Case 1

4-year-old female boxer. Comfortable. Visual OU 3 weeks after a procedure was done on one eye. Which procedure has been performed?

1.  Repositioning of the gland of the nictitating membrane OS

2.  Superficial keratectomy OD

3.  Superficial linear keratotomy OD

4.  Nictitating membrane excision OS

Case 2

1-year-old male poodle presented for redness in OD for 4–5 days.

Which complementary diagnostic test(s) would you recommend?

1.  Ocular ultrasound

2.  Hematology and biochemistry

3.  Intraocular pression and fluorescein

4.  Electroretinogram

What is your diagnosis?

1.  Glaucoma

2.  Posterior stromal ulcer

3.  Anterior uveitis and mature cataract

4.  Indolent ulcer

Which treatment would you recommend?

1.  Local and systemic AB

2.  Local SAI, local atropine, and systemic AI

3.  Anti-glaucomatous meds

4.  Local NSAI

Which treatment would you recommend?

1.  None

2.  Local SAI

3.  NSAI ± lens luxation surgery

4.  Local NSAI ± cataract surgery

Case 3

3-year-old boxer presented for a lesion on OD appeared the same day. Menace response hard to assess, Dazzle, direct and indirect PLR are positive.

What is your diagnosis?

1.  Melting corneal ulcer

2.  Epibulbar melanocytoma

3.  Corneal perforation

4.  Corneal dermoid

What would be the recommended treatment?

1.  Medical treatment alone

2.  Enucleation

3.  Conjunctivo-corneal transposition

4.  Corneal sutures

Case 4

Seven-month-old cat presented with a bilateral lesion that appeared 5–6 weeks ago.

What is your diagnosis?

1.  Squamous cell carcinoma of the NM

2.  Follicular conjunctivitis

3.  NM cartilage eversion

4.  Luxation of the gland of the NM

Name three cats breeds predisposed to “cherry eye.”

Case 5

11-year-old female Boston terrier female. Visual OU. Comfortable OU 7 days after a procedure was performed OD.

Which procedure has been done in the right eye?

1.  Punctiform keratotomy

2.  Lamellar superficial keratectomy

3.  Thermokeratoplasty

4.  Iodine cauterisation

Case 6

4-year-old female DSH cat presented with a lesion that appeared the morning of the visit to the clinic.

What is your diagnosis?

1.  Melting ulcer

2.  Macrocornea

3.  Acute bullous keratopathy

4.  Corneal endothelial degeneration

Case 7

14-year-old female DSH cat. Comfortable. Visual OU.

What is your diagnosis?

1.  Anterior synechiae after a corneal perforation OU, iris melanoma OS

2.  Persistence of pupillary membrane persistence OU, iris melanoma OS

3.  Persistence of pupillary membrane persistence OU, iris cysts OS

4.  Anterior synechiae after a corneal perforation OU, iris cyst OS

Case 8

2-year-old Persian cat. Comfortable. Visual OU 4 months after a procedure has been performed OD. Which procedure has been done in the right eye?

1.  Lamellar superficial keratectomy and conjunctivo-corneal transposition

2.  Lamellar superficial keratectomy and conjunctival graft

3.  Lamellar superficial keratectomy and equine amniotic membrane graft

4.  Lamellar superficial keratectomy alone

Case 9

What is your diagnosis?

1.  Nodular granulomatous episcleritis

2.  Corneal squamous cell carcinoma

3.  Corneal perforation with iris prolapse

4.  Corneal dermoid

Case 10

8-year-old Tibetan terrier presented for an intermittent cloudy right eye. Comfortable. Menace: OU+. PLR: OU+.

What is your diagnosis?

1.  Incipient cataract OU; primary glaucoma OD

2.  Nuclear sclerosis OU; primary glaucoma OD

3.  Nuclear sclerosis OU; lens sub-luxation OD

4.  Incipient cataract OU; posterior lens luxation OD

Which treatment would you recommend?

1.  None

2.  Local AI OD, local anti-glaucomatous OD

3.  Laser surgery for glaucoma

4.  Lens luxation surgery

Same dog was presented 3 months later for an acute pain in OD. Menace: OU+. PLR: Direct OD–, OS+; Indirect OD–, OS+

Which treatment would you recommend?

1.  None

2.  Local AI OD, local anti-glaucomatous OD

3.  Laser surgery for glaucoma

4.  Lens luxation surgery

Case 12

7-month-old female poodle/bichon presented for severe redness in both eyes that did not improve despite 15 days treatment with triple antibiotic ointment. Comfortable, menace +.

