Eye standard conditions Flashcards
Causes of optic neuritis?
Idiopathic
Post-infective
MS
Infectious
Sarcoidosis
Symptoms of optic neuritis?
Pain on ocular movement
RAPD
Vision loss
VF defect
Colour desaturation
Work-up for optic neuritis?
MRI brain tro MS
TRO intraocular inflammation
Mx of optic neuritis?
IV methylpred, then oral pred.
If idiopathic or a/w MS, vision usu improves over 2-3 weeks
Symptoms of ischemic optic neuropathy
Non-arteritic = painless LOV on awakening
RAPD
Inferior altitudinal defect
Low colour vision
Arteritic = similar, but bilateral or rapid severe LOV
RF of age related macular degeneration
Age
Female gender
Smoking
HTN, hyperlipidemia
Obesity
Caucasian race
Family hx
Symptoms of Dry AMD?
Painless metamorphopsia
Missing central vision
Mx of dry AMD?
No known tx. Give AREDS 2 formulation
Smoking cessation
Mx of wet AMD?
Anti-VEGF injection
PRP
Presentation of retinal artery occlusion
Transient vision loss
Sudden onset painless monocular visual loss
RAPD
Mx of RAO?
Ocular massage
IV acetazolamide
Anterior chamber paracentesis
Ocular emergency!!
Symptoms of CRVO?
Painless monocular visual loss. Onset not as sudden as CRAO.
RAPD
differentiate btw ischemic vs non-ischemic
Causes of CRVO?
Extrinsic pressure on vein - Raised IOP
DM, HTN, HLD, SLE etc that affects vessel walls
Hypercoagulability, Hyperviscosity
Mx of RVO?
Treat underlying predisposing factors e.g. atherosclerotic RFs
PRP
Anti-VEGF
RFs for Rhegmatogenous retinal detachment?
Acute posterior vitreous detachment
High myopia
Previous surgery
Trauma
Retinal degeneration
Aphakia or pseudoaphakia