CN 1,2,3,4,6 Examinations Flashcards
Normal disc to cup ratio
2:1
Normal retina color? Physiological cup color?
Macula?
Red/orange
Pale
Dark
Arterial to venous ratio in eye
2:3
When might you find an elevated disc with blurred margins?
Optic neuritis/papillitis
What would the Disc, retina, vessel findings be in papilledema (due to increased ICP)?
Disc: elevated, blurred disc margins and vessels engorged
Retina: flame retinal hemorrhage close to disc
Vessels: engorged and tortuous
BILATERALLY except F-K
What two conditions have elevated and blurred disc
Papilledema and optic neuritis
How would you differentiate papilledema vs optic neuritis?
In papilledema: NO VISUAL complaint/loss
Optic neuritis: inflammation of nerve causes visual complaint/loss
-early and quick!
Ophthalmoscopic exam findings of disc, retina, vessels seen in optic atrophy?
Disc: sharp clear margins with an overall pale white color
Retina: normal
Vessels: A: attenuated V: normal
Is vision affected with optic atrophy?
Yes
Ophthalmoscopic findings in tay-Sachs?
Dark cherry red spot in place of the macula lutea
Ophthalmoscopic findings for disc, retina, vessels in glaucoma?
Recall: intraOCULAR pressure increase
Disc: large cup to disc ratio (norm 1:2), vessels discplaced peripherally, pale white, pigment surrounding disc
Retina: normal
Vessels: normal
Ophthalmoscopic findings in retinal detachment. Disc, retina, vessels
Disc: normal
Retina: gray elevation with folds in detached section
Vessels: tortuous and elevated over detached retina
S/s of retinal detachment
Flashes/floaters or veil/shadow/curtain across vision
Ophthalmoscopic exam findings in non-proliferative diabetic retinopathy: disc, retina, vessels
Disc: Normal
Retina: many scattered exudates/retinal hemorrhages
Vessels: mild dilation of retinal veins
Ophthalmoscopic exam findings in proliferative diabetic retinopathy: disc, retina, vessels
Disc: new vessels growing on disc
Retina: numerous hemorrhages, new vessels at superior disc margins
Vessels: dilation of veins
Ophthalmoscopic exam findings for hypertensive retinopathy; disc, retina, vessels
Disc: clear outline
Retina: exudates and flame hemorrhage
Vessels: narrowed, increased tortuosity, copper wiring, AV nicking