What is your diagnosis?

1.  Glaucoma

2.  Pannus (chronic superficial keratitis)

3.  Squamous cell carcinoma

4.  Nodular granulomatous episcleritis

Case 13

8-year-old male cat, going out, presented with a lesion on the right eye that is not healing despite 2 weeks of treatment.

Which treatment would you recommend to be combined with the medical treatment?

1.  Debridement, E-collar ± corneal lens

2.  Debridement, keratotomy superficial, E-collar

3.  Nictitating membrane bandage, E-collar

4.  Superficial keratectomy, E-collar.

Case 14

6-year-old female DSH presented for a lesion in the right eye that is not improving despite AB treatment. Comfortable and visual OD.

What is your diagnosis?

1.  Nodular granulomatous episcleritis

2.  Fungal ulcer

3.  Eosinophilic keratitis

4.  Squamous cell carcinoma

Which test would you perform?

1.  Fluorescein stain

2.  Corneal scraping and cytologic exam

3.  Corneal sampling and microbiologic culture

4.  Seidel test

Case 15

What is your diagnosis?

1.  No ocular condition

2.  Glaucoma left eye

3.  Equine recurrent uveitis left eye

4.  Glaucoma right eye

Case 16

Right eye slit lamp examination on a horse that is visual and comfortable OU.

What is your diagnosis?

1.  Multifocal posterior cortical punctiform cataract

2.  Nuclear sclerosis, vitreal degeneration

3.  Nuclear sclerosis, vitritis

4.  Multifocal anterior cortical punctiform cataract

Case 17

4-month-old female bull mastiff was presented to evaluate the white appearance of both eyes. Visual OU. Comfortable OU.

Which diagnostic test would you recommend?

1.  Intraocular pressure

2.  Electroretinogram

3.  MRI

4.  Ocular ultrasound

What is your diagnosis?

1.  Anterior uveitis with hyphema, cortical anterior cataract

2.  Posterior uveitis (vitritis), vitreal degeneration (asteroid hyalosis)

3.  Posterior uveitis (vitritis), retinal detachment

4.  Cortical posterior cataract/persistence of primary vitreous hyaloid artery

Case 18

4-year-old male Siberian husky presented for evaluation of the left eye: red since 2 weeks, despite topical steroid treatment. Right eye, comfortable, visual.

What is your diagnosis?

1.  Meibomian gland tumour, iris atrophy, nuclear sclerosis

2.  Meibomian gland tumour, iris hypoplasia, nuclear sclerosis

3.  Meibomian gland tumour, iris atrophy, mature cataract

4.  Squamous cell carcinoma, iris atrophy, nuclear sclerosis

Left eye, uncomfortable, nonvisual. What is your diagnosis?

1.  Posterior lens luxation, glaucoma, secondary retina and ONH degeneration

2.  Anterior lens luxation, glaucoma, secondary retina and ONH degeneration

3.  Lens subluxation, glaucoma, normal fundus

4.  Lens subluxation, glaucoma, secondary retina and ONH degeneration

What would be the treatment according to you?

1.  Right eye: none; Left eye: none

2.  Right eye: palpebral mass excision; Left eye: enucleation

3.  Right eye: palpebral mass excision; Left eye: chemical ablation of the ciliary bodies

4.  Right eye: palpebral mass excision; Left eye: intracapsular lens extraction

Case 19

6-year-old merle Australian sheepdog went for the first visit to his veterinarian after adoption. Menace: OD+; OS–; PLR: OU+.

What is your diagnosis?

1.  OD: nuclear sclerosis; OS: incipient nuclear cataract

2.  OD: immature cataract OS: hypermature cataract

3.  OD: nuclear sclerosis OS: asteroid hyalosis

4.  OD: mature cataract OS: asteroid hyalosis

Which test(s) would you recommend?

1.  Fluorescein and rose bengal staining

2.  Arterial pressure measurement, ocular ultrasound

3.  Hematology, biochemistry including glycemia

4.  Intraocular pressure, electroretinogram, ocular ultrasound

Which treatment(s) would you recommend?

1.  OD: local SAI; OS: enucleation

2.  OD: Anti-glaucomatous OS; local SAI

3.  OU: local SAI and cataract surgery

4.  OD: local SAI and cataract surgery; OS: local SAI

Case 20

Indirect ophthalmoscopic exam.

What is your diagnosis?

1.  Chorioretinitis in a cat

2.  Complete retinal detachment in a dog

3.  Normal fundus, albinotic in a dog

4.  Normal fundus, albinotic in a cat