Ophthalmology

Question 1

Why might it not be appropriate to dilate a patients eyes for fundoscopy?

Answer 1

If one suspects an acute narrow angle glaucoma attack

Question 2

Why might one suspect an acute narrow angle glaucoma attack

Answer 2

if a painful sore red eye, blurred vision with circles around lights are seen, nausea and vomiting and a general sense of un-wellness are observed

Question 3

What is the short acting dilation agent used most frequently in fundoscopy

Answer 3

1% tropicamide eye drops

Question 4

What are drussen?

Answer 4

Small yellow deposits of lipids observable on fundoscopy. Their presence is not a part of the pathology and AMD but it does increase the risk of developing it

Question 5

What are the 3C’s when looking at the optic disc?

Answer 5

Cup, Color and contour

Question 6

What are four key medications that can lower intraocular pressure?

Answer 6

Prostaglandin analogues, Pilocarpine, Carbonic anhydrase inhbitors and Beta blockers

Question 7

Are long or short sightedness associated with AACG and why?

Answer 7

AACG patients are typically long-sighted. There is is no link to shortsightedness. Longsighted people typically have smaller eyes and shallow anterior chambers which are more likely to become occluded