AED - Anterior Eye Diseases Slide Exam Revision III: Symptoms - SWOTVAC Flashcards
Name, describe appearance, is it symptomatic?
Telangiectasia:
.- Corkscrew squiggly or masses of BV- Asymptomatic, cosmetic or systemic disease indicator- - - -
Name, list symptoms (1)
Kaposi’s sarcoma:
no symptoms
.Name, symptoms (3)
Cavernous sinus fistula:
Self or other noted red eye
Diziness/weakness (b/c blood not going to brain)
Whooshing noise (from blood escaping artery)
Name, symptoms (2)
Stye/Hordeolum
Discomfort
Distortion of lid margin (cosmesis)
Name, describe, symptoms (3)
Chalazion
.- Blockage of MG.- Inflammation- symptoms: cosmesis, generally painless, does not affect V.A (only lower lid)
Name, symptoms (4)
Sebaceous gland carcinoma
Chronic non-healing bleph;
Recurrent mass, multi-lobed;
Red irritated eye for months to years;
Loss of lashes and eyelid structure
Name, symptoms (7)
Molluscum contagiosum
Skin lesion (1-2wks)
Mild photophobia
Lacrimation
VA slightly decreased
Hyperaemia
Or can be asymptomatic
Cosmesis
name, symptoms (5) (not really symptoms that much though mainly signs honestly)
Keratoacanthoma
Papule grows rapidly over 2-6wks
Volcano appearance but not as cratered
Raised with central plug, but lacks halo (unlike in invasive)
In middle aged or elderly
Sun damaged skin (premalignant)
Name, symptoms-ish (4), cause (1)
Seborrheic Keratosis (SK):
Usually asymptomatic
Present for months-years
May slowly enlarge
Often multiple in light affected skin
Caused by UV
Describe Solar or Actinic Keratosis (3) Also how long might it be present for?
.- Scaly apperance.- Benign skin tumour.- Just cosmetically unappealing— May be present for months
List 5 symptoms of Epithelial Basement Membrane Dystrophy (EBMD)
Typically asymptomatic but can have …
Mild, blurred vision + image ghosting
Irritation (if the cysts rupture)
Gritty sensation that resolves within 24 hours
RCE can develop in around 10% of cases (recurrent corneal erosions) [leads to pain, FB sensation, photophobia, decreased vision]
List 3 symptoms of Meesman’s dystrophy
Transient blurred vision
Surface irritation
Mild FB sensation with photophobia is possible as disease progresses
List 5 symptoms of Reis-Buckler’s Dystrophy
Red, sore watery eyes
Photophobia
RCEs can develop
Ocular surface discomfort
Increasing blurred vision with age; vision is impaired from childhood
List 5 symptoms of Thiel-Behnke corneal dystrophy
Almost identical to Reiss Bucklers symptoms
Red, sore watery eyes
Photophobia
RCEs can develop
Ocular surface discomfort
Increasing blurred vision with age (but later than Reiss bucklers)
List 5 symptoms of Lattice Dystrophy
Ocular discomfort
Photophobia
Blurred vision
RCEs can develop: often occur in early childhood
Visual impairment increases with time, usually declines after early adulthood (3rd decade apparently)
List 5 symptoms of Granular Dystrophy
Ocular discomfort + FB sensation
Glare
Photophobia
RCEs can develop
Increasing blurred vision as the central opacities become confluent (merge)
Name, List 2 symptoms
Avenillino Dystrophy:
Painful RCEs common (more common than granular) Reduced vision (normally in middle age when central opacities become confluent)
Name, Give two symptoms
Schnyder’s Crystalline Dystrophy:
Increasing glare and reduced vision in adulthood
List 4 symptoms of Fuchs Endothelial Dystrophy
Early: aysmptomatic
Moderate: mild decrease in VA, which increases over time as posterior stromal oedema increases
Late: significant reduction in VA b/c epithelial oedema
Note: patients will have worse vision upon waking which improves after several hours
Name, List 1 symptom
Posterior polymorphous corneal dystrophy
May develop reduced vision and ocular discomfort if corneal oedema develops
Name, List 4 possible symptoms
Filamentary Keratopathy
FB sensation (pulling on filaments with blink)
Watery eyes (stimulated reflex tears)
Decreased vision
Photophobia
Name, List 2 possible symptoms, when might this affect vision? (1)
Superficial punctate keratopathy (SPK)
May be asymptomatic
If symptomatic - gritty, photophobia
If dense, may affect vision
What’s this? List 4 symptoms
Subepithelial Infiltrates
FB sensation
Photophobia
Watery eyes (discomfort)
Decreased vision (if centrally)
Name, List 5 symptoms
Neurotrophic keratopathy
Photophobia
Conjunctival redness
Swollen eyelids
Decreased vision
No pain (no innervation, loss of corneal sensitivity)
Name, List 3 symptoms
Bullous Keratopathy:
Very painful
Photophobia
Decreased vision and haloes around lights
Name, List 4 symptoms
Interstitial Keratitis
Pain, photophobia
Ocular ache
Increased tearing
Reduced vision
Name, List 5 symptoms
Marginal Keratitis
Redness
Discomfort
Photophobia
Watery discharge
Blurred vision
Name, List 3 symptoms. What age group is it typically found in?
Phlyctenulosis: usually occurs in young children
Redness, discomfort
Photophobia, watery discharge
May have blepharospasm
Name, List 3 symptoms
Mooren’s ulcer
Conjunctival redness
Pain, photophobia
Mucus/watery discharge
List 4 symptoms of Thygeson’s Superficial Punctate Keratitis
Photophobia
Tearing
FB sensation
May have mild decrease in vision
What’s this? List 2 symptoms
Band keratopathy
Asymptomatic initially
May develop surface irritation, blurred vision, glare
Name, List 5 symptoms
Salzmann’s Nodular Degeneration
Asymptomatic, through to surface discomfort
FB sensation
Increased lamination
Photophobia
Blurred vision
Name, List 3 symptoms
Terrien’s Marginal Degeneration
Asymptomatic intially with periodic irriatation then decreasing vision
Irregualar astig b/c of corneal thinning
Name, List 3 symptoms
Spheroidal degeneration
Surface irritation
Burning
FB sensation
Name, List one symptom
Lipid Keratopathy
Vision affected if located centrally
What’s this? List 2 symptoms
Vortex Keratopathy
Corneal effects largely asymptomatic
Other visual disturbances from drug use (b/c this condition can be induced by drugs)
What is this condition? List 5 symptoms
Pingueculum
Usually asymptomatic
Cosmetically unappealing
FB sensation if inflamed
No affect on vision
Dry eyes if eyelids don’t fully cover cornea (dry patch may lead to dellen/ulcer)
What is this condition called? List 5 symptoms
Pterygium
Cosmetic
FB sensation
Dryness
Reduction in vision if encroaching on visual axis or increasing cyl
(Rarely) diplopia
What’s this? List 2 symptoms
Concretions: are deposits on palpebral conj.
Generally asymptomatic
May have gritty FB sensation
What is this called? List 2 symptoms
Amyloidosis
Usually aysmptomatic in eye deposits
Not tender unless large enough to affect lid function or give FB sensation
What is this? List 2 symptoms
Ecchymosis
In itself is painless an no affect on vision
If associated with trauma, other associated symptoms likely present
What’s this? List 3 symptoms
Bitot’s spot
Ocular surface irritation
Reduced vision
Nightblindness
What’s this? List 4 symptoms
Floppy Eyelid Syndrome
Gritty sore eyes
Blurred vision
Increased lamination
Lids require un-eversion on waking
What’s this? List 8 symptoms
Bacterial conjunctivitis
Acute onset of redness/gritty/burning/sticky discharge
Eyelids frequently stuck together on waking
Worst in morning (dark warm env under closed eyes)
May have mild photophobia due to SPK
Conjunctival hyperaemia, esp. in fornixes (useful ddx)
Mild papillary reaction
Mucopurulent discharge
Crusting on lids, phylectenules, corneal marginal infiltrates
What’s this? List 7 symptoms
Bacterial Conjunctivitis (gonococcal)
Hyperacute onset of redness + gritty/burning
Copious discharge with lids sticking together
May have mild photophobia due to SPK
Marked conjunctival hyperaemia, chemosis, + papillary reaction with swelling
Often have preauricular lymphadenopathy
Purulent discharge
Possible corneal involvement - risk of perforation
What’s this? List 5 symptoms
Pharynogoconjunctival fever (PCF)
Follicular conjunctivitis
Often bilateral (starts unilateral then can become bilateral in 3-7 days)
Often preauricular lymphadenopathy 3-4 days after onset
May have pseudomembranes
May have keratitis (30% of cases) [diffuse spk, subepithelial infiltrates (rare)]
What’s all this? List 4 symptoms
Trachoma
Onset early childhood generally, with gritty FB sensation
Often unilateral initially, mucopurulent discharge
Prolonged, remittent course
Scarring, leading to trichiasis, dry eye, reduced vision and blindness
Name, List 5 symptoms
Adult inclusion conjunctivitis (AIC)
Mucopurulent discharge (or watery) with a gritty FB sensation
Sometimes blurred vision
Uni or bilateral (but usually unilateral)
Often prolonged or chronic course over many months
Often associated with urethritis, vaginitis or cervicitis
Name, List 3 symptoms
Anterior blepharitis
Ocular surface burning + FB sensation Sticky crusting along lid margins Mild photophobia (corneal PRR, SPK)
What’s this? List 4 symptoms
Posterior blepharitis
Gritty/burning sensation, esp. on waking
Crusting and redness of lid margin
Symptoms worse in dry/air conditioned env.
Photophobia if corneal involvment (such as spk)
What is this called? List 5 symptoms
Ocular rosacea
Facial flush
Red eye
Recurrent styes + chalazions
Burning or gritty sensations
Photophobia
