Lecture 2 Ext Ex and Slit Lamp

Question 1

Abnormally widened palpebral tissues; “pseudoptosis”

Answer 1

Dalrymple’s Sign; lid retraction

Question 2

pseudoptosis

Answer 2

contralateral lid retraction

Question 3

Lid lag on downgaze

Answer 3

von Graefe’s Sign; sclera constantly seen

Question 4

von Graefe’s Sign is not always present, but is still 2nd in importance in which condition?

Answer 4

exophthalmos

Question 5

infrequent and/or incomplete blinking

Answer 5

Stellwag’s sign

Question 6

difficulty in everting the upper eyelid

Answer 6

Gifford’s sign

Question 7

eyelid fullness (upper/lower)

Answer 7

Vigouroux sign

Question 8

poor convergence

Answer 8

Mobius sign

Question 9

“jerky” lid lag

Answer 9

Boston’s sign

Question 10

Too much sclera showing (superior or inferior).

Answer 10

proptosis or exophthalmos

Question 11

Too much cornea covered. When upper lid cover >3mm of cornea

Answer 11

ptosis

Question 12

If we see anisocoria that is greater in bright light conditions, which condition do we expect?

Answer 12

Horner’s Syndrome; sympathetic issue

Question 13

In the Hertel exophthalmometer a difference of _____ mm or more between the eyes is considered abnormal.

Answer 13

2mm

Question 14

keratoconus; the V

Answer 14

Munson’s sign

Question 15

If the beam is coming from the left, more _________ structures will be seen to the left.

Answer 15

anterior