Heavy

Question 1

4 Symptoms of this disease

Answer 1

Gritty pain in eyes
Diplopia
Corneal ulceration can occur
Eye blindness can occur if left untreated

Question 2

4 treatment of this disease

Answer 2

1) Restoration of the euthyroid state in case of hyperthyroidism by antithyroid drugs, radioactive Iodine, or thyroidectomy.

2) Protection of the cornea by lubricants day and night.

3) Systemic steroids in severe acute stage.

4) Orbital decompression and extraocular muscle surgery may be needed.

Question 3

Commonest cause is………

Can also result from………..

_________can occur

Main line of treatment is

In prolonged cases, treatment is…..

Answer 3

Bells palsy

corneal exposure can occur

Wetting of cornea by artificial tears

Lateral tarsorrhaphy

Question 4

Infection of ______

Two organism that can cause this…….

Treatment is ________

Regurge test is

Answer 4

Lacrimal sac

Staphylococcus aureus or streptococcus

Antibiotics, hot foments and sometimes incision and drainage

Abscent

Question 5

Chronic inflammation of ________

Possible _______ can occur

Manifestations are

Treatment is

Answer 5

Meibomian gland

Blockage of orifices of meibomian gland

Localized lid swelling without pain, complaint is mainly cosmetic disfigurement

Spontaneous resolution may occur with or without topical antibiotics, incision and drainage from conjunctival side

Question 6

The main pathology is caused by

Treatment is

Answer 6

Levator muscle weakness

Surgical is mainstay: If good levator action—> levator muscle rescetion
If bad levator action—> frontalis suspension surgery

Question 7

The most common cause is…..

If some clear lens remaining it is described as……

This can result in only hand motion (T/F)

Signs of this disease

Treatment of this disease

Answer 7

Aging

Immature cataract

True

Visualized by pen light and by slit lamp, red reflex if immature. IOP may be increased

No medical treatment of disease it is all surgical

Question 8

Most cases are either……or…….

Symptoms are

Astigmatism is always present (T/F)

May be complicated by…………

Treatment is

Answer 8

Congenital or blunt trauma

Blurring of vision and monocular diplopia

True

Cataract, uveitis or glaucoma

Spectacle correction in mild cases and surgical removal of lens and implantation of intraocular lens in severe subluxation

Question 9

Accommodations is completely lost (T/F)

Most common cause is

_________ investigation must be obtained

There is incomplete ptosis (T/F)

There is no diplopia (T/F)

Answer 9

True

Intracranial aneurysm

Cerebral imaging with angiography

False (complete)

True

Question 10

Maybe congenital or acquired

Examinations revel

Answer 10

True

Difficulty in reading binocularly, Hypertropia and vertical diplopia with head tilt to minimize diplopia

Question 11

It is the least common type of isolated ocular muscle paralysis

Described as a false localizing sign

Symptoms are……

In children it is mainly caused by sever otitis media

Treatment is

Answer 11

False

True

Horizontal diplopia more on abduction

True

treating the cause, if no recovery in 6 months, surgical intervention

Question 12

First choice treatment are

The main surgical treatment is

Two investigations are

Answer 12

Prostaglandin analogues, Beta blockers and CAIs

subscleral trabeculectomy

Visual field changes and OCT

Question 13

Spontaneous cure may occur without treatment

Foreign body sensation is a symptom

What are the treatments?

Answer 13

True

True

Broad spectrum antibiotic drops, antibiotic ointments

Question 14

Most common cause is:

Condition is self limiting, resolving in 7-14 days

Treatment

Answer 14

Adenovirus, followed by herpes zoster and herpes simplex

True

No topical treatment are known to be effective to adenovirus infection, therefore cold compresses and artificial lubricants is the only measure

Question 15

HSV type II is the cause

________can trigger an attack

Treatment

Answer 15

False, Type I

Predisposing stressful stimuli

Topical acyclovir 3% ointment 5 timer per day, should be discontinued after 10 days

Question 16

Infection is contracted in childhood

Ocular complications appear at subsidence of skin eruptions

Treatment is

Answer 16

True

True

Acyclovir started immediately. Give analgesics and systemic steroids. For ocular lesions are topical acyclovir, topical steroids and cycloplegics

Question 17

Symptoms are

Treatment is

Answer 17

Vision is decreased, conjunctiva is injected and a hypopyon is present in most case. The are white blood cells in the aqueous humor and vitreous humor.

Intravitreal antibiotics and vitrectomy is the line of treatment in severe cases

Question 18

This condition is life threatening

Causes are

Answer 18

False

Usually spontaneous. Can happen due to Valsalva phenomenon, indicate hypertension or blood coagulation or due to skull base fracture