Neurology- Ophthalmology

Question 1

Periorbital (preseptal) cellulitis

Answer 1

Mild infection of the eyelid anterior to the orbital septum. Can present with fever and eyelid erythema/edema.
Does not extend beyond orbital septum. No signs of ophthalmoplegia.

Question 2

S&S open angle glaucoma

Answer 2

Loss of peripheral vision
Enlargement of the optic crup
Increased cup/ disc ratio

Steroid induced:
central blurriness
Subcapsular cataracts (late)

Question 3

Glucocorticoids and open angle glaucoma

Answer 3

Topical steroid eyedrops and systemic steroids can raise intraocular pressure due to decrease outflow via drainage channels in the anterior chamber.

Question 4

S&S optic pathway glioma

Answer 4

Decreased visual acuity 
alteration in color vision 
Optic nerve atrophy
Proptosis 
Neurofibromatosis 1

Question 5

Risks candida endophthalmitis

Answer 5

Hospitalization w/ Central venous Cath 
TNP
immunocompromised 
Broad spectrum abx
recent abdominal surgery

Question 6

S&S candida endophthalmitis

Answer 6

Unilateral Floaters 
Progressive loss of vision 
Eye pain (late)
Fluffy yellow-white mound like lesions on fundoscopy
Systemic symptoms (mild- none)

Question 7

Diagnosis candida endophthalmitis

Answer 7

Fundoscopic findings
Blood cultures
Vitreous fluid sampling + culture

Question 8

Tx candida endophthalmitis

Answer 8

Systemic antifungals
vitreous antifungal injection
Vitrectomy

Question 9

S&S allergic conjunctivitis

Answer 9

Always bilateral
Watery discharge
Mild crust
Ocular pruritus

Hx. atopic disease

Question 10

Treatment allergic conjunctivitis

Answer 10

Allergen avoidance
Antihistamines
Mast Cell Stabilizers