Ophtha Sx

Question 1

______ is a vision impairment caused by interference with the processing of images by the
brain during the first 6 or 7 years of life

Answer 1

Amblyopia

Question 2

MC manifestation of Amblyopia

Answer 2

strabismus

Question 3

If the strabismus is not corrected early on, there will be __________ of the suppressed eye, even though the eye is perfectly normal

Answer 3

permanent cortical blindness

Question 4

A white pupil in a baby is an ophthalmologic emergency, as it may be caused by a ______

Answer 4

retinoblastoma

Question 5

_________ shows up as very severe eye pain or frontal headache, typically starting in the evening when the
pupils have been dilated for several hours (watching a double feature at the movies, or watching
television in a dark room).

Answer 5

Acute closed angle glaucoma

Question 6

Medical Mx of Acute closed angle glaucoma

Answer 6

While waiting for the ophthalmologist, administer systemic carbonic anhydrase inhibitors
(such as Diamox) and apply topical beta-blockers and alpha-2–selective adrenergic
agonists. Mannitol and pilocarpine may also be used

Question 7

The patient reports seeing flashes of light and having “floaters” in the eye. The number of floaters
gives a rough idea of the magnitude of the problem.

Answer 7

RD

Question 8

The person with 1 or 2 floaters may only have _____

Answer 8

vitreous tugging at the retina, with little actual detachment.

Question 9

INitial MX of Embolic occlusion of the retinal artery

Answer 9

have someone repeatedly press hard on the eye and
release while he is in transit to the ED (the idea is to vasodilate and shake the clot into a more
distal location, so that a smaller area is ischemic).