Ophthalmology Flashcards
Right eye pain and discharge
Difficulty remove lens last week
Thick globular yellow discharge
Cornea: edematous, hazy, and ulcerated
Extensive scleral injection
A. Angle closure glaucoma B. Anterior uveitis C. Episcleritis D. Pneumococcal conjunctivitis E. Pseudomonal keratitis F. Subconjuctival hemorrhage G. Viral conjunctivitis
E. Pseudomonal keratitis
Painful red eye and opacification and ulceration of cornea= contact lens associated keratitis
Due to Gram negative organisms
- Pseudomonas
- Serratia
Medical emergency —> Vision loss
Decreased vision in both eyes
Hx DM for 10 years
Microaneurysms, dot and blot hemorrhages, hard exudates, macular edema
A. Central retinal vein occlusion B. Diabetic retinopathy C. Macular degeneration D. Retinal detachment E. Open angle glaucoma
B. Diabetic retinopathy
Central retinal vein occlusion
Sudden unilateral visual impairment usually noted upon waking in the morning
Open angle glaucoma vision change
Gradual loss of peripheral vision
Resulting in tunnel vision
Cupping of optic disc
Herpes zoster ophthalmicus
what is it? Who? Characteristics? MOA? Seen in eye?
Infection by varicella zoster virus
Elderly
Fever, malasie and burning itching sensation in periorbital region
Vesicular rash in distribution of cutaneous branch of first division of the trigeminal nerve
Conjunctivitis and dendriform corneal ulcers
HIV patient
Rapidly progressive bilateral vision loss
Mark keratitis
Widespread, pale peripheral retinal lesions and central necrosis of the retina
A. Pseudomonas B. CMV C. Herpes simplex D. Candida albicans E. EBV
C. Herpes simplex
HSV rapidly progressing bilateral necrotizing retinitis
HIV patient
Painless vision loss
Fluffy granular retinal lesions
CMV retinitis
Sudden vision loss
Hx DM
Visual acuity reduced to light perception in right eye
Loss of fundus details, floating debris and dark red glow
A. Retinal detachment B. Diabetic retinopathy C. Vitreous hemorrhage D. Central retinal vein occlusion E. Age related macular degeneration
C. Vitreous hemorrhage
Caused by diabetic retinopathy
Clue: fundus hard to visualize
Blurred vision and right eye pain
Eye pain, photophobia, decreased visual acuity
Redness of sclera, most prominent at the junction between the cornea and the sclera in the right eye.
Anterior uveitis
Get pelvic x ray (akylosing spondylitis)
Get CXR and serum rapid plasma reagin for sarcoidosis and syphilis
Tx Viral conjunctivitis
Warm or cold compresses
Elevated intraocular pressure
Thinning of optic disc rim and asymmetry of cup/disc
What to do?
Open angle glaucoma
Start latanoprost ophthalmic solution
(topical prostaglandin)
- latanoprost
- Bimatoprost
Burst of flashing light and blurred vision in left eye
This morning
Small spots in field of vision
Curtain came down
Retinal tears and grayish appearing retina
Retinal detachment
Sign of central retinal artery occlusion
Sudden painless vision loss in one eye
Pallor of optic disc
Cherry red fovea
Boxcar segmentation of blood in retinal veins
Yellow crust along eye margin
Gritty sensation
Blepharitis
Loss of vision in right eye
Cover left eye, small on grid lines
Lines are being away
Macular degeneration
