Midterm - external eye exam conditions images

Question 1

Corneal scarring

Grayish white opacity from old injury or keratitis (inflammation of cornea). Cloudiness may overlap pupil edges

Answer 1

Question 2

Kaiser-Fleisher Ring

golden to red-brown ring in periphery of cornea. Caused by copper deposition, suggests Wilson Disease

Answer 2

Question 3

Corneal abrasion

Painful on initial inspection. Can mimic infection, but history will have foreign object or trauma.

Answer 3

Question 4

Corneal infection

Answer 4

Question 5

Corneal Ulcer (infectious keratitis)

Caused by bacteria, fungal, parasitic.

dendritic lesions = herpes simplex keratitis

Answer 5

Question 6

Acute iritis/ anterior uveitis

Answer 6

Question 7

Synechia from acute iritis/ anterior uveitis

affected pupil is smaller and will NOT dilate

Answer 7

Question 8

Acute angle closure glaucoma/ narrow angle glaucoma

sudden increase in intraocular pressure happens when aqueous humor drainage is blocked.

symptoms: acute onset with severe, deep, aching pain in the eye (unilateral). Redness, blurry vision, dilated pupils, headache, nausea, vomiting.

Answer 8

Question 9

Coloboma

absence or defect of iris tissue

Answer 9

Question 10

Prolapsed iris

Answer 10

Question 11

Adie’s tonic pupil

Due to parasympathetic neve degeneration. May have blurry vision and photophobia

Answer 11

Question 12

(Right) CN 3 palsy

ptosis

Answer 12

Question 13

Horner Syndrome

miosis, ptosis, [facial] anhidrosis

Answer 13

Question 14

Argyll-Robertson pupils

bilaterally small, irregular shaped pupils.

do not react to light, do accommodate

Answer 14

Question 15

Dacryoadenitis

lacrimal gland

Answer 15

Question 16

Dacryocystitis

puncta side of eye, painful

Answer 16

Question 17

Acute dacryocystitis

Answer 17

Question 18

Ectropion

Answer 18

Question 19

Entropion

Answer 19

Question 20

Blepharitis

red inflammed lid margins. NOT turning. Greasy, crusted with scaling debris on lashes.

Answer 20

Question 21

Anterior blepharitis (due to seborrheic dermatitis)

Answer 21

Question 22

Severe anterior blepharitis (due to staphylococcal infection)

Answer 22

Question 23

External hordeolum (stye)

Answer 23

Question 24

Internal hordeolum

Answer 24

Question 25

Chalazion

Answer 25

Question 26

Carcinoma

Answer 26

Question 27

Xanthelasma

Answer 27

Question 28

Ptosis

Answer 28

Question 29

Proptosis

Answer 29

Question 30

Episcleritis

Answer 30

Question 31

Jaundice (sclera icterus)

Answer 31

Question 32

Conjuctivitis

Answer 32

Question 33

Allergic conjunctivitis

Answer 33

Question 34

Bacterial conjunctivitis

Answer 34

Question 35

Subconjunctival hemorrhage

Answer 35

Question 36

Pinguecula

Answer 36

Question 37

Pterygium

Answer 37