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External and disc/macula photo of the left eye in a 20-year-old woman with red eye and vision loss.

A 20-year-old woman presented with a chronic inflammation of the left eye and the complaint that she noticed poor vision in this eye when she covered her right eye. In everyday activity she had no special problems except for the continued redness of this eye. She had been prescribed drops for the redness and has used them on a regular basis, almost daily, for three years. Visual acuity was measured at 20/40 in the right eye and 20/200 in the left. Intraocular pressure was 30 mmHg in each eye and mild posterior subcapsular opacities were seen in both lenses.

1.	The first thing to do in a patient like this is to:
	a. do a filtering procedure in both eyes b. perform goniotomy c. find out what type of drops the patient has been using d. perform laser trabeculoplasty e. (d) followed by (a)
2.	The diagnosis in this case is likely to be:
	a. glaucoma induced by corticosteroids b. chronic simple glaucoma c. idiopathic pressure rise with disc atrophy d. malignant hypertension e. none of the above
3.	Treatment for this patient would include:
	a. stopping the drops she has been using b. beginning one or more traditional medicines to treat glaucoma c. consider non-steroidal anti-inflammatory drugs if their effect is needed d. consider surgery as an option if non-surgical methods to control the intraocular pressure fail e. all of the above

For answers to the above, click here on or after July 5, 2011.