Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 2 Revision > Ophthalmology Investigations and Management > Flashcards

Ophthalmology Investigations and Management Flashcards

1
Q

Neonatal bacterial conjunctivitis

A

Refer all cases to ophthalmology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bacterial conjunctivitis management

A

Supportive treatment
Swab (only if recurrent and suspect chlamydia)
Topical antibiotic (chloramphenicol)

Avoid chloramphenicol if history of aplastic anaemia or allergy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Bacterial keratitis management

A

Admission for hourly drops

Daily review

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Herpes simplex keratitis

A

Topical aciclovir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Acanthamoeba keratitis investigation

A

Contact lens culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Orbital cellulitis investigation

A

CT scan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Orbital cellulitis management

A

Broad spectrum AB and monitor closely

Sometimes an abscess will require drainage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Endophthalmitis management

A

Intravitreal amicakin/certazidime/vancomycin
Topical antibiotics
Maybe systemic antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Management of toxoplasmosis reactivation

A

Systemic treatment if sight threatening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Bacterial keratitis investigation

A

Corneal scrape

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Endophthalmitis investigation

A

Aqueous/vitreous culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Acanthamoeba investigations

A

Microscopy/culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Investigations for toxoplasma/toxocara

A

Serology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Chlamydial conjunctivitis management

A

Topical oxytetracycline

Oral azithromycin for genital infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Bacterial keratitis management

A

4-quinolone (ofloxacin)
Gentamicin and cefuroxime
(Think this is topical but not sure)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Diabetic retinopathy management

A

Optimise medical management
Laser (pan-retinal photocoagulation, macular grid)
Surgery (vitrectomy for haemorrhage)
Rehabilitation (blind/partially sighted)

For maculopathy can also do anti-VEGF injection

17
Q

Thyroid eye disease management

A

Control thyroid dysfunction
Lubricants
Surgical decompression

18
Q

Open angle glaucoma management

A 
Prostanoids (latanoprost)
Beta blockers (timiolol)
CA inhibitors (dorzolamide)
Alpha2 agonists (brimonidine)
Parasympathomimetic (pilocarpine)
Combo
19
Q

Open angle glaucoma investigation

A

Tonometry

20
Q

Eye dilation medication

A

Mydriatics (parasympathetic blockers e.g. tropicamide)

Sympathomimetics e.g. phenylephrine

21
Q

Orbital blowout fracture investigation

A

CT

22
Q

Orbital blowout fracture management

A

Fracture reduction and muscle release

23
Q

Management of hyphaema

A

REFER

24
Q

Optic nerve avulsion management

A

Nothing, blindness is irreversible

25
Q

Penetrating injury with leak investigation

A

Seidels test

26
Q

Intra-ocular foreign body investigation

A

X-ray

27
Q

Chemical injury management

A 
Thorough irrigation
Quick history
Check toxbase if available
Check pH
Irrigate with 2L of saline or until pH normal
Assess at slit lamp
28
Q

Idiopathic intracranial hypertension investigation

A

Lumbar puncture (shows raised CSF opening pressure)

29
Q

Sub-conjunctival haemorrhage management

A

Nothing, will disappear in about 1-2 weeks

30
Q

Blepharitis management

A 
Lid hygeine (daily bathing/warm compresses)
Supplementary tear drops
(Oral doxycycline for 2-3 months)
31
Q

Autoimmune keratitis management

A

Oral/topical steroids

32
Q

Anterior uveitis management

A

Topical steroids
Mydriatics
Investigate for systemic associations if recurrent or chronic

33
Q

Episcleritis management

A

Lubrication/topical NSAIDs/mild steroids

34
Q

Scleritis management

A

Oral NSAID
Oral steroids
Steroid sparing agents

35
Q

Acute closed angle glaucoma

A

Drugs to reduce aqueous humour production
Monitor IOP
When IOP reduced then laser peripheral iridectomy

36
Q

Red eye affecting vision or causing marked photophobia management

A

Urgent referral

37
Q

Transient central retinal artery occlusion (amaurosis fugax) management

A

Urgent referral to stroke clinic

38
Q

Management of central retinal vein occlusion

A 
Refer to opthalmology
Treatment aimed at ameliorating secondary complications
Anti-VEGF
Intravitreal steroid
Pan retinal photocoagulation
39
Q

Vitreous haemorrhage management

A

Spontaneous reabsorption

Dense may require vitrectomy

Year 2 Revision (45 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions