Disorders Of Vision Flashcards

1
Q

What are the basic cell types of the eyes?

A

Photoreceptor cels
Neuronal cells
Glial cells

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2
Q

What are the functions of rods & cones in the eyes?

A

Rods = perception of visual stimuli in subdued light
Cones = color discrimination & perception of stimuli in bright light

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3
Q

In De Myers loop, where does the lesion take place?

A

CL superior quadrant field deficit

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4
Q

What are the important parts of secondary visual processing?

A

Dorsal stream = accounts to the “where part”

Ventral stream = tells your brain the “what”

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5
Q

What condition develops upon interruption of the left optic tract?

A

Homonymous hemianopia

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6
Q

A lesion in the optic chiasm will manifest as?

A

Bitemporal hemianopia

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7
Q

In px with visual loss, what do you do?

A
  1. Visual acuity
  2. Inspect refractive media and optic fundi
  3. Testing of pupillary reflexes, color, vision
  4. Plottin gof visual field
  5. Check of preception of mootion, color, stereopsis, contour and depth
  6. Inquire and have px elabraote when they say they cannot see properly
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8
Q

What should be observed during fundoscopy?

A

red-orange reflex
clear media optic disc borders
cup-disc ratio
AV ratio?

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9
Q

What type of papilledema occurs when there is a loss of definition of vessels overlying the disc as they approach the margin of the disc from the periphery?

A

Mild papilledema

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10
Q

What type of papilledema occurs if there is a dome-shaped protrusions representing anterior expansion of the optic nerve head/

A

Fully developed papilledema

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11
Q

What is the important of seeing chronic paplledema + begging of optic atrophy?

A

Risk for permanent reduction in vision from secondary optic atrophy

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12
Q

What is the presentation of CHronic Papilledema + Beginning optic atrophy

A

Elevation of disc margin become less prominent & optic nerve head develops pallor representing a dropout of nerve fibers

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13
Q

What are the different diseases of the optic nerves?

A

Optic neuritis
Ischemic optic neuropathy or ischemic infarfction of the optic nerve head
Optic neuropathy caused by acute cavernouand paranasal sinus disease
Toxic and nutritional optic neuropathies
Hereditary abnormalities of the optic nerve
Compressions and infiltration by tumors
Radiation-induced optic nerve damage

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14
Q

What condition is Optic neuritis related to?

A

Optic neuritis

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15
Q

What is the most common cause of persistent monocular blindness?

A

Ischemic optic neuropathy

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16
Q

What are the diff causes of optic neuropathy caused by acute cavernoue and paransal sinus disease?

A

Sinus thrombosis
Ethmoid or sphenoid sinus infections
Severe diabetes with mucormycosis
Other invasive fungal infections
Bacterial infection

17
Q

What is a maternally inherited mitochondrial disorder than causes impairment cause of blidness?

A

Leber hereditary optic neuropathy

18
Q

What is a condition where px denies or oblivious to blindness despite overt manifesations?

A

Anton syndrome

19
Q

What condition pertains to the failure of visual recognition of words alone?

A

Pure word blindness or alexia

20
Q

What is a failure to understand the meaning of an entire picture eventhough some of its parts are recognized?

A

Simultagnosia

21
Q

What condition is combined of Simultagnosia + Optic ataxia + ocular apraxia?

A

Balint syndrome

22
Q

What are the 3 basic types of ocular movement abnormalities?

A

Nuclear/infranuclear palsy
Supranuclear and internuclear palsies
Congenital strabismus

23
Q

What neuron is reponsible for innervation of the ipsilateral lateral rectus muscle?

A

Intranuclear abducens motor neurons

24
Q

What neuron is responsible for projecting through CL MLF to the medical rectus neurons of opposite oculomotor nucleus?

A

Abducens internuclear neurons

25
Q

What are the impotrant structures of the vertical gaze?

A

RiMLF
Intersittial nucleus of Cajal
Posterior commissure
Nucleus of the posterior commissure