Eye

Question 1

When treating which would exacerbate eye condition in graves

Causes of increase thyroid edge disease

Answer 1

If pt hypothyroidism following Rx

Radio iodine will increase exophalmus.

Smoking

Question 2

Style first line mx

Answer 2

Hot compression

Question 3

Causes of tunnel vision

Answer 3

Glaucoma

Retinitis pigmentosa

Retinal detachment

Functional visual loss - no anatomical correspondence

Question 4

Risk factors of open angle glaucoma

Answer 4

intraocular pressure (IOP) >21mmHg— the major risk factor— but 30% of newly diagnosed glaucoma patients have ‘normal’ pressure

• Family history (increase risk ×10)
• increase age
• Black race
• Abnormal BP (increase in elderly)
• myopia
• increase plasma viscosity

Question 5

Gradual Vision loss causes

Answer 5

Chronic glaucoma

Diabetic retinopathy

Cataract

Age related macular degeneration

Central serous retinopathy (CSR)

Macular hole

Macular dystrophies

Retinitis pigmentosa

Epiretinal membrane

Optic atrophy

Compressive lesions of the optic pathway

Retinoblastoma

Retinal melanoma

Retinal metastases

Question 6

Which familial disorder causes night blindness

Answer 6

Retinitis pigmentosa

Question 7

Which drug cause acute angle glucoma

Answer 7

Tropicamide

Question 8

Tearing of eye cause. Need to complete q

Answer 8

dacryocystitis

Question 9

Cover test

Answer 9

Read

Question 10

Which drug cause acute angle glaucoma

Answer 10

TCA ampitriptyllin

Topicamide

Question 11

S/s of Holmes aide syndrome

Answer 11

Unilateral enlarged pupil . Later can effect both eyes

Reduce/absent tendon reflex

Reduce vision

Note
Usually occurs in young adult
a rare neurological disorder affecting the pupil of the eye. In most patients the pupil is larger than normal (dilated) and slow to react in response to direct light. Absent or poor tendon reflexes are also associated with this disorder. In most individuals, the cause is unknown (idiopathic), but Adie syndrome can occur as due to other conditions such as trauma, surgery, lack of blood flow (ischemia) or infection.

Question 12

Which drug can cause eye colour change and thickening of the eyelashes

Answer 12

Latanoprost

Question 13

Rx for wet macular degeneration

Answer 13

Ranibizumab

Question 14

Herpes zoster ocular

Answer 14

Read

Question 15

Causes of papilloedema on

Answer 15

. Intracranial SOL

• Encephalitis
• SAH
• Optic neuritis
• Disc infiltration, e.g. leukaemia
• Ischaemic optic neuropathy
• Benign intracranial hypertension
  
  • Retinal venous obstruction
• malignant hypertension
• metabolic causes, e.g. hypocalcaemia

Question 16

Dry eye syndrome

Answer 16

Dry eye syndrome (keratoconjunctivitis sicca) Tear secretion d with age. Dry eyes cause eye irritation and redness which is often worse in centrally heated buildings. The eye feels gritty, vision is occasionally blurred, and there is reflex watering of the eye in severe cases. Commonly associated with blepharitis. Causes d tear production (e.g. age, Sjögren’s syndrome); i evaporation of tears (e.g. exposure keratitis). Management • Treat with artificial tears, e.g. Viscotears®, Hylo-Care®. If one preparation does not work, try another. Always use preservative- free drops— hypersensitivity can be a problem with prolonged use • Treat any associated lid disease, e.g. blepharitis • If simple medication fails, try combined short- and long- acting drops, e.g. Celluvisc® tds and Liquifilm® tds • Refer to ophthalmology if continuing symptoms despite treatment

Question 17

Yes Drugs which causes BIH. Benign intracranial hypertension

Answer 17

Tetracycline like minicycline

OCP

Retinoids

Question 18

Which antibodies are present in graves

Answer 18

TSH receptor AB