Ophthalmology Flashcards

1
Q

What is Acute Angle Closure Glaucoma?

A

Raised IOP with impairment of aqueous outflow

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2
Q

Causes of Acute Angle Closure Glaucoma? (3)

A

Hypermetropia (Long Sight)
Pupillary Dilatation
Lens Growth

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3
Q

What is Hypermetropia?

A

Long sightedness

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4
Q

Symptoms of Acute Angle Closure Glaucoma? (6)

A

Severe Pain
Decreased visual acuity
Worse with mydriasis
Hard, Red, Eye
Haloes
Semi dilated non reacting pupil

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5
Q

Diagnosis of Acute Angle closure glaucoma?

A

Tonometry (Raised IOP)

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6
Q

Treatment of Acute Angle Closure Glaucoma? (5)

A

Pilocarpine
Beta Blocker eg Timolol
Alpha 2 Agonist
IV Acetazolamide
Laser Iridiotomy

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7
Q

Definitive management of Acute Angle Closure Glaucoma?

A

Laser Iridotomy

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8
Q

What is the aim of treatment in Acute Angle closure glaucoma?

A

Decrease aqueous humour production

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9
Q

Most common cause of blindness in the UK?

A

Macular Degeneration

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10
Q

What is macular degeneration?

A

degeneration of retinal photoreceptors

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11
Q

Risks of macular degeneration(3)

A

Age
Smoking
Family History

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12
Q

Dry Macular Degeneration is characterised by?

A

Drusen

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13
Q

Wet Macular degeneration is characterised by?

A

Choridonal Neovascularisation

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14
Q

Symptoms of Macular Degeneration? (3)

A

Reduction in Visual Acuity central visual field
Fluctuations in visual disturbance
Wavy apperance of straight lines

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15
Q

Wet macular degeneration can present with?

A

Subacute visual acuity over days

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16
Q

Visual hallucinations in macular degeneration can lead ot?

A

Charles Bonnet Syndrome

17
Q

Diagnosing Macular Degeneration? (4)

A

Amsler Grid Test
Fundoscopy
Slit Lamp
Fluroscein Angiography

18
Q

Treatment of Macular Degeneration?

A

Anti VEGF injection eg Ranbizimab, Pergapnib