Opthalmic Flashcards

1
Q

why should lubrication gel be used before clipping

A

prevents haird entering conjunctival sac

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2
Q

what should be used to scrub the area

A

1:50 (0.2%) iodine/saline solution

alternate with sterile saline

avoid scrub - irritates cornea

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3
Q

name the instrument

A

Barraquer eyelid apeculum

used to keep eye open

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4
Q

name the instrument

A

Jaeger eyelid plate

protects globe, flattens lid

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5
Q

name the instrument

A

bishop-harmon forceps

pointed to grasp conjunctival tissue

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6
Q

name the instrument (indicated by red arrow)

A

derf needle holder

small suture/needle needs smaller holder

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7
Q

name the instrument

A

stevens tenotomy scissors

used for optho only - needs to be very sharp and pointed; used to resect and cut skin

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8
Q

what can be used to establish hemostasis

A

direct pressure with cotton tipped applicator

wedge shaped cellulose sponges

4 x 4 sponges

hand held cautery

phenylephrine

1:10,000 epinepthrine

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9
Q

common surgical disease of eyelids

A

eyelid lacerations

eyelid tumors

eyelid agenesis

entropion

ectropion

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10
Q

how many layers should be closed in eyelid lacerations

A

2

  • deep layer - bites perpendicular to eyelid, avoid conjunctiva; simple continuous*
  • skin - figure 8; places knot away from cornea*
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11
Q

if an eyelid mass on a dog is ________ of the eyelid margin, treat it like a ___________

A

if an eyelid mass on a dog is <1/3 of the eyelid margin, treat it like a laceration

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12
Q

eyelid reconstruction techniques

A

single pedicle advancement flap

lid to lid flap

semicircular flap

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13
Q

T/F most canine eyelid tumors are benign

A

True - 73% are benign

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14
Q

what technique is used to remove eyelid tumors

A

H-shaped resection

allows less lid margin resection

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15
Q

what is the most common feline eyelid tumor

A

squamous cell carcinoma

Px guarded

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16
Q

when should surgery be perfomed with eyelid agenesis

A

> 4 months

want to have mature facial folds sp not continuously repeating Sx

17
Q

T/F eyelid agenesis is primarily seen in felines and small defects can be treated medically

A

true

18
Q

what procedure is used to surgically correct eyelid agensis

A

Dziezye Millichamp Mucocutaneous Pedicle Graft

19
Q

surgical options for correcting entropion

A

eyelid tacking

hotz celsus

modified hotz celsus

arrowhead resection

20
Q

when is eyelid tacking used to correct entropion

A

pateint not reached facial maturity

leave for 4 weeks or until age for Sx

21
Q

which procedure is seen here

A

Hotz Celsus - Incision Method

22
Q

when is the arrowhead resection used

A

concurrent upper and lower lateral canthal entropion

23
Q

Surgical techniques to treat ectropion

A

wedge resection

V-Y blepharoplasty

24
Q

diseases of the nasal lacrimal system

A

punctal aplasia

micropunctum

trauma and scaring

KCS (medical management)

25
Q

surgical diseases of nictating membrane

A

everting nictating membrane

prolapsed nictating membrane (cherry eye)

neoplasia

26
Q

surgical options for correcting cherry eye

A

excision of nictitating membrane

orbital rim anchoring techniques

pocket techniques

27
Q

why is excision of nictitating membrane not recommended

A

important for tear production

can lead to KCS

28
Q

most common neoplasm of nictitating membrane

A

SCC

others include: hemangiosarcoma, adenocarcinoma, fibrosarcoma

29
Q

indications for enucleation

A

painful non visual eye

neoplasia and non responsive infections

30
Q

surgical enucleation techniques

A

subconjunctival approach

transpalpebral approach

31
Q

when to enucleate with traumatic proptosis

A

2 or more rectus muscles avulsed

globe is ruptured

32
Q

________ regain vision after reduction of traumatic proptosis

A

20% regain vision after reduction of traumatic proptosis

more for cosmetic purposes

33
Q

what is the name of the procedure used to reduce prolapsed eye

A

temporary tarsorrhaphy

34
Q

indications for temporary tarsorrhaphy

A

lid reconstruction

entropion/ectropion correction

laceration

mass removals

proptosis