Ophthalmology Flashcards
Keratitis: features
Red eye, photophobia & gritty sensation
Anterior uveitis (iritis): features
Pain, photophobia, blurred vision, red eye, small pupil
Anterior uveitis: features
Ankylosing spondylitis, RA, IBD, Behcet’s, sarcoid
Anterior uveitis: Mx
Steroid & cyclopelgic (mydriatic) drops
Scleritis: features
Red eye, sore, watering, photophobia
Episcleritis: features
Red eye, painless
Differentiating scleritis & episcleritis
Phenylephrine drops improves redness in episcleritis
Punctate fluorescein is seen in
dry eyes
acute glaucoma: features
Pain, decrease acuity, red eye, haloes, dilated pupil
Acute glaucoma: Mx
Pilocarpine
Timolol
Apraclonidine
Flashes & floaters
Vitreous / retinal detachment
Adie pupil
Dilated pupil with slow reaction
Damage to parasympathetic nerves from infection
Marcus-Gunn pupil
RAPD
Constrict less so dilate more from unaffect to affect eye
Severe retinal disease
Argyll Robertson pupil
Bilaterally small pupils that accommodate but do not react to bright light
Syphilis & DM
Diabetic retinopathy: mild NPDR
1+ micro-aneurysm