Visual atlas
See it before you are asked to name it
132 real images across 7 modality groups. Every one was opened on its Wikimedia Commons file page and checked for what it shows, its licence and whether anyone could be recognised. Tap an image to study it; the practice case behind it grades your localisation and diagnosis.
39 images
External photographSevere pain, nausea and a red eye in the evening
A 68-year-old long-sighted woman with a night of severe right eye pain, headache, vomiting and haloes around lights.
foundational · glaucoma
External photographHit in the eye by a ball
A 19-year-old struck in the eye by a squash ball an hour ago, with pain and blurred vision.
foundational · trauma
External photographLabelledSudden relief of pain in a week-old corneal ulcer
An 80-year-old with a week of a painful discharging eye reports that the pain eased suddenly this morning and the eye 'wept'.
advanced · cornea external
External photographA lump in the eyelid for three weeks
A 29-year-old with a painless lump in the upper eyelid for three weeks after an episode of lid swelling.
foundational · oculoplastics orbit
External photographA second eyelid lump, different patient
A 35-year-old with rosacea and a recurrent lump in the upper lid.
foundational · oculoplastics orbit
External photographA watery red eye after a cold
A 27-year-old with a week of coryza and now a gritty, watery red eye; the other eye started this morning.
foundational · cornea external
External photographA second watery red eye
A student in a residence hall where several people have red eyes; gritty and watering for two days.
foundational · cornea external
External photographSticky lids on waking
A 6-year-old whose lids were glued shut with yellow crust this morning; the eye is red and uncomfortable.
foundational · cornea external
External photographBoth eyes suddenly blood red
A 40-year-old during a local outbreak with sudden bilateral pain, tearing and swelling; both eyes turned dark red overnight.
intermediate · cornea external
External photographA red patch noticed in the mirror
A 33-year-old noticed a red patch on the white of one eye this morning after a night of coughing; no pain, normal vision.
foundational · comprehensive
External photographA smaller red patch, different patient
A 45-year-old on warfarin with a small red patch on one eye for two days; no symptoms.
foundational · comprehensive
External photographBlood on the white of the eye after heavy lifting
A 38-year-old noticed blood on the white of the eye after moving furniture; painless.
foundational · comprehensive
External photographTemporal red patch in an older patient
A 72-year-old on aspirin with a red patch on the outer side of one eye for three days.
foundational · comprehensive
External photographOne pupil larger than the other, noticed by a friend
A 30-year-old whose friend noticed that one pupil is bigger than the other. No ptosis, no double vision, no headache, vision normal.
intermediate · neuro
External photographUnequal pupils in a 25-year-old, of unknown cause
A 25-year-old man with unequal pupils, no other symptoms, and a normal neurological examination.
intermediate · neuro
External photographA white ring around the edge of the cornea, at 70
A 70-year-old woman from a rural area asks about a white ring at the edge of the coloured part of her eye. Vision normal.
foundational · cornea external
External photographAnother white pupil in an adult
A 72-year-old woman with a painless white pupil and vision reduced to light and shapes in that eye over several years.
foundational · comprehensive
External photographA sticky, swollen, red eye for two days
A 19-year-old with two days of a red, sticky eye and swollen lids, glued shut on waking. Vision normal, no photophobia.
foundational · cornea external
External photographA painful lump on the lower lid of an 8-year-old
An 8-year-old boy with three days of a painful, red swelling at the edge of the lower lid. The eye itself is white.
foundational · oculoplastics orbit
External photographAn irregular pupil and a cloudy lens years after a blow
A 45-year-old hit in the eye by a ball as a teenager, with poor vision in that eye ever since and a pupil that has never been round.
advanced · trauma
External photographSwollen shut, hot and febrile after a week of sinusitis
A child with a week of sinusitis now has a fever and lids so swollen the eye cannot be opened; the eye is painful to move and pushed forward.
foundational · oculoplastics orbit
External photographLabelledThe nine positions of gaze with one nerve out
A montage of a patient's eyes in the positions of gaze, with the lids held open where needed.
intermediate · neuro
External photographLabelledTrachoma at four stages, on everted lids
A teaching figure: active trachoma in a child (a), intense inflammation (b), conjunctival scarring (c) and trichiasis with corneal opacity (d).
advanced · cornea external
External photographLabelledA yellow plaque above the eye, a year old
A 50-year-old noticed a soft yellow patch on the upper lid a year ago; it has slowly grown. No symptoms.
foundational · oculoplastics orbit