Gradual Loss of Vision Flashcards

1
Q

Causes of gradual loss of vision

A
  • cataract
  • refractive error
  • corneal blindness
  • optic atrophy
  • ARMD
  • diabetic macular oedema
  • chronic ocular inflammation/infection
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2
Q

Definition of blindness

A

VA <3/60 in the better eye

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3
Q

Who gets loss of central vision?

A
  • ARMD

- Toxic optic neuropathy

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4
Q

Who gets loss of peripheral vision?

A
  • retinitis pigmentosa

- glaucoma

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5
Q

2 types of cataract extraction

A
  • ICCE (intracapsular)

- ECCE (extracapsular)

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6
Q

How is traditional ECCE done?

A
  • needle used to make a hole in the lens capsule

- cataract is expressed by putting pressure on the base of the cornea

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7
Q

What is phacoemulsification?

A
  • ultrasound probe is used to emulsify the cataract before sucking it out through a small wound
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8
Q

Causes of leukocoria

A
  • cataract
  • toxoplasmosis
  • toxocariasis
  • retinoblastoma
  • longstanding retinal detachment
  • persistent posterior hyperplastic primary vitreous
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9
Q

How does a pinhole work?

A
  • only parallel rays of light pass through the hole so that the eye does not have to refract them to get a clear retinal image
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10
Q

Hyperopia

A

Long sightedness

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11
Q

Myopia

A

Short sightedness

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12
Q

Characteristics of degenerative myopia

A
  • develop laquer cracks in Bruch’s membrane and may lose vision through haemorrhage from neovasculatisation round the cracks and retinal degeneration
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13
Q

What is keratoconus

A

Progressive myopic astigmatism

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14
Q

Characteristics of trachoma

A
  • entropion (lower eyelid folds in)
  • trichiasis (ingrown eyelashes)
  • scarring of conjunctiva and cornea
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15
Q

Causes of interstitial keratitis

A
  • congenital syphilis
  • TB
  • measles
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16
Q

Cause of climatic droplet keratopathy

A

Prolonged exposure to the elements

17
Q

Causes of optic atrophy

A
  • compression of optic nerve (tumour)
  • damage to optic nerve head in glaucoma
  • metabolic, infective and genetic diseases of the retina
  • chronic papilloedema
18
Q

Features of retinitis pigmentosa

A
  • waxy pallor of the disc
  • bone spicule pigmentary retinopathy
  • attenuated blood vessels
  • night blindness
  • tunnel vision
19
Q

Why do patients with ARMD develop loss of central vision?

A
  • scarring
  • leakage from subretinal neovascular membranes
  • bleeding from SRNVM
20
Q

How do you prevent LOV in ARMD

A

With early laser

21
Q

What is band keratopathy?

A

Calcification of the cornea

caused by intraocular inflammation

22
Q

Definition of glaucoma

A

An optic neuropathy characterised by:

  • cupping of the optic disc
  • characteristic pattern of visual field loss
  • raised IOP
23
Q

Ocular hypertension

A

Raised IOP, but no optic neuropathy or visual field loss

24
Q

Risk factors for primary open angle glaucoma

A
  • genetic (TIGR myocillin gene)
  • Black African ancestry
  • myopia
  • age >45
  • DM and HPT uncontrolled
25
Q

Best way to test visual fields in glaucoma

A

Automated perimetry

26
Q

Typical field defects in glaucoma

A
  • arcuate defects
  • nasal step
  • ring scotoma
  • tunnel vision
27
Q

Management of glaucoma

A
  • refer
  • medical
  • surgical (trabeculectomy)
28
Q

Management of ARMD

A
  • Laser/ anti-growth factor
29
Q

Ocular features of JIA

A

Chronic uveitis with painless, insidious LOV due to:

  • calcific band keratopathy
  • cataract
  • glaucoma