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Laughing Your Way > Ophthalmology > Flashcards

Ophthalmology Flashcards

1
Q

Ability to fixate

A

6 weeks

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2
Q

Color perception

A

2 months

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3
Q

Binocular vision with convergence ability

A

3 months

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4
Q

Preference for patterns, including faces

A

4 months

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5
Q

Pendular nystagmus
Intermittent head tilt
Nodding or head bobbing

A

Spasmus nutans

Self-resolves

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6
Q

Permanent loss of visual acuity due to active brain suppression of vision of the non-dominant eye when its vision has been limited

A

Amblyopia

Most common cause < 3yo is strabismus

Most common cause 3-6yo are strabismus and anisometropia

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7
Q

Persistent tearing (>1yo)
Photophobia
Blepharospasm (excess blinking)
Corneal clouding
Progressive enlargement of eye

A

Congenital Glaucoma

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8
Q

Acute infection (staph) of sebaceous glands in eyelid
Tender/painful

Treatment

A

Stye (external hordeolum)

Warm compress
Topical antibiotic

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9
Q

Blocked oil gland (meibomian or zeis)
Chronic inflammation
Painlesss

A

Chalazion

Lipogranuloma

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10
Q

Management for nasolacrimal duct obstruction

A

Massaging 2-3x per day

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11
Q

Compromised vision
Proptosis
Pain with EOM

A

Orbital cellulitis

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12
Q

Photophobia
Tearing
Intermittent sharp pain
Irregular red reflex

First diagnostic step

A

Corneal abrasion

Flourescein eye stain

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13
Q

Optic disc pallor
Narrow arterioles
Retinal pigment deposition

A

Retinitis pigmentosa

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14
Q

Flame-shaped hemorrhage

A

Retinal hemorrhage

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15
Q

Who to screen for ROP

A

BW < 1500g or GA < 32 EJ

BW 1500-2000g + unstable clinical course

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16
Q

When to screen for ROP

A

31-34 wk post conception
4-6 wk after birth
Whichever is later

17
Q

Greatest risk factor for ROP

A

Prematurity (GA < 28 wk)

18
Q

Broad thick ridge
Avascular or vascular retina
Neovascularization

A

Retinopathy of prematurity (ROP)

19
Q

Hyperacute
Hyperpurulent
Conjunctivitis
24-48 hr after birth

A

N. Gonorrhea neonatal conjunctivitis

20
Q

Watery
Mucopurulent discharge
5-14 days after delivery

Treatment

A

Chlamydial conjunctivitis

PO erythromycin x 14 days

21
Q

Most common cause of viral conjunctivitis

A

Adenovirus

22
Q

Conjunctivitis-Otitis syndrome

Treatment

A

H influenza type B

Augmentin

23
Q

Blunt trauma
Double vision/Diplopia when rooming to one side
Limited upward gaze secondary to inferior oblique/inferior recurs muscle entrapment
Intact pupillary reflexes

A

Blowout fracture

Inferior orbital wall fracture

24
Q

Blood in anterior chamber
No Diplopia

A

Hyphema

25
Q

Pain and severe photophobia
No Diplopia

A

Traumatic iritis

26
Q

Visual deficit in peripheral field
Curtain-like
No disconjugate gaze

A

Detached retina

Laughing Your Way (34 decks)

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