Chapter 3

Question 1

What CN can be associates with Psuedo tumor?

Answer 1

CN 6

Question 2

Early cataract pneumonic

Answer 2

MAD WILSON lacks calcium
M myotonic dystrophy (Christmas tree)
A atopic dermatitis 
D diabetes (coritical)
Wilson's (sunflower, copper, wrist problem)
Lack of calcium

Question 3

Drugs that cause cataract:

CHAI TEA

Answer 3

C chloroquine
H hydroxycloroquine
A amiodarone
I indomethacin
T tamoxifen

Question 4

Is Wilsons and myotonic dystrophy AD or AR?

Answer 4

Wilson AR

Myotonic dystrophy AD

Question 5

Myotonic Dystrophy

Answer 5

AD
Stroke like
Ptosis
Christmas tree cataract 
Adult onset muscular dystrophy

Question 6

Flomax is also called…

Answer 6

Terazozin

Floppy eyelid syndrome

Question 7

Side effect of Digoxin

Answer 7

B/Y color defect
Dimming vision
Flickering lights

Question 8

Normal HbA1c level

Answer 8

Below 7.0%

Question 9

The front curve of glasses is also called the..

Answer 9

Base curve

Question 10

Both reducing the thickness of the plus lens and change the base curve so it is flatter (less steep) will decrease spectacle magnification and cause less difference between the two lenses.

Answer 10

Yes..less anisokonia

Question 11

Tx of acanthomeba keratitis

Answer 11

Propamidine isethionate drops

Question 12

Fuch’s Tx

Answer 12

Treatment of symptomatic corneal edema in a patient with Fuchs’ endothelial dystrophy includes topical ophthalmic sodium chloride 5% (Muro 128) drops QID, Muro 128 ointment QHS, and hair dryer dehydration for 5-10 minutes every morning. Remember to also consider ocular hypotensive medications for patients with elevated IOP and symptomatic corneal edema secondary to Fuchs’ endothelial dystrophy in order to minimize corneal edema.

Question 13

Complete tx for acanthomeba

Answer 13

Management of acanthamoeba keratitis includes immediate discontinuation of contact lens wear, a topical ophthalmic anti-parasitic agent (e.g., propamidine isethionate and/or polyhexamethyl biguanide Q1H), a topical ophthalmic cycloplegic agent TID, a topical ophthalmic antibacterial agent (e.g, Neosporin drops Q1H), an oral anti-fungal agent (e.g., 200 mg ketoconazole), and in certain cases, a topical ophthalmic anti-inflammatory agent (although this is controversial).

Question 14

Tx herpes simplex stromal keratitis?

Answer 14

The HEDS-1 study determined the most appropriate treatment for herpes simplex stromal keratitis is prednisolone phosphate 1% (beginning at 8X/day) with prophylactic Viroptic (beginning at QID, in order to prevent the development of simplex epithelial keratitis), followed by a slow taper of both medications. An alternative approach includes Pred Forte QID and Viroptic QID, again followed by a slow taper.