes, no limitation and pain in extraocular motility, anterior segment within normal limit. Pupil examination: 5 mm OD, 3 mm OS in bright light, and 6 mm OD, 5 mm OS in dim light.

What’s the test that should be performed in this patient?

Forty five year old woman came with chief complain blurring in her right vision. She sometimes had headache. Her visual field examination showed central scotoma on her right eye and temporal hemianopia on her left eye.

Where’s the site lesion that can caused that visual field defect?

Pasien perempuan 35 tahun dengan obesitas datang dengan keluhan nyeri kepala, mual, muntah, melihat dobel, pandangan menyempit, telinga berdenging. Pada pemeriksaan didapatkan visus pada kedua mata 20/20, segmen anterior tenang dengan pupil isokor dan tidak ada RAPD. Pada funduskopi didapatkan batas papil N.II kabur, kemerahan, CRD sulit dinilai. Kelainan lapang pandang yang dapat ditemukan pada pasien ini adalah

Seorang wanita usia 55 tahun datang dengan keluhan kelopak mata kanannya turun sejak seminggu yang lalu. Pasien juga mengeluh penglihatan dobel. Keluhan dirasakan memberat di sore hari atau setelah melakukan aktivitas berat, dan membaik pada saat bangun tidur. Pada pemeriksaan oftalmologis didapatkan visus OD 6/6, OS 6/6. Palpebra mata kanan didapatkan ptosis, pada saat kelopak mata kiri dibuka secara manual, ptosis mata kanan bertambah parah. Gerak bola mata terdapat hambatan pada gerak adduksi. Diameter pupil 3mm dengan reflex cahaya normal, lensa keruh minimal, funduskopi dalam batas normal. Mata kiri tenang. Tanda klinis yang didapatkan pada pasien tersebut yang dapat menunjang diagnosis adalah:

Seorang pasien laki-laki usia 65 tahun datang dengan keluhan mata kanan tidak bisa melihat sisi luar penglihatannya. Keluhan terjadi mendadak seminggu yang lalu. Pasien tidak mengeluh nyeri kepala. Pasien mempunyai riwayat hipertensi dan DM yang tidak terkontrol dengan baik. Pada pemeriksaan didapatkan visus mata kanan dan mata kiri 6/60. Pupil isokor, tidak ada RAPD, lensa keruh tidak merata. Pada funduskopi didapatkan papil N.II dalam batas normal dan terdapat NPDR moderate. Pada pemeriksaan lapang pandang didapatkan hemianopia homonym dextra. Diagnosis yang paling memungkinkan adalah

A history of painless, curtainlike visual loss in 1 eye that spontaneously resolves within 10-15 minutes is most characteristic of what pathologic entity?