526 Eyes Flashcards
gradual onset of severe pain that radiates to forehead or jaw, painful occular movement, tearing and photophobia describes what condition
scleritis
how is the vascular injection in scleritis different from conjunctivitis
in scleritis, the vessels do not move when the overlying conjunctiva is moved with a cotton tip
true or false: uveitis is usually associated with systemic disease
true, it is often seen with MS, crohns and RA and many more
pain, ciliary flush, photophobia and blurred vision are indicative of what condition
uveitis
what is a hypopyon and when might you see it
collection of pus in anterior chamber, may be seen with uveitis
what is the hallmark sign for developing herpes zoster opthalmicus
herpes blister on tip of nose
herpes zoster opthalmix affects which branch of the trigeminal nerve resulting in lesions on what part of the face
the opthalmic branch of the trigeminal nerve results in lesions to the forehead, eye and nose
sudden severe unilateral eye pain, with red eye, reduced vision and halos around lights with or without headache and vomiting is indicative of what condition
acute angle closure glaucoma
temporal headaches, palpable ropey tender temporal arteries, fatigue and sometimes vision change is indicative of what condition
giant cell arteritis
true or false: giant cell arteritis can be left untreated
false, untreated it may result in blindness
what are causes of retinal detachment
trauma, sudden deceleration, DM, shaken baby syndrome, age related macular degeneration
flashing red or green lights, no pain, floaters or a shadow dropping across vision is indicative of what condition
retinal detachment
gradual loss of peripheral vision in both eyes that is painless is indicative of what condition
primary glaucoma
blurred or total loss of vision in one or both eyes with loss of color vision and painful movement of the eye is indicative of what disorder
optic neuritis
optic neuritis is commonly seen in what systemic disorder
MS
what are causes of optic neuritis
MS, HIV, syphilis, sinus infections, diabetes, tumors, meningitis
what is the treatment for optic neuritis
steroids
gradual loss of central vision is indicative of what
macular degeneration
a swelling on in the internal or extenal edge of the eyelid causes by infection of lash base if called
hordeolum or stye
a non tender swelling within the eyelid is called what
chalazion
burning, tearing, itching, FB sensation, red and swollen lids with crusting describes what condition
blepharitis
how do you distinguish anterior from posterior blepharitis
posterior is a problem of the meibomian glands, same symptoms of anterior but also blurred vision as day progresses and dry eyes
anterior or posterior blepharitis is usually chronic
posterior
what is the treatment for blepharitis
warm compresses, cleaning lid margin with 1/2 strength baby shampoo, regular eyelid hygeine
true or false: eyelid wart or varruca, can be treated with over the counter wart treatments
false, never treat with preparations for the hands or feet, refer for treatment
true or false: ptsosis can be normal
false, although it may be congenital it is never normal and should be further investigated
what are xanthelasma
yellowish plaques on eyelids from excess cholesterol, bengin but can be removed for cosmetic reasons
what is extropion and what are the associated symptoms
outward gaping of the lids, can cause tearing or dry painful eyes, and conjunctivitis
what is entropion and what is a complication of it
lashes grow inward, can cause trauma to cornea
what would differ in eyelid excema from periorbital cellulitis
cellulitis is infectious and would have heat and pain. Excema would have redness with swelling and itching
eye floaters are common in which population
the elderly
unilateral redness, minor irritation and periauricular adenopathy that lasts 2-4 weeks describes what condition
viral conjunctivitis
what is an iris nevus and what is the management
benign pigmentation of the iris that does not affect the pupil, should be monitored by opthalmology
true or false: photophobia with pain is an emergent complaint
true, this may be from glaucoma, ulcer, uveitis or other complication
true or false: optic neuritis is a very serious condition that may cause permanent vision loss
true
headaches are associated with all of the following except:
optic neuritis
acute angle closure glaucoma
uveitis
giant cell arteritis
uveitis is not associated with headaches
true or false: styes are more common in people with DM
true
what eye disease is a common symptom of sjorgen syndrome
keratoconjunctivitis sicca or dry eye disease
what are the 3 types of uveitis
anterior (iritis)
intermediate
posterior
anterior or posterior uveitis is painless
posterior
retinal hemorrhages with cotton wool spots are often seen in what condition
retinitis
orbital cellulitis is often secondary to what infection
sinusitis
what is the difference between orbital and periorbital cellulitis
periorbital affects the eyelid but not the actual eye an is often milder than orbital cellulitis
what are the meibomian glands
oil glands at roots of eyelashes
what would dysfunction of the meibomian gland cause
dry eyes