Glaucoma Flashcards

1
Q

before palpation of the eye, ask

A

if patient is wearing contacts

if patient has recently had an eye infection

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2
Q

normal eye palpation findings

A

eye feels soft like a grape

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3
Q

abnormal eye palpation findings

A

hard, suggests glaucoma

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4
Q

procedure for confrontation

A

hands behind patient

slowly brought wiggling fingers forward one side at time

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5
Q

confrontation locations

A

assessed bilaterally
above pt’s head
at pt’s eye level
below pt’s shoulder

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6
Q

glaucoma impairs what and is a function of which nerve

A

impairs peripheral vision

fx of CNII

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7
Q

normal confrontation test findings

A

pt able to see wiggling fingers in peripheral vision

bilaterally symmetrical

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8
Q

abnormal confrontation test findings

A

tunnel vision

asymmetrical peripheral vision

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9
Q

state what after confrontation test

A

would perform or refer out for more detail visual fields test if abnormal

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10
Q

Shadow test’s two findings

A

open vs closed angle

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11
Q

procedure for shadow test

A

stand in front of patient

pt look straight ahead

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12
Q

penlight procedure for shadow test

A

hold close to side of patient eye

directly across line of iris (180) not too far forward

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13
Q

normal shadow test findings

A

can see light on both sides of iris

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14
Q

open-angle glaucoma findings

A

even if both sides of iris light up

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15
Q

closed-angle glaucoma findings

A

shadow on the medial aspect of the iris

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16
Q

emergency referral if what during shadow test

A

+ shadow with other signs/symptoms of closed angle glaucoma

17
Q

brief fundoscopic exam to evaluate what

A

evaluate disc:cup ratio

18
Q

cupping of disc suggests

A

glaucoma