Dry Eye and everything else .. Flashcards
1
Q
Conjunctival pain
A
- irritation
- scratching
- burning
- pricking
2
Q
Corneal/ internal pain
A
- deep aching pain
- referred to brow/orbit/jaw
- iris sphincter and ciliary spasm
3
Q
Proper word for eye strain pain
A
Aesthenopia
4
Q
How should eye pain be treated?
A
- treat cause
- give cycloplegics for ciliary spasm
- systemic analgesics if necessary
- do not prescribe topical anaesthetics
5
Q
RAPD
A
relative afferent pupillary defect
6
Q
Types of dilating drops
A
- mydriatics (dilate pupil)
- cycloplegics (paralyse the ciliary muscle)
7
Q
Examples of cycloplegics
A
- atropine (antichol, lasts 2 weeks)
- cyclopentolate (antichol, lasts 24hrs)
8
Q
Examples of mydriatics
A
- tropicamide (anticol, lasts 12 hr)
- phenylephrine (sympathomimetic, lasts 12 hrs) - dont use if severe HT!
9
Q
Who should not get tropicamide?
A
Those with positive eclipse sign
10
Q
What can cause a mid-dilated pupil?
A
- third nerve palsy
- acute glaucoma
11
Q
Causes of small pupils
A
- ciliary and sphincter spasm (uveitis and intraocular inflammation)
- horners syndrome
- pilocarpine (used for glaucoma)
- Argyll Robinson pupil (neurosyphillis)
12
Q
Characteristics of Argyll Robertson pupil
A
- small bilaterally
- irregular
- dilates poorly
- light near dissociation in the presence of normal vision
13
Q
Characteristics of Horner’s syndrome
A
- ptosis
- miosis
- anhidrosis
14
Q
Potential problems with heterchromia and decreased VA
A
- Fuchs
- intraocular metallic foreign body
15
Q
Who to refer a 3rd nerve palsy with pupil sparing
A
Neurologist
