Test your ophthalmology knowledge with JAMA Network clinical challenges

Online CME has come a long way. It is now more convenient and relevant than ever.

JN Learning™, the CME arm of the JAMA Network™, enables users to browse the JAMA Network catalogue of over 5,000 online resources by any medical topic. A filter then lets users locate more than 1,700 relevant online CME opportunities.

CME from the JAMA Network enables you to earn AMA PRA Category 1 CME Credit™ from a source you trust. The AMA has added lessons for many of the most common specialty health topics.

The ophthalmology category helps learners correctly diagnose and treat unusual presentations of blurry vision, visual impairment, edema, headaches and more. Its 10-lesson online series covers the following topics:

1. “Unilateral Yellowish Eye in a Woman With an Intraocular Mass.”

   1. A 65-year-old woman was referred with a six-week history of blurry vision, ocular pain and subconjunctival yellow discoloration in the left eye. Suspicious retinal detachment and intraocular mass were identified, which raised concerns for choroidal melanoma. What is your diagnosis?

2. “Bilateral Panuveitis and Myeloradiculopathy in a 12-Year-Old Girl.”

   1. A 12-year-old girl presented for assessment of abnormal gait. A year prior, she was found to have bilateral panuveitis with occlusive retinal periphlebitis involving all quadrants of the central and peripheral retina with capillary nonperfusion. What would you do next?

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      Test your knowledge with clinical challenges from JAMA Network

3. “A Boy With Anterior Uveitis and Optic Disc Swelling.”

   1. A 14-year-old boy was referred because of ocular and periocular pain with photophobia in his right eye for the last five days. What is your diagnosis?

4. “A Child With Severe Autism Spectrum Disorder With Bilateral Corneal Ulcers.”

   1. A 6-year-old boy with severe autism spectrum disorder was brought to the hospital by his mother for whitening in the right eye. What is your diagnosis?

5. “Intermittent Temporal Visual Field Loss in a Middle-Aged Man.”

   1. A 45-year-old man presented with floaters in his left eye and headaches for two months. He experienced left temporal field loss when lifting heavy objects. What is your diagnosis?

6. “Pigmented Macular Lesion in a Child.”

   1. A 5-year-old boy with a history of an Escherichia coli infection complicated by hemolytic uremic syndrome presented with a visual acuity of 20/125 OD and 20/20 OS (HOTV letters). What is your diagnosis?

7. “Worsening Angle Closure After Successful Laser Peripheral Iridotomy.”

   1. A woman in her 40s was referred to an outside ophthalmologist after developing nausea and a headache following a dilated-eye examination. She was found to have narrow angles in both eyes and a laser peripheral iridotomy was performed in her left eye. Two weeks later, she developed flickering photopsias and a temporal scotoma progressing to a “brown tint” of her vision in her left eye. What is your diagnosis?

8. “Unilateral Intraocular Lens Implant Subluxation in an Adult.”

   1. A middle-aged patient with a remote history of bilateral juvenile cataracts after posterior chamber intraocular lens placement presented with decreased vision in the right eye for several months. There was no recent ocular trauma or intraocular surgery. At the time of the initial examination, visual acuity was 20/50 in the right eye and 20/20 in the left eye, with a refraction of negative 1.50 diopters sphere in both eyes. What is your diagnosis?

9. “Diagnostic Dilemmas With a Great Ocular Masquerader.”

   1. Aman in his early 80s with history of autoimmune pancreatitis, recurrent colon polyps and benign prostatic hyperplasia developed rapid, painless vision loss of both eyes over a two-week period six months after cataract surgery. Vision was 20/250 OD and 20/60 OS. What is your diagnosis?

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10. “Macular Fluid in a Patient With a Reported History of Normal-Tension Glaucoma.”

    1. A patient with a history of normal-tension glaucoma presented with a blurred spot in the central vision of the right eye. Examination showed best-corrected visual acuity of 20/50 OD and 20/30 OS and intraocular pressure of 13 mm Hg OU. What would you do next?

The AMA Ed Hub™ is an online platform that brings together all the high-quality CME, maintenance of certification, and educational content you need—in one place—with activities relevant to you, automated credit tracking and reporting for some states and specialty boards. 

Learn more about AMA CME accreditation.