Eyes Flashcards

1
Q

What is the fovea?

A

dark circular area around point of central vision

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2
Q

Where is the macula?

A

Surrounds the fovea, no discernible margins

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3
Q

What is the direct light reflex?

A

light shined in eye causes constriction in the same eye

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4
Q

Consensual light reflex?

A

constriction of the pupil in the contralateral eye

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5
Q

What should you do if the light reaction is abnormal?

A

test the near reaction

convergence and accomodation should occur

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6
Q

What is the near reaction?

A

pupils constrict when a person’s gaze shifts form far objects to a near one

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7
Q

What is anisocoria?

A

defect in constriction/dilation of one pupil (normal in about 20% of the population)

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8
Q

What will happen in anisocoria for an abnormally large pupil?

A

the abnormally large pupil will have poor constriction in a well lit room

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9
Q

What can cause anisocoria w/ an abnormally large pupil?

A

blunt truama, open angle glaucoma, dilating drops, impaired parasympathetic innervation, tonic pupil, CNIII paralysis

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10
Q

What will happen w/ anisocoria with an abnormally small pupil?

A

poor dilation in a dim room

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11
Q

What can cause anoscoria with an abnormally small pupil?

A
  • physiologically small pupil
  • pilocarpine drops
  • uveitis
  • horners syndrome
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12
Q

What is a coloboma?

A

a gap in the tissue structures of the eye

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13
Q

What would you suspect if you see a pupil with a corneal haze, mid-dilated pupil, non-reactive pupil and red eye

A

Acute angle closure gluacoma

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14
Q

What would you suspect if a pt comes with sudden vision loss?

A
  • retinal detachment

- vitreous hemorrhage, -central retinal artery occlusion

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15
Q

What test should you do if a pt has changes in vision?

A

visual acuity test

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16
Q

What should you suspect if a pt sees flashing lights?

A

retinal detachment until proven otherwise

17
Q

What can cause diplopia?

A

brainstem or cerebellar lesion, weakness, paralysis of extraocular muscles

18
Q

What should you do if a pt has sudden unlilateral painful vision loss?

A

Refer PROMPTLY

19
Q

What can cause ipsilateral monocular visual loss?

A

lesion of optic nerve

20
Q

What causes bitemporal hemianopsia?

A

lesion at optic chiasm

21
Q

What causes contralateral homonymous hemianopsia?

A

lesion at the optic tract

22
Q

What must you r/o if there is significant drying of the eye?

A

Sjogren syndrome

23
Q

What is a hodeolum?

A

an infection of the sebaceous gland of the eyelid

24
Q

What is a chalazion?

A

a small sebaceous cyst of the eyelid resulting when a meibomian gland is blocked

25
Q

What is hyperopia?

A

farsighted vision

26
Q

What is presbyopia?

A

loss of lens elasticity due to age

27
Q

What is myopia?

A

near-sighted

28
Q

What is a cataract?

A

clouding of the lens obstructing the passage of light (due to long term uv exposure)