Ophtho Cases Sign in

Practice the night eye consult before you get the page.

CCS-style ophthalmology cases for residents taking call. Triage the page, examine the patient, order what your hospital actually has, call your attending and write the note. Then see what you missed.

One full case, no account needed. About 20 minutes.

Page from the ED, Bed 1422:40
ED resident
"62F with right eye pain, headache, vomiting ×3, blurry vision since the movie let out around 8 pm. Eye is red. Can you come see her? We gave Zofran and Tylenol."
BP 168/94HR 96T 37.1 °CPain 9/10
Go nowFinish what you're doing, then goPhone advice

How a case runs

The clock is simulated, like the CCS. Every question, exam and test costs time, and the patient keeps getting better or worse while you decide.

22:40

The page

Ask the caller what you need. They're sometimes wrong. Give verbal orders, then decide: go now, finish what you're doing, then go, or phone advice.

22:58

The bedside

Examine the patient, who won't always cooperate. Order exams, tests, treatments and calls, then advance the clock for results.

23:25

The call

Call your attending with a one-liner, the key findings and your plan. They answer based on what you've done so far.

Done

The feedback

Diagnosis, disposition and your note. Your score by area, every critical action you missed or did late, and why it matters.

Try one now

The sample case is the same simulator and grading as the full set. No sign-up.

  • An ED page at night, start to finish
  • Real photographs where we have them, with "what do you see?" before the report
  • Scored feedback at the end
Take the page
Free sample case

Halos and a headache

Setting
Emergency department, 22:40
Patient
62-year-old woman
Real time
20 minutes
Start the case

What's in it

Built-in cases cover the consults that come in overnight, from the ones that can't wait to the ones that get over-called. Cases written by residents and faculty are added once the editorial board approves them.

Can't wait

Vision lost in minutes to hours

  • Halos and a headache
  • Painless, sudden, one eye
  • Jaw pain and a pale disc
  • Hammering metal
  • Swollen eye in a 9-year-old
  • Flashes, floaters, a shadow
  • Concrete in both eyes
  • Contact lens, painful white spot
  • Tense orbit on a blood thinner

Same night

Needs a plan before you leave

  • Day 4 after cataract surgery
  • Droopy lid, big pupil
  • Baseball to the eye
  • Pain when she looks around
  • Swollen lid after a bug bite
  • Rash on the forehead and nose
  • "Pink eye" that isn't getting better

Often over-called

Safe to manage by phone, if you ask the right things

  • Grinding metal, something in the eye
  • Blood on the white of the eye
  • New floaters, no curtain
  • Red, watery, both eyes now
  • Droopy lid, normal pupil
  • "Cellulitis" from urgent care

Call nights. Several pages on one clock. While you're with one patient the others keep progressing, and walking between them takes time.

Sign in to start

Set up for your hospital

Each program has an account admin, usually a program director or chief, who sets things up once.

Your tests, your hours

Turn off what your hospital doesn't have, say where it's available, set turnaround times and hours. No B-scan in the ED overnight? The cases follow that.

Your logistics

Who to call for MRI after hours, where the consult cart lives, how to reach the retina fellow. It shows up inside each case.

See how residents are doing

Scores over time, scores by area, and the critical actions each resident keeps missing. Only your program's account admin sees your residents' results.

Submit a case

Saw a consult other residents should learn from? Write it up. Anyone can submit, and every case goes through the editorial board before it's published.

  1. Write itThe case editor walks you through the page, the history, the exam findings, the scoring and the teaching points.
  2. De-identify itFictionalize the story. Black-box anything identifying on images. Uploads are stripped of metadata.
  3. Board reviewThe editorial board checks the medicine, the scoring and the de-identification, then approves it or asks for changes.
  4. PublishedIt goes live for every program, with your name on it.
Submit a case

Questions

Is this the real CCS?

No. Ophtho Cases uses a CCS-style format (a simulated clock, type-to-search orders and scored actions) for eye consults. It isn't affiliated with or endorsed by the NBME, FSMB or USMLE.

Who is it for?

Interns about to start ophthalmology call, and PGY-2s in their first months of it. Senior residents and faculty can write and review cases.

How do I get an account?

Your program's account admin sends you a setup link. To write cases, make a contributor account.

Is there any patient information in it?

No. Cases are fictionalized composites, and images are de-identified before they're submitted and checked again by the editorial board. Never enter PHI.

Who writes and checks the cases?

The built-in cases are draft content written from standard references (Wills Eye Manual, AAO BCSC, EyeWiki), not yet reviewed by an attending. For practice only. Contributed cases are written by residents and faculty and reviewed by the editorial board before they go live.

Is it medical advice?

No. It's for practice. Follow your attending and your institution's protocols.

Take the page.

Start with the free case, or sign in if your program has set you up.