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Diagnosis Tree > Diagnosis Tree (Posterior Segment) > Flashcards

Diagnosis Tree (Posterior Segment) Flashcards

1
Q

C: Optic Nerve
F: C:D Ratio > 0.4
60%

A

Glaucoma Suspect, Low

Plan: Regular Monitoring with:
OCTn (Optical Coherence Tomography) ,
DFE (Dilated Fundus Exam),
FP,
HVF (Humphrey Visual Field)

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2
Q

C: Optic Nerve
F: C:D Ratio > 0.4
40%

A

Primary Open Angle Glaucoma, Mild/Mod/Severe

Plan: Monitoring as above, plus SLT vs. Medications

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3
Q

C: Optic Nerve
F: Peripapillary Atrophy

A

Chorioretinal Scars

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4
Q

C: Optic Nerve
F: Peripapillary SRH

A

Neovascular AMD (Age-related Macular Degeneration)

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5
Q

C: Optic Nerve
F: Optic Nerve Noch

A

Glaucoma Suspect, Low

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6
Q

C: Optic Nerve
F: Saucerized

A

Dry AMD

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7
Q

C: Optic Nerve
F: Disc Hemorrhage

A

Disc Hemorrhage

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8
Q

C: Optic Nerve
F: Disc Pallor

A

Glaucoma Suspect, Low;
Anatomic Narrrow Angles;
POAG

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9
Q

C: Optic Nerve
F: Disc Edema

A

Central Retinal Vein Occlusion

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10
Q

C: Optic Nerve
F: NVD

A

Proliferative Diabetic Retinopathy;
NPDR (Nonproliferative Diabetic Retinopathy);
Neovascular Glaucoma

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11
Q

C: Vitreous
F: PVD

A

Posterior Vitreous Detachment

Plan: No RT/RD (Retinal Tear/ Retinal Detachment). RD precautions (Retinal Detachment)

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12
Q

C: Vitreous
F: Vitreous Syneresis/ Vitreous Floaters

A

Vitreous Opacities;
Posterior Vitreous Detachment;
Vitreous Debris

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13
Q

C: Vitreous
F: Asteroid Hyalosis

A

Asteroid Hyalosis

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14
Q

C: Vessels
F: Attenuated Vessels

A

NPDR/PDR;
Retinal Vein Occlusion;
Neovascular Glaucoma;
Macular Edema

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15
Q

C: Vessels
F: AV nicking

A

NPDR/PDR;
Retinal Vein Occlusion;
Macular Edema

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16
Q

C: Macula
F: Drusen w/o Pigment Changes

A

Macular Drusen

Plan: Amsler, monitor

17
Q

C: Macula
F: Drusen w/ pigment changes

A

Macular Degeneration: Early/Int/Advanced

Plan: Amsler, AREDS, no neovascularization, monitor

18
Q

C: Macula
F: Nevus

A

Choroidal nevus

Plan: Monitoring with FP
May refer to oncologist for further evaluation

19
Q

NPDR

F: Microaneurysms

A

**Mild

Plan: D/w patient the importance of blood sugar control, routine f/u exam (DFE/FP/OCTm q1yr)

20
Q

NPDR

F: Hemorrhage or MA’s, and/or; retinal hemorrhages, hard exudates, cotton wool spots, venous beading

A

**Moderate

Plan: D/w patient the importance of blood sugar control, routine f/u exam (DFE/FP/OCTm), refer to retina specialist,

21
Q

NPDR

F: >20 intraretinal hemorrhages in each four quad, venous beading, IRMA

A

**Severe

Plan: F/u exam (OCTm, fluorescein angiography, DFE q3-4mos), referral to retinal specialist, importance of blood sugar control and close observation

22
Q

CSME

F: neovascularization, vitreous/preretinal hemorrhage

A

Immediate referral to retinal specialist, Peripheral neovascularization with photocoagulation treatment, anti-VEGF injections in conjuction with PRP.

Once stabilized, monitor by retinal specialist q6-12mos

23
Q

Dry AMD, (early-advanced)

F: numerous small soft drusen

A

**Early Dry

Plan: OCTm, FP, AREDS2, monitor

24
Q

Dry AMD, (early-advanced)

F: small or intermediate size of extensive drusen

A

**Intermediate Dry

Plan: OCTm, FP, AREDS2, monitor

25
Q

Dry AMD, (early-advanced)

F: geographic atrophy or choroidal neovascularization, RPE hemorrhage, serous fluid, subretinal fibrosis

A

**Late/Advanced Dry or Wet

Plan: Anti-VEGF injections, Photodynamic therapy (PDT), FFA, OCTm, FP, AREDS2

26
Q

Dry AMD, (early-advanced)

F: intra/subretinal leakage, hemorrhage, RPE detachment

A

Neovascular AMD

Plan: OCTm, FP

27
Q

Dry AMD, (early-advanced)

C: Periphery
F: Lattice Degeneration

A

Lattice Degeneration

28
Q

Dry AMD, (early-advanced)

F: Horseshoe Tear

A

Horseshoe Tear

29
Q

Dry AMD, (early-advanced)

F: Retinal Hemorrhage

A

NPDR/PDR;
Retinal Vein Occlusion

30
Q

Dry AMD, (early-advanced)

F: Peripheral RPE Changes

A

Dry AMD;
Neovascular AMD

31
Q

Dry AMD, (early-advanced)

F: Scleral Buckle

A

S/P Vitreo-Retinal Surgery;
Retinal Detachment

32
Q

Dry AMD, (early-advanced)

F: Choroidal Nevus

A

Choroidal Nevus

33
Q

Dry AMD, (early-advanced)

F: Hard Exudates (Lipid)

A

Diabetes, Type I or II

Diagnosis Tree (2 decks)

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