images VI

Question 1

Answer 1

Early anterior ischemic optic neuropathy

no venous stasis, no bulging

Question 2

Answer 2

Papilledema from increased intracranial pressure…compression of optic nerve…venous stasis and decreased axoplasmic transport

Question 3

Answer 3

The optic nerve in anterior ischemic optic neuropathy (AION) and papilledema

in papilledema the optic nerve is swollen, and the retina is displaced laterally.

Question 4

Answer 4

Inner tarsal plate (p)

meibomian glands (g)

middle muscle layer (m)

surface epithelium (e)

Question 5

Answer 5

Meibomian gland lipid content (sebum) spills out of the acini at the mucocutaneous lid junction to coat the ocular surface. The lipid then becomes the smooth film meibum on the surface

Question 6

Answer 6

Stye

Acute inflammation involving gland of Zeis and/or orifice of meibomian gland….Staph…usually clears in 7 days

Question 7

Answer 7

Stye

Question 8

Answer 8

Chalazion

Question 9

Answer 9

Chalazion

Question 10

Answer 10

Lipid and granulomas of Chalazion with neutophils

Question 11

Answer 11

Lipid and granulomas of Chalazion with neutophils

Question 12

Answer 12

Xanthelasma Palpebratum

Question 13

Answer 13

Xanthelasma Palpebratum

Question 14

Answer 14

Split nevi

Very rare

Formed congenitally

Question 15

Answer 15

Nevus

Question 16

Answer 16

Sebaceous Carcinoma

pagetoid spread

Question 17

Answer 17

Pinguecula
Conjunctival equivalent of Solar Elastosis of skin

Question 18

Answer 18

Conjunctival squamous cell carcinoma

Question 19

Answer 19

Pterygium

CT growth that migrates to corneum

Question 20

Answer 20

Conjunctival Melanoma

commonly seen at limbus

Question 21

Answer 21

Herpes Simplex Keratitis

Painful large, irregular shaped lesions, with vascular engorgement

Can spread to ant chamber and may need corneal transplant

Question 22

Answer 22

Large paracentral herpes simplex virus dendritic ulcer.

Question 23

Answer 23

Acanthamoeba keratitis

ring like lesion

Question 24

Answer 24

Amebic Keratitis

double walled cyst

Question 25

Answer 25

Amebic Keratitis

double walled cyst

Question 26

Answer 26

Amebic Keratitis

Question 27

Answer 27

Keratoconus

Question 28

Answer 28

Keratoconus

Question 29

Answer 29

Keratoconus

Question 30

Answer 30

Keratoconus

Question 31

Answer 31

Munson’s sign

When patient looks down, the cones in each eye causes the lower lids to bulge

Question 32

Answer 32

Dry…10xs more common…no Tx

Question 33

Answer 33

Wet…Tx with injection of VEGF antagonists into the vitreous of affected eye

Question 34

Answer 34

leukocoria of retinoblastoma

Question 35

Answer 35

Retinoblastoma

Question 36

Answer 36

Retinoblastoma

Question 37

Answer 37

Retinoblastoma

Question 38

Answer 38

Retinoblastoma

Question 39

Answer 39

retinoblastoma

small blue cells with rosettes

Question 40

Answer 40

retinoblastoma

small blue cells with rosettes

Question 41

Answer 41

Uveal (choroidal) melanoma

Question 42

Answer 42

Uveal (choroidal) melanoma

Question 43

Answer 43

Cupping as a result of increased intraocular pressure. Also present is loss of overlying retinal epithelium.

Question 44

Answer 44

Cupping as a result of increased intraocular pressure. Also present is loss of overlying retinal epithelium.

Question 45

Answer 45

physical blockage is sequlae of ant segment inflammtion leading to closed angle glaucoma