Multisystem Eye Presentations

Question 1

what is Horner’s syndrome?

Answer 1

damage to sympathetics supplying the face

Question 2

location of horner’s syndrome lesion

Answer 2

if anhidrosis is central then arm and trunk
if anhidrosis is pre-ganglionic then face
no anhidrosis there is no anhidrosis

Question 3

presentation of Horner’s syndrome

Answer 3

triad of ptosis, miosis and anhidrosis

congenital is associated with heterochromia (iris colour varies on affected side)

Question 4

diagnosis of Horner’s syndrome

Answer 4

cocaine eye drops

adrenaline eye drops

Question 5

how do cocaine eyedrops work?

Answer 5

blocks NA re-uptake which should cause dilation, no reaction in Horner’s

Question 6

eye presentation in sarcoidosis

Answer 6

granulomatous uveitis

Question 7

what is thyroid eye disease characterised by?

Answer 7

swelling of extraocular muscles and orbital fat

usually AI