ophthalmology Flashcards

1
Q

gradual worsening of central visual field loss
reduced visual acuity
wavy appearance for straight lines

A

age related macular degeneration

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2
Q

investigations for age related macular degeneration

A

snellen chart
grid test
fundoscopy - drusen (dry)

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3
Q

management of dry age related macular degeneration

A

avoid smoking
control BP
vitamins

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4
Q

management of wet age related macular degeneration

A

anti VEGF - ranibilizumab

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5
Q

decrease in vision
blurred or cloudy vision
glare when driving at night

A

cataracts

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6
Q

investigation for cataracts

A

slit lamp
dilated fundus exam

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7
Q

management of cataracts

A

phacoemulsification

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8
Q

sudden painless loss of vision
relative afferent pupil defect

A

central retinal artery occlusion

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9
Q

fundoscopy - pale retina with cherry red spot

A

central retinal artery occlusion

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10
Q

management of central retinal artery occlusion

A

occular massage
IV acetazolamide

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11
Q

fundoscopy - flame haemorrhages
optic disc oedema
‘stormy sunset’

A

central retinal vein occlusion

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12
Q

management of central retinal vein occlusion

A

treat underlying (atherosclerosis, hypertension, diabetes)

anti vegf

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13
Q

red, gritty sticky eyes
purulent discharge
bilateral
eyes stuck together in the morning

A

bacterial conjuncitivitis

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14
Q

management of bacterial conjunctivitis

A

topical chloramphenicol

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15
Q

fundoscopy:
blot haemorrhages
hard exudate
cotton wool spots
neovascularisation

A

diabetic retinopathy

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16
Q

peripheral vision affected first
tunnel vision
halos around lights at night

A

open angle glaucoma

17
Q

investigation for open angle glaucoma

A

tonometry >21mmHg

18
Q

management of open angle glaucoma

A

latanoprost (increase uveoscleral outflow)
timolol (decrease production of aqueous humour)
surgery

19
Q

sudden eye pain
blurred vision
nausea
worse in dark
red eye
mid dilated fixed pupil
hazy cornea

A

closed angle glaucoma

20
Q

management of closed angle glaucoma

A

lie patient flat
pilocarpine drops
acetazolamide

21
Q
A