Hearing and visual disorders Flashcards

1
Q

Describe cataracts?

A
  • The lens gradually opacifies (becomes cloudy)
  • Cloudiness makes less light reach the back of theye
  • Results in reduced/blurred vision
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2
Q

Causes of cataracts?

A
  • Normal ageing process
  • Smoking
  • Diabetes mellitus
  • Long term steroid use
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3
Q

How do patients with cataracts present?

A
  • Insidious onset
  • Reduced vision
  • Faded colour vision
  • Glare
  • Halos around lights
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4
Q

Clinical signs of cataracts?

A

Defective red reflex

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5
Q

Investigations into cataracts?

A
  • Ophthalmoscopy with pupil dilation
    • Normal fundus and optic nerve
  • Slit-lamp examination
    • Visible cataract
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6
Q

Describe conservative treatments for cataract?

A
  • Stronger glasses
  • Use of brighter lighting
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7
Q

Describe the srugical management of cataracts?

A
  • Removal of cloudy lens
  • Replace with artifical one
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8
Q

Complications of cataract surgery?

A
  • Retinal detachment
  • Posterior capsule rupture
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9
Q

What is the most common cause of blindness in the UK?

A

Age-related macular degeneration

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10
Q

What causes age-related hearing loss?

A

Gradual wear and tear of cochlea hair cells

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11
Q

Another name for age related hearing loss?

A

Presbycusis

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12
Q

Describe age related macular degeneration?

A
  • Bilateral
  • Degeneration of retinal photoreceptors
  • Results in formation of drusen
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13
Q

What are the two forms of age related macular degeneration?

A
  • Dry
  • Wet
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14
Q

Describe dry age related macular degeneration?

A
  • 90% of case
  • Geographic atrophy
  • Drusen yellow spots in Bruch’s membrane
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15
Q

Describe wet age related macular degeneration?

A
  • Exudative, neovascular
  • Leakage of serous fluid and blood
  • Results in rapid loss of vision
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16
Q

What are the risk factors for age related macular degeneration?

A
  • Increasing age
  • Smoking
  • Family history of ARMD
  • Co-morbidities: DM, HTN, dyslipidaemia
17
Q

Describe the patient presentation for age related macular degeneration?

A
  • Reduced visual acuity, especially near objects
  • Difficulties in dark adaptation
  • Fluctations in vary disturbance from day to day
  • Photopsia, glare
18
Q

What is Photopsia?

A

Perception of flickering or flashing lights

19
Q

Clinical signs of age related macular degeneration?

A
  • Yellow areas of pigment deposition
  • Wet ARMD: red patches representing bleeds
20
Q

Treatment for age related macular degeneration?

A
  • Zinc + vitamins A, C, E reduce progression
  • Anti-VEGF agents
  • Laser photocoagulation