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Sudden relief of pain in a week-old corneal ulcer

Clinical history

Urgency
Emergent

An 80-year-old with a week of a painful discharging eye reports that the pain eased suddenly this morning and the eye wept.

Examination
A flat or shallow anterior chamber, a dark iris knuckle in the cornea, a positive Seidel test, hypotony.

Presentation typical of this diagnosis, written for teaching. The source dataset provides the image and its label only, with no accompanying clinical record.

The study opens when you begin.

Read the history first and decide what you expect to find. Committing to an expectation before you look is most of what separates interpreting from noticing.

Step 1 of 3 · Read the history

Study: External photograph

Describe the abnormality and give the most likely diagnosis. You will locate the finding first; the answer options stay hidden until you have.