Ophtho terminology 2 Flashcards
Lacrimal system - Cornea (2)
Percorneal tear film
components of the tear film which include outer oily, middle aqueous, inner mucin layer
Quantitative KCS
inflamed corneal and conjunctiva 2˚ to dryness caused by impaired lacrimal gland production and decreased tear flow
Qualitative KCS
inflamed corneal and conjunctiva 2˚ to inadequate production of mucin or lipid components of percorneal tear film
Neurogenic KCS
inflamed corneal and conjunctiva 2˚ to dryness caused by loss of PSNS innervation to lacrimal glands and ipsilateral nasal mucosa
Parotid duct transposition
Sx procedure: for KCS non-responsive to medical tx
duct of salivary gland is relocated to lower conjunctival fornix and saliva is used for tear deficiency
Nasolacrimal drainage system
conduit for tear flow from external eye to the nasal cavity
Puncta, canaliculi, lacrimal sac, nasolacrimal duct
Dacryocystitis
Inflammation of the the nasolacrimal drainage system often due to obstruction from FB, infection, trauma
Oiter oily tear film source
meibomian gland
Middle aqueous film source
Lacrimal and 3rd eyelid gland
Inner mucin film source
Goblet cells :)
Facet
Loss of corneal stroma with intact overlying epithelium
Occurs because epithelization of corneal ulcer processes more rapidly that stromal healing
Corneal edema
Blue opacity - heterogenous or fluffy
Epithelial disruption
corneal ulceration
Endothelial disruption
Uveitis, glaucoma, degeneration/dystrophy
SF corneal neovascularization
response to SF diseases
Tree like vessels crossing limbus
Can coalesce to form raised granulation tissue