Mosby 11 Flashcards
Exophthalamos EXTERNAL What is it? Most common cause? Unilateral? Subjective? Objective?
Bulging of an eye
Graves, retro-orbital tumor
Eye dislocation
Eye dislocation
Episcleritis EXTERNAL What is it? Cause? Subjective? Objective?
Inflammation of the superficial layers of the sclera anterior to the insertion of the rectus musclesIdiopaty (can be autoimmune and many others)
Discomfort, photophobia, painless injection, watery discharge
Watery discharge, injection of the bulbar conjuctiva
Band Keratopathy What is it? Population? Subjective? Objective?
Deposition of calcium in the superficial cornea
Associated with chronic corneal disease, hypocalcemia, hyperparathyrodism
Loss of vision, foreign body sensation and irritation
Line below the pupil cross, grayish bands with dark areas
Corneal Ulcer EXTERNAL What is it? Association? Bacterial vs. Viral? Increased risk with? Objective?
Disruption of the corneal epithelium and stroma
Connective tissue disease (SS, SLE) or vascular or viral infection or dessecation
Previously intact / Damaged
Lenses
Visual acuity changes, inflammation of lids and conjuctiva, purulent exudates, often round grey sharp
Strabismus EXTRAOCULAR What is it? Cause Subjective? Objective?
Both eyes do not focus on an object simultaneously, but can focus with either eye
Paralytic, ICP, nonparalytic
Poor vision
Horner’s syndrome INTERNAL
What is it?
Triad?
Interruptiuon of sympathetic nerve supply to eye
Miosis, anhydrosis, and ptosis
Cataracts INTERNAL What is it? Cause? Central/Peripheral cause? Subjective?
Opacity in lens
Denaturation of proteins in lens 2/2 aging
Aging / Hypoparathyrodism
Blurry vision, faded colors, things may appear too bright, poor night vision, double vision, frequent perscription
Diabetic retinopathy (background) INTERNAL What is it? Cause for soft/hard exudates? Subjective? Objective?
Dot hemorrhages or microaneurysms and the presence of hard and soft exudates
Infarction of nerve / lipid exudate
Blurry vision, distortion, visual changes
Baloon-like sacs, hemorrhages
Diabetic retinopathy (proliferative) INTERNAL
What is it?
Cause?
Result?
Development of new vessels as a result of anoxi stimulation
Blood vessels grow towards vietrous humor (but lack supporting structures and may hemorrhage)
Blindness 2/2 hemorrhage
Floaters, blurred vision or progressive acuity
Lipemia Retinalis INTERNAL Cause? Association? Presentation? Objective
Triglycerides +2000mg/dL
Diabetic ketoacidosis & hyperlippidemia
Elevated serum triglycerides levels
No vision complaints
Vessels appear salmon-pink, then become whitish
Retinitis Pigmentosa INTERNAL
What is it?
Subjective
Objective
AR disorder in which genetic defects cause cell deaths, predominantly in rod photoreceptors
Night blindness
Narrowing of arteriiols, “bone spicule”
Glaucoma INTERNAL What is it? Association? Subjective chronic/acute? Objective?
Disease of optic nerve where cells die producing “specific appearance of optic nerve”
Increased intraocular pressure
Chronic: Gradual loss of vision
Acute: Intense pain, blurred vision, red eye, dilated pupil
Optic nerve damage
Chorioretinal inflammation INTERNAL
Cause?
Objective?
Subjective?
Laser therapy for diabetic retinopathy also infectious
Cats?
Sharply defined lesion, withish/yellow
Visual field defect VISUAL FIELDS
What is it?
Causes
Defective vision or blindness in a single eye
Degenerative, infraction, pressure on optic chiasm
Retinoblastoma
What is it?
Population?
Objective?
Malignant tumor from retina
First 2 years
White reflex