Credit test Flashcards
A cataract operation is indicated to
Restore visual acuity and for congenital and traumatic cataracts.
A child with strabismus has to wear prescribed glasses
Accommodative esotropia - 50% success?
A newborn child with bilateral dense cataract should be operated
as soon as possible (usually before 2 months as it leads to amblyopia).
A normal human cornea is
11.5mm diameter, and 0.5-0.6mm thick in centre and 0.6-0.8mm at the periphery.
Refractive power is ~43D.
A patient with anterior uveitis feels
Pain constantly, worse during accommodation and sharp light.
A patient with suspected retinal detachment is examined by
Optical coherence tomography (OCT) or with the indirect ophthalmoscope.
A peripheral iridectomy is indicated in
Angle closure glaucoma
Acute conjunctivitis is
Common, bilateral, mucopurulent, glossy, transparent cornea, normal IOP and normal visual acuity.
Treated with antibiotics.
Acute iritis is
Photophobia, blepharospasm, little reflex lacrimation, decreased vision, miotic pupil (pinhole). Treated with steroids.
After an ocular trauma caused by work with a hammer and chisel, metal
Xray?
After strabismus surgery
Close eyes
Age related macular degeneration does NOT end with
Complete blindness
Amblyopia can be found in
Concomitant strabismus
Amblyopia is found most often in
Young children
Amblyopia usually starts in
Young children
An emmetropic patient needs at the age of 45 years usually presbyopic correction
of +1D
Anisometripia means
a different refractive power in each eye
Anterior chamber is the chamber between
The cornea and the iris
Aphakiais
the absence of the lens of the eye due to surgical removal, a perforating wound or ulcer, or congenital anomaly.
Arteritic anterior ischemic optic neuropathy (AION) is treated by
Steroids (start with oral prednisone 80mg/day and/or i.v. hydrocortisone 250mg/day with slowly decreasing dose according to the ESR value)
Astigmatism is
The different refraction of the eye at different meridians
Atopic or anaphylactic immunological (type 1) is
Acute allergic conjunctivitis
Bacterial conjunctivitis is treated by
Antibiotic drops and ointment
Bacterial corneal ulcers we do NOT use
Corticosteroids
Basal cell carcinoma of the eyelid
Does not metastasise but infiltrates into the orbit
Bitemporal hemianopia is caused by
A lesion pressing on the optic chiasm
Bleeding into the anterior chamber is called
Hyphema
Blowout fracture is caused by
Blunt trauma of the head
By what is siderosis of the eye caused by?
Iron
Cataract can be caused by
Long term local or systemic administration of corticosteroids
Cataracts are treated by
Surgery
Causes of sudden unilateral blindness can be
lesion of the optic nerve occlusion of the central retinal artery, AION
Central scotoma in perimetry is caused by
Optic neuritis (in MS) and compressive lesions of the optic nerve (unilateral). Bilateral differential diagnosis includes nutritional deficiencies, toxic optic neuropathy and hereditary disorders.
Chalcosis is caused by chronic
Copper poisoning or a copper foreign body.
Clinical signs of anterior uveitis
Blepharospasm, little reflex lacrimation, decreased (impaired) vision, miotic pupil, pain, posterior synechial opacities, aqueous flare, pseudohypopyon.
Congenital cataract is NOT caused by
Trauma
Contact lens wearing is identified as a risk factor or
Conjunctivitis, bilateral keratitis
Corneal erosion is treated
By patch and ointment
Corneal wound healing may be adversely affected by
Steroids
Dacryocystitis is infection/inflammation
Of the lacrimal/nasolacrimal sac, frequently caused by nasolacrimal duct obstruction
Damage of the visual pathways in the tractus opticus causes
Homonymous hemianopia
Diabetic ocular complications can be found
In preventative complications and include retinopathy, cataracts, and blindness.
Ectropion means
Outward turning of the lower lid
Epidemic keratoconjunctivitis is caused by
Adenovirus (causes corneal complications)
Damage of the visual pathways in the optic tract causes
Homonymous hemianopia
Diabetic ocular complications
Can be found in preventative examination
Exotropia means
Divergent strabismus
Firstaid in alkali eye burns is
Immediate long lasting irrigation with water
First air chemical burns of the eye
Immediate irrigation with water and NaCl
First choice medicaments in open angle glaucoma are
B-blockers, hyper-osmotic agents, pilocarpine
For simple background diabetic retinopathy are typical
Infarcts, heart exudate?
Fovea centralis is
area of acute/sharp visions (only cones)
Gonioscopy is an examination method for
anterior chamber angle measurement
Hemicrania is present in
acute glaucoma (persistent pain in one side of head
Homonimous defect of visual field are cuased by
lesion in parietal lobe/lesion behind optic chiasm
Homonymous hemianopia is caused by
lesion in optic tract
Horner’s syndrome is caused by
spiral sympathetic nerve damage
Horner’s syndrome is characterised by
enophthalmus, miosis, ptosis, anhydriasis
How is acute glaucoma treated?
Iridectomy, topical miotics, IV hyperosmotic agents, B-blokers and carboanhydrase inhibitors
Hyphaemais a term for
blood in anterior chamber
Hypopyon means
Pus in the bottom of anterior chamber
In acute perforation of the eye we do NOT find
Lagophthalmos (inability to close the eyelids completely (cornea will be hypertonic, the anterior chamber will be shallow, there will be a decreased in visual acuity)).
In bacterial conjunctivitis
Mucopurulent discharge (not iris discolouration).
In glaucoma de the colour of the eye is
Normal
In herpes simplex epithelial keratitis
Hypoaesthesia of cornea
In hypermetropia distant objects are focused
Behind retina
In hypermetropia we prescribe
Stronger convex lens/glasses
In infantile glaucoma
Enlarged eyeball, increased IOP
In keratitis, caused by herpes simplex virus
Dendritis, stained with fluorescence
In keratoconus following statement is NOT true
keratoplastia contraindicated
In myopia the parallel rays entering the eye focus
before retina
In open angle glaucoma there is NO alteration of the
lens, AC
In paralytic strabismus this statement is NOT correct
Amblyopia is present (only diplopia is present), amblyopia is present in child strabismus because neuroplasticity of the brain suppresses one of the images)