opthalmology Flashcards

1
Q

What is myopia

A

near sightedness

Imagine is projected infront of the retina

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2
Q

what kind of lens corrects myopia

A

concave

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3
Q

What is hypermetropia

A

farsightedness

image is focussed behind the retina

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4
Q

what kind of lens corrects hypermetropia

A

convex

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5
Q

What is astigmatism

A

rugby shaped causing distortion of light causing loss of visual clarity

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6
Q

What kind of lens corrects astigmatism

A

cylindrical

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7
Q

What is presbyopia

A

stiffening of the lens from 4th decade effecting accomodation and near vision

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8
Q

What is esotropia

A

inward deviation

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9
Q

What is exotropia

A

outward deviation

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10
Q

What is hypertropia

A

upward deviation

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11
Q

What is hypotropia

A

inward deviation

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12
Q

Third nerve palsy

A

down and out

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13
Q

fourth nerve palsy

A

up and out

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14
Q

6th nerve palsy

A

medial

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15
Q

What is strabismus

A

one eye is misaligned with the other

affects 1 in 20 children

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16
Q

When is strabismus normal

A

under 3 months before normal binocular co-ordination develops

17
Q

What is a pseudo squint

A

a broad nasal bