Neuro-Opth Flashcards
What are the dilated pupil disorders?
Efferent defect
Adie’s tonic
Pharm pupil
Traumatic
What are the small pupil disorders?
Horner’s synd- Unilateral
Argyll robertson- bilateral tonic
What is Adie’s tonic pupil?
Doesn’t react to light
Blurred near vision
Benign, idiopathic
What are the features of Horner’s syndrome?
Ptosis
Miosis
Anhydrosis
Congenital or acquired: From a pancoast tumor SNS lesion
WHat causes eye color change in kids?
SNS stimulation
What is Argyll Robertson pupil?
Pupils accommodate but do not react to light
Pupils irregular and small
Bilateral
SYPHILIS, DM, EtOH
What is seen in CN III Paresis?
EOM paresis/palsy
Abduction, hor/vert diplopia
Ptosis
Etiology: IC Aneurism, Vasc dis, trauma, brain tumor
What is seen in a CN IV Paresis?
Vertical Oblique Diplopia
Compensatory head tilt to opp shoulder
What is seen in MG?
AI disease Ptosis/Diplopia Fatigability No pupillary Abnormalities Mimics EOM problem
What is Nystagmus?
Spon, Rhythmic back and Forth movement
Named by fast comp
What is Charicteristic of Optic nerve Defect?
Blurred disc -congenital -papilledema -papillitis Optic Atrophy
What is the Etiology of Pseudopapilledema?
Hyperopia
Persistent Hyaloid Remn
Optic n drusen
Myelinated n Fibers
What is Pappiledema?
Disc Edema due to Inc ICP
Hyperemia of disc, Tortuosity of vessels, blurring and elev of disc, bilateral, Absence of SVP
What is the Etiology of Papilledema?
Brain Tumors
IC HTN
Cerebral Hemor
What is Idiopathic IC HTN?
Papilledema 20-40 yo Fe Obese/wt gain -Cephalgia -visial obscur -pulsile tinnitus -hor Diplopia Pain in EOM
What is the Tx of Idiopathic IC HTN?
Wt Loss
Carbonic Anhydrase Inhib
CSF shunting
Optic Nerve fenestration
What are the features of Optic Neuritis?
Unilateral
Dec Vision
Red Desaturation
Visual Field Defects
What is the Etiologyu of Optic Neuritis?
Multiple Sclerosis
Ischemia
WHat is RAPD?
Relative Afferent Pupillary Defect
What is Optic Atrophy?
Pallor of the Optic Nerve
What are common causes of Optic Atrophy?
Optic Neuritis Long standing Papilledema Compression of ON Glaucoma Prev ocular/optic N trauma Toxins: Ethambutol. MeOH Krabble Dis
What is Charles Bonnet Syndrome?
Pleasant, interesting Visual Hallucinations
Significant visual loss
What is char of Cognitive vision loss?
Variant of Alz Dis
Simultagnosia: can’t group letters into words/words into sentances