Ophthalmology/BW Flashcards
What should a primary care provider do for a presumed retinal detachment?
Refer and position patient with head down
In what age range do you expect to most commonly find amarousis fugax?
Patients older than fifty
What is the #1 cause of retinal artery occlusion?
Carotid athersclerotic disease
When treating herpes keratitis should you use topical anti-viral, topical steroid or both?
Dont use steroids. Topical antiviral and refer
A patient presents with a painful, red nodule on the eyelid. What diagnosis should you be thinking of? What treatment should you begin with?
Hordeolum (sty). Warm compress and progress to topical abx if necessary
A fundal exam shows a cherry red spot. What diagnosis should you be thinking of?
Central retinal artery occlusion
A college student with a little purulent drainage from on eye and nontender preauricular lymphadenopathy. What diagnosis and pathogen should you be thinking of?
Chlamydia conjunctivitis
What should a primary care provider do for presumed central artery occlusion?
Opthalmic emergency! Refer and intermittent pressure and release of the eye.
A patient presents with unilateral blurriness developing over a few days. Fundal exam shows a blood and thunder pattern. What is the most likely diagnosis?
Central vein occlusion
What is appropriate treatment for central vein occlusion?
Typically self limited. Treat underlying disease
Is glaucoma more prevalent in males or females?
Females (3:1)
Give two risk factors for glaucoma
African American descent and diabetes
What is the yellow, brown fleshy mass on the conjunctiva which usually does not interfere with vision?
Pinguecula
A fundal exam shows a cup to disc ration of >0.5. There are also vessels bending over the disc. What is the most likely diagnosis?
Glaucoma
A patient presents saying that he doesn’t seems to need his glasses anymore after 30 yrs. What is the most likely diagnosis?
Macular degeneration
What is the most likely quadrant for a retinal detachment?
superior temporal
A patients presents with pain in one eye. The cornea is hazy and the pupils are fixed. What is the most likely diagnosis?
Glaucoma
What is the most common way of testing for metamorphosia?
Amsler grid
You notice drusen deposits on fundal exam. What is the most likely diagnosis?
Macular degernation
A patient presents with irritated, burning and tearing eyes. You notice some scurf and scales. Where do you begin treatment?
This is blepharitis. Treatment begins with good hygeine and moves on to topical antibiotics if necessary.
A patient has a history of multiple stys. He now has a painless nodule on his eyelid and minor conjunctivitis. What is the most likely diagnosis?
Chalazion
What are the most common colors lost in color blindness?
Red and green