Anterior Chamber Disorders

Question 1

Chronic imbalance due to overproduction of aqueous fluid

Answer 1

Glaucoma

Question 2

Which type of glaucoma is an emergent ocular condition?

Answer 2

Angle Closure Glaucoma

Question 3

What is a normal cup to disc ratio?

Answer 3

0.3

Question 4

What is the value for glaucomatous cupping?

Answer 4

> 0.6

Question 5

Typically asymptomatic, higher risk with African heritage, C/D > 0.6, late findings include decreased VA and Marcus-Gunn pupil

Answer 5

Open Angle Glaucoma

Question 6

Unilateral, halos around lights, intense ocular pain, photophobia, poorly reactive pupil

Answer 6

Angle Closure Glaucoma

Question 7

IOP > 60-80 mmHg indicates?

Answer 7

Angle Closure Glaucoma

Question 8

What is the first line TX for open angle glaucoma?

Answer 8

Prostaglandins

Question 9

What is the TX for closed angle glaucoma?

Answer 9

Immediate referral to ophthalmology

Question 10

Rapid onset of redness of iris, decreased VA, constricted pupil

Answer 10

Iritis

Question 11

Iritis is also known as

Answer 11

Anterior Uveitis

Question 12

Iritis TX

Answer 12

Urgent referral to ophthalmology
Steroids (drops/PO)
Mydriatic drops

Question 13

What do mydriatic drops do?

Answer 13

Dilate the pupil

Question 14

Severe, boring pain that worse at night or with EOMs, Elevated WBCs, ESR, and CRP

Answer 14

Scleritis

Question 15

Scleritis TX

Answer 15

Referral to eye specialist
High dose PO steroids

Question 16

Blood in anterior chamber

Answer 16

Hyphema

Question 17

Causes of hyphema

Answer 17

Trauma
Eye surgery complication
Blood thinners
Von Willebrand’s disease

Question 18

8-ball sign

Answer 18

Hyphema

Question 19

Hyphema TX

Answer 19

Urgent referral to ophthalmology

Question 20

WBCs in anterior chamber

Answer 20

Hypopyon

Question 21

Causes of hypopyon

Answer 21

Infectious keratitis
Bacterial/fungal infection