Mnemonics of Ophthalmology Flashcards
Angle structures with I CAN’T SEE THIS STUFF
or
I Can See Till Schwalbe’s Line
I - peripheral Iris
C - anterior border of the Ciliary Body (where is longitudinal fibers insert into the scleral spur)
S - Scleral Spur
T - Trabecular Meshwork and Schlemm Canal (Pigmented and Non pigmented)
S - Schwalbe’s Line
To help you remember the corneal layers, you might use this trick:
Descemet’s membrane is Deep while
Bowman’s layer is high up in the Bell tower
The Pupil is controlled by steady balance between the parasynpathetic (which constricts the pupil) and the synpathetic input (wich dilates the pupil). I remember this with the mnemonic:
If a grizzly bear attacks me in the dark woods, my sympathetic fight-or-flight reflex dilates my eyes so I can see beter as I run away.
Help remember the four structures we describe in the retina
Most Valuable Player D
M - Macula
V - Vessels
P - Periphery
D - Disk
History Questions with FLORIDA
Frequency Location Onset Relief Intensidade Duration Associated Symptoms
Differential Diagnosis for ANY condition with VINDICATE
Vascular Inflammatory/Infection Neoplastic Degenerative/Demyelinating Iatrogenic Compressive Autoimmune/Allergic Traumatic Endocrine
Congetinal nystagmus with CONGENITAL
Convergence & eye closure dampens
Oscillopsia absent
Null zone that is present, increases foveation time with results in increased acuity
Gaze position does not change the horizontal direction of nystagmus
Equal amplitude and frequency in each eye
Near acuity is good
Inversion of optokinetic response
Turning of head to acheive null point
Abolishes in sleep
Latente (occlusion) nystagmus occurs
Downbeat nystagmus causes with DoWNBEAT
Degeneration, Demyelination or Drugs (Lithium)
Wernicke’s Encephalopathy
Neoplasm or paraneoplastic cerebeller degeneration
Brainstem Disease (Syringomyelia)
Encephalitis
Arnold-Chiari malformation
Trauma or Toxin
Optic Neuropathy Signs with PLAC
Pale disc
Loss of visual acuty/Loss of red colour vision
Afferent Pupilary Defect
Central Scotoma
Optic Neuropathy Etiology with NIGHT TIC
Neuritis Ischemic Granulomatous (infiltration) Hereditary Traumatic
Toxic
Irridiation
Compressive
Optic Atrophy causes with ICING
Ischaemia Compressed nerve Intracranial pressure Neuritis History Glaucoma
Choroidal Melanoma with TO FIND SMALL OCULAR MELANOMAS USE HEPFUL HINTS DAILY
Thickness (> 2mm) Fluid subretinally Symptoms (flashes/floaters/visua loss) Orange pigment/lipofuscin Margins within 3 mm of ONH Ultrasound Hollowness Halo absence Drusen absence
Retinoblastoma classification with ABCDE
SmAll (< 3mm)
Bigger (> 3mm, macular, subretinal fluid)
Contained Seeds
Diffuse Seeds (> 3MM)
Extensive (> 50 globe, opaque media, NVI)
Retinal detachment treatment with 6 S’s
Sealing of retinal breaks SRF drainage (SRF is subretinal fluid) Scleral buckling SF6 pneumatic retinopexy Sectioning vitreous (vitrectomy) laSer prophylaxis
RETINA
Cherry Red Spot on Retina with CHERRY TREES NEVER GROW TALL
Central retinal artery occlusion Tay-sachs disease Niemann-Pick disease Gaucher's disease Trauma (Berlin's edema)
RETINA
Color Blindness types with TuB PaR DoG
Tritoanopes = Blue Protoanopes = Red Deutroanopes = Green
RETINA
Angiod Streaks with PEPSI LITE
Pagets Ehlers Danlos Pseudoxanthoma Elasticum Sickle Cell Idiopathic
Lead poisoning
Increased Phosphate
Epilepsy
LENS
Ectopia lentis causes ECTOPIC M&M
Eye degeneration (phthisis) Choroidal tumours Trauma Overstretched zonules (buphthalmos / megalocornea) AR with pupil ectopy Isolated AR Cystathione beta-synthase deficiency (homocystanuria) Marfans Weill-Marchesani Syndrome
LENS
CATARACT caused by drugs with ABCD
Amiadarone
Busulphan
Chlorpromazine
Dexamethasone
Cataract causes with ABCDE
Aging
Bang: trauma; other injuries (eg infrared)
Congenital
Diabetes and other metabolic disturbances (eg steroids)
Eye diseases: glaucoma; uveitis
ICE Syndrome
Iris Nevus (cogan-reese)
Chandler’s Syndrome
Essential Iris Atrophy
POAG main gene
TIGR/MYOC
chromosome 1
AD
tigers tail looks like a 1 and he is the most dominant bouncer
Parinaud’s Syndrome Mnemonic (caused by pinealoma, MS, hydrocerphalus, CVA)
Papilledema Accomodative Insufficiency Retraction of lid Insufficient convergence Nystagmus Aqueductal stenosis Upgaze Deficit Dissociation of light-near Skew Deviation
Nerves LeFT out of the annulus of Zinn
LFTs Lacrimal Frontal Trochlea Superior Ophthalmic Vein