Ophthalmology Flashcards
Layers of CORNIA
- Epithelium( Non keratinised Stratified Squamous epi. ➡️ can regenerate)
- Bowman’s ( NOT true basement memb. ie. PAS -VE , canNOT regenerate)
- Stroma ( Thickest layer)
- Dua ( Strongest layer)
- Descemet ( Secreted by underlying Epithelium ➡️ can regenerate)
- Endothelium ( METABOLICALLY ACTIVE single cell layer)
Kestenbaum index
No.Of small blood vessels÷large blood vessels
Normal =10
OPTIC ATROPHY in <7
*Other sign of optic atrophy - PALLOR of optic nerve
Tear break up time employ with which dye?
Fluorescine dye
Test name _ SIEDLE TEST
Reverse case of Horner syndrome..
Pourfour De Petit syndrome
( hyperactivity of Occulosympathatic system)
What is Cogan Dictum?
For LOCALISATION pf Lesion
⬇️
OPTOKINATIC NYSTAGMUS
(OKN)
⬇️ ⬇️
Symmetric Nystagmis Erratic pursuit move
- Occipital lobe - Perietal lobe
- due Trauma - due Tumor
( SO EP)
Keyhole shaped defects
AKA Quadruple sectoranopia
_Seen in PARIETAL LOBE LESION in LGB
_due lesion of Anterior Choroidal Artery
As it supply few minutes part of LGB
Anton Syndrome?
A clinical feature of Cortical Blindness
_is DENIAL of blindness
⭐other features of cortical blindness
_RIDDOCH phenomenon
⬇️
ie. Perception of kinetic dim light
But
Not of a bright lit stick
Center for light reflex..
Pretactal nuclei
_ at the level of Superior colliculip
Causes of MACULAR STAR appearance…
- Neuroretinitis
- HTN retina
- Papilledema
- Papillitis
- Retinal Angioma
C/f of Optic Neuritis..
2CUP Mar
ie.
C- Central scotoma C- Color blindness
U- U/l loss of vision U- Uthofff sign
P- Pain ( retrobulbar) P- Pulfrich phenomenon
Marcus gunn pupil
Grading for Papilledema…
⭐FRISEN Scale
1- C shaped Halo with a Temporal gap
2- Halo bcm Circumferential
3- loss of major vessels as they leave the disc
4- loss of major vessels in the Disc also
5- Obscuration of All vessels
Clinical features of Trachoma ( Egyptian opthalmia)…..
- Sago grain follicles ⭐
Shows necrosis & Leber cells - Arlt sign
- Herbert pits ( PATHOGNOMIC)
- Pannus- vascularisation of cornea
Complication _-corneal ulcer due to trichiasis
Treatment_- SAFE strategy
WHO classification_- FISTO
Mattendorf dots… ?
A remement of HYALOID ARTERY on posterior surface of lens
⭐similar conditions !!
_Bergmeister papillae - Remnant on the OPTIC DISC
Urea soluble proteins of the lens!
Are Water insoluble proteins.
_ r cytoskeletal proteins
⬇️
If disrupt
⬇️
Cateract formation
_ Names?
◾️Vimentin
◾️Filesin
◾️Phakinin
Transporter for Ascorbic acid inside Lens…
Na dependent transporter
ie.
SVCT 2
( Active transportation )