oftalmo

Question 1

subretinal hemorrhages and grayish-green retinal discoloration. Dx?

Answer 1

macular degeneration wet age-related

Question 2

pallor of optic disc + cup-to-disc ratio increased + visual acuity decreased. Dx and tx?

Answer 2

dx: open angle glaucoma. visual loss is painless

tx: ianoprost

Question 3

macular degeneration wet age-related. tx?

Answer 3

injection of VEGF inhibitors (ranibizumab, bevacizumab, pegaptanib) into the vitreous body

These substances inhibit the growth of new, friable blood vessels in the choriocapillaris, which are prone to bleeding and leaking

Question 4

drusen. dx?

Answer 4

dry age related macular degeneration

Question 5

pterigium tx?

Answer 5

excision quirurgica si:
-reduccion agudeza visual
- problema de motilidad ocular
- irritacion persistente resistente a tx conservador
- crecimiento progresivo

A small pterygium that does not require surgery can be managed with UV protection measures (e.g., wearing sunglasses and a hat) and ocular lubricants (e.g., artificial tears) to reduce foreign body sensation and chronic irritation

Question 6

painful eye+ hard to palpation + red
dx? como esta la pupila?

Answer 6

acute CLOSED angle glaucoma

dilated, non-reactive pupil

Question 7

decreased night vision + decreased red reflex + halos around lights

Answer 7

cataratas

tx: surgical replacement of lens

Question 8

marfan ojo que presenta?

Answer 8

subluxación del cristalino superotemporal

Question 9

hemocistenuria ojo que presenta?

Answer 9

subluxación del cristalino hacia abajo y hacia adentro (down and inwards)

Question 10

eye pain+previous eye trauma or eye surgery
dx?

Answer 10

Endophthalmitis

Question 11

endophtalmitis, tx?

Answer 11

vitrectomy+ ATB intravitreo (vancomycin and ceftazidime/amikacin)

Question 12

maculopatia en ojo de buey

a que se asocia?

Answer 12

cloroquina/hidroxicloroquina