Ophthalmology Flashcards
cherry red spot
central retinal artery occlusion
tear drop sign on radiograph
orbital blowout fracture
blood level in sinus
orbital blowout fracture
failure to adduct eye
medial longitudinal fasciculus issue
painful on eye movement
optic neuritis
optic neuritis causative illness
MS (multiple sclerosis)
acute painful loss of vision
optic neuritis
curtain coming down over vision
retinal detachment
flashes/floaters
retinal detachment
photophobia, red & painful eye
anterior uveitis
gritty feeling in eye
bacterial conjunctivitis OR sub-tarsal foreign body
sticky eye
bacterial conjunctivitis
watery eye w pain & preauricular lymphadenopathy
viral conjunctivitis
silver/copper wiring vessels
hypertensive retinopathy
red & unable to visualise fundus
vitreous haemorrhage
loss of red reflex (kids)
retinoblastoma
loss of red reflex (adults)
cataracts
neovascularisation & haemorrhage
WET age related macular degeneration (ARMD)
down & out, blown pupils
CN3, aneurysm
different sized pupils
damage to CN3 or sympathetic chain (horners)
roth spots
infective endocarditis
brushfield spots
downs syndrome
extreme pain (or nausea) blurred vision, haloes around lights
acute closed angle glaucoma
bilateral gradual loss of peripheral vision/tunnel vision
chronic open angle glaucoma
drusen
DRY age related macular degeneration (ARMD)
(dendritic) corneal ulcer. foreign body sensation
bacterial keratitis
crusting at eyelid margin, lids stuck together on waking
blepharitis
temporary curtain over vision (<5min)/sudden temp painless loss of vision
transient ischaemic attack (amaurosis fugax)
gradual painless loss of vision, haloes around lights when dark, difficulty reading/watching tv/recognising faces
cataracts
brown/white lens on slit lamp
cataracts
stormy sunset fundoscopy
central retinal vein occlusion
flame haemorrhages, dilated/tortuous retinal veins, cotton wool spots, dot/blot haemorrhages
central retinal vein occlusion or diabetic retinopathy
optic disc cupping
chronic open angle glaucoma
white/blue/grey ring around cornea
corneal arcus (hyperlipidaemia/cholesterolaemia)
up & in eye (w vertical double vision, head tilt)
CN4 - superior oblique muscle
medially deviated eye (failure to abduct)
CN6 - abducens nerve palsy
recent cataracts surgery w redness/pain/hypopyon etc
endophthalmitis
severe pain on eye movement w redness & systemic symptoms, non blanching vessels
scleritis
tender, red eye, blanching/moving vessels
episcleritis
dendritic corneal ulcer organism?
herpes simplex type 1 (hsv1)
Hutchinson’s sign/nose tip involvement
shingles (herpes zoster virus)
ptosis, miosis, anhidrosis
Horner’s syndrome - sympathetic chain palsy
causes of Horner’s syndrome
pancoast tumour, stroke, carotid artery dissection
sudden loss of vision w severe headache/tender scalp & pale, swollen optic disc
(arteritic) ischaemic optic neuropathy due to giant cell arteritis
vision loss w pale, swollen optic disc
ischaemic optic neuropathy
kayser-fleischer rings (copper coloured rings around cornea)
copper deposition
wilsons disease, cholestasis, primary billary cirrhosis
bulging eyes/proptosis/exophthalmos & lid retraction/lid lag
thyroid eye disease (graves)