Investigations in Eye Disease

Question 1

CRAO?

Answer 1

relative afferent pupillary defect, pale retina, cherry red spot
Carotid doppler to find source of embolus

Question 2

AM FUGAX?

Answer 2

Nothing abnormal on examination

Question 3

arteritic ION?

Answer 3

temporal artery biopsy may help diagnosis, pale swollen disc

Question 4

vitreous haemorrhage

Answer 4

may have loss of red reflex

Question 5

Retinal detachment

Answer 5

may have RAPD, may see tear on opthalmoscopy

Question 6

wet age related macular degeneration

Answer 6

haemorrhage/exudate

Question 7

dry age related macular degeneration

Answer 7

drusen sign (build up of waster products below retinal pigment epithelium)

Question 8

open angle glaucoma?

Answer 8

increased intra ocular pressure, a cupped disc, visual field defect

Question 9

scleritis?

Answer 9

phenylephrine

Question 10

diabetic retinopathy?

Answer 10

on opthalmoscopy: microaneurysm/dot and blot haemorrhges, hard exudate, cotton wool patches, abnormalities of venous calibre, new vessels

Question 11

hypertensive retinopathy?

Answer 11

copper or silver wiring