Ophthalmology Flashcards
Fundoscopy appearance of diabetic retinopathy
Non-proliferative:
Micro aneurysms, haemorrhages, venous bleeding, hard exudates and cotton wool spots.
Proliferative: Neovascularisation
Treatment of diabetic retinopathy
Laser photocoagulation and anti-VEGF?
Fundoscopy of hypertensive retinopathy
Arteriolar narrowing, silver wiring, AV nicking, retinopathy and papilloedema
Symptom of both retinal artery and vein occlusion
Sudden painless vision loss of all (central occlusion) or part (branch occlusion) of vision
Retinal artery occlusion fundoscopy
Swollen, pale retina and cherry red spot
Treatment for central retinal artery occlusion
Under 24 hours is a ocular massage and then vascular management (carotid doppler)
What is amaurosis fugax
Transient CRAO
Symptoms of amaurosis fugax
Transcient painless vision loss, curtain coming down and 5 mins with full recovery
Treatment of amaurosis fugax
Stroke referral and aspirin
Fundoscopy of retinal vein occlusion
Tortous dilated vessels and wide-spread retinal haemorrhages
Treatment for CRVO
Anti-VEGF
Symptoms for retinal detachment
Four Fs (floaters, flashes, fall in acuity and field loss)
Treatment for retinal detachment
Prompt surgical treatment
Symptoms of wet macular degeneration
Central scotoma and distortion
Symptoms of dry macular degeneration
Gradual decline in vision
What are drusens and what disease
Build up of waste below RPE and dry age related macular degeneration
What disease is associated with optic neuritis
MS
Symptoms of optic neuritis
Progressive visual loss, pain behind eye especially on movement and colour desaturation
Treatment of optic neuritis
Goes away itself
What is glaucoma
Injury to the optic nerve associated with elevated intraocular pressure
Describe acute angle closure glaucoma
Aqueous humour cannot leave the eye and causes increase pressure
Symptoms of acute angle closure glaucoma
Very painful, red eye, stony hard eye, nausea and vomting.
Who is acute angle more common in
Hypermetropics
Most common glaucoma
Open angle
Treatment of glaucoma
Beta blockers eye drops, prostaglandin eye drops, alpha-agonists and carbonic anhydrase inhibitors
Painful!, red eye, keratic precipitates, hypopyon, photophobia, synachiae
Anterior uveitis
Diseases related to anterior uveitis
Reiters, UC, ank spon, sarcoid
Treatment of anterior uveitis
Topical steroids (pred forte) and mydriatics (cyclopentolate)