Cornea Flashcards
Diameters of the cornea:
Ant-Post: 10.5 mm
Horizontal: 11 mm
the thickness of the cornea at the center and periphery:
center: 0.5-0.6 mm
periphery : 0.8-1 mm
the thickness of the cornea’s epithelial lining:
50-60 um
_____ and the _____ layers CAN regenerate.
Epithelial and decement layers
_____, _____ and the _____ layers DO NOT regenerate.
Bowmen, Stroma, endothelial layers
Number of endothelial cells?
2500-3000
Innervation of the Corena? And clinical meaning.
Ophthalmic Branch of the Trigeminal - HSV spread.
Symptoms of Corneal damage?
VP BLAB:
V - Vision dimniuation
P - Photophobia
B - Blepharospasm
L - Lacrimation
A - Algia (pain)
B- Blincking
Signs of Corneal damage?
CHIEF:
C - Colour change (grey) H - Hypopyon I - Injection E - Edema of lids F - Flare
RF for microbial keratitis?
Bowls IN the PIT!
Bullous keratopathy
I - Iatogenic (lens, storids)
N - Nerves ( loss of sensation, facials, dry eye)
P - Post herpetic
I - infections
T - trauma
Keratoconus ocular findings:
Keratoconus ocular findings with CONES:
Central scarring & Fleischer ring Oil drop reflex / Oedema (hydrops) Nerves prominent Excessive bulging of lower lid on downgaze (Munson’s sign) Striae (Vogt’s)
Keratoconus ocular findings:
Keratoconus ocular findings with CONES:
Central scarring & Fleischer ring Oil drop reflex / Oedema (hydrops) Nerves prominent Excessive bulging of lower lid on downgaze (Munson’s sign) Striae (Vogt’s)
Keratoconus treatment when glasses don’t work:
SHIFT:
S - Soft CL H - Hard CL I - Inserts (Intacs) F - Flavin (crosslinking) T - Transplant
Transplant types:
PEEK and TALK at your DESK!
PKP (penetrated keratoplasty)
DALK (deep anterior lamellar keratoplasty)
DSEK (descemet stripping endothelial keratoplasty)