LACRIMAL GLAND_PURPLE/RED Flashcards

1
Q

WHAT % OF THE AQUEOUS PORTION OF TEARS DOES THE LACRIMAL GLAND PRODUCE?

A

70%

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2
Q

WHAT % OF THE AQUEOUS PORTION OF TEARS DOES THE 3RD EYELID GLAND PRODUCE?

A

30%

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3
Q

WHAT GLAND PRODUCES THE OUTER LIPID PORTION OF TEARS?

A

MEIBOMIAN GLAND

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4
Q

what produces the innermost mucous portion of the tears?

A

conjunctival goblet cells

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5
Q

name the afferent and efferent nerves for tear production

A

trigeminalnerve- afferent
facial nerve- efferent

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6
Q

what cells make up the immune system aspect of the tear film?

A
  • lysozyme
  • immunoglobulins
  • leukocytes
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7
Q

how many lacrimal puncta do dogs and rabbits have?

A

rabbits have 1
dogs have 2

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8
Q

list the 5 aspects of the drainage apparatus

A
  1. lacrimal puncta
  2. lacrimal canaliculi
  3. lacrimal sac
  4. lacrimal duct
  5. nasal punctum
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9
Q

true/ false KCS is more common in cats than dogs

A

false
most common in dogs

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10
Q

what is alacrima

A

lack of tear production
- congenital
- cause of KCS

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11
Q

LIST 3 DRUGS THAT CAN CAUSE KCS

A
  • ATROPINE
  • GENERAL ANESTHETICS
  • SULPHA ANTIBIOTICS
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12
Q

LIST 2 INFECTIOUS AGENTS THAT CAN CAUSE KCS

A
  1. DISTEMPER VIRUS
  2. FELINE HERPES VIRUS
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13
Q

WHAT IS THE MOST COMMON CAUSE OF KCS?

A

AUTOIMMUNE ADENITIS

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14
Q

WHAT ARE THE NORMAL PARAMETERS FOR A SCHIRMER’S TEAR TEST?

A

15-25 mm/min

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15
Q

what numbers indicate KCS on STT?

A

<10mm/min

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16
Q

WHAT IS THE DRUG OF CHOICE FOR KCS?

A

TOPICAL CYCLOSPORIN

17
Q

HOW LONG AFTER USE OF CYCLOSPORIN IS RESULTS SEEN?

A

2-4 WEEKS

18
Q

HOW DOES CYCLOSPORIN MANAGE KCS?

A
  • STOPS AUTOIMMUNE ADENITIS
  • HORMONE- LIKE STIMULATORY EFFECT ON TEARING
19
Q

NAME 1 SURGICAL THERAPY FOR KCS

A

PAROTID DUCT TRANSPOSITION
- OPEN- ON CHEEK, IN MOUTH
- CLOSED- ONLY IN MOUTH

20
Q

LIST 5 COMMON CLINICAL SIGNS ASSOCIATED WITH KCS

A
  1. THICK MUCOPURULENT DISCHARGE
  2. CONJUNCTIVAL HYPEREMIA
  3. CORNEAL OEDEMA
  4. CHEMOSIS
  5. CONJUNCTIVITIS/KERATITIS
21
Q

LIST 4 CAUSES OF EPIPHORA DUE TO OUTFLOW OBSTRUCTION

A

1.IMPERFORATE LACRIMAL PUNCTUM IN DOGS
2. IMPERFORATE NASAL PUNCTUM IN HORSES
3. MALPOSITIONED PUNCTA
4. SYMBLEPHARON

22
Q

LIST 4 CAUSES OF EPIPHORA DUE TO HYPERSECRETION

A
  1. CORNEAL ULCER
  2. GLAUCOMA
  3. DISTICHIASIS
  4. ENTROPION
23
Q

HOW TO DIAGNOSE OUTFLOW OBSTRUCTION OF THE LACRIMAL SYSTEM?

A

USE FLUORESCEIN DYE INJECTED IN THE CONJUNCTIVAL SAC
- SHOULD SEE IT IN THE NOSE IN 3MINS
- THEN FLUSH WITH A CANNULA AND SALINE

24
Q

WHERE IS THE LACRIMAL PUNCTA OF THE RABBIT LOCATED?

A

VENTROMEDIALLY

25
Q

WHERE IS THE LACRIMAL PUNCTA OF DOG LOCATED?

A

MEDIALLY- DORSAL AND VENTRAL

26
Q

LIST 4 COMMON CLINICAL SIGNS ASSOCIATED WITH DACRYOCYSTITIS

A
  1. CHRONIC UNILATERAL SIGNS
  2. EPIPHORA
  3. MUCOPURULENT DISCARGE
  4. MEDIAL CANTHUS ABCESS
27
Q

HOW TO TREAT LACRIMAL GLAND OBSTRUCTIONS?

A
  1. NASOLACRIMAL FLUSH
  2. ANTIBIOTICS- Neomycin; Bacitracin; Polymyxin B
  3. STEROIDS- CYCLOSPORIN
  4. ENLARGE/CREATE LACRIMAL PUNCTA