Ocular diagnostic and therapeutic methods Flashcards

1
Q

name the preliminary ocular examinations in a lightened room?

A

Pupil light reflex (PLR)
Dazzle reflex
Schirmer tear test (STT)

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2
Q

define the PLR?

A

the reflex construction of the pupil in response to light striking the retina is termed pupillary light reflex

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3
Q

what can be shown by the dazzle reflex?

A

the reflex is absent in the presence of severe retinal, optic nerve, optic chasm, optic tract, or facial nerve lesions

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4
Q

define the schirmer tear test (STT)?

A

semi quantitive measurement of tear production

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5
Q

what condition is the STT used to indicate?

A

KCS

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6
Q

what is the normal value for STT in cat?

A

0-3

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7
Q

what is the normal STT value for a dog?

A

15-25

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8
Q

what is the STT value of a dog with a highly advanced severe KCS disease?

A

<5

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9
Q

name the tests used to evaluate vision?

A

falling cotton test
obstacle test
manace reflex test

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10
Q

name the two main methods used for vital staining?

A

Fluorescein dye

Rose Bengal

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11
Q

what does staining with fluorescein dye indicate?

A

determines the quality of the PTF

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12
Q

why should staining with fluorescein dye always be conducted before topical administration of steroid therapy?

A

All red, inflamed, or painful eyes should be stained with fluorescein to diagnose or eliminate corneal ulcers from consideration

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13
Q

what colour does fluorescein turn If there are defects in the corneal epithelium?

A

bright green areas

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14
Q

how are superficial ulcers stained with fluorescein stain?

A

the stain adheres to only the ulcer floor and has distinct margins

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15
Q

how are deep corneal ulcers stained with fluorescein stain?

A

the deep stromal ulcers both the walls and floor of the ulcer stain and there may be some diffusion of fluorescein into the neighbouring stroma, producing less distinct margins

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16
Q

what is stained with Rose Bengal dye?

A

dead and (degenerated) devitalised cells, including those that have altered superficial mucin layer and mucus in brilliant red

17
Q

when would you use Rose Bengal dye?

A

when there is suspicion for KCS

18
Q

describe the tear film breaking up time (TFBUT)?

A

the tear film break up time (TFBUT) is an assessment of the stability of the precorneal tear film
TFBUT is considered a measurement of mucin quality and quantity

19
Q

what dye is used for TFBUT?

A

fluorescein stain

20
Q

describe why Seidel’s test is used?

A

a method of assessing the cornea for perforation
Fluorescein is applied without rinsing
evidence of leaking of aqueous can be seen with perforation

21
Q

describe the Ones test (fluorescein passage)?

A

topical application of fluorescein dye and observation for its appearance at the nares confirms potency of the nasolacrimal duct

22
Q

normal passage time for Jones test?

A

10 minutes

23
Q

what is seen normally with the lens?

A

Purkinje’s images formed on the anterior and posterior lens capsule are bright, clear and regular; there is no opacity on the lens

24
Q

name the instruments used to measurement of intraocular pressure?

A

Schøtz tonometer
tonopen
tonovet

25
Q

what kind of tonometer is the Shiøtz tonometer?

A

indentation tonometry

26
Q

what kind of tomometer is the tonopen?

A

applantation tonometer

27
Q

what kind of tonometer is the tonovet?

A

rebound tonometry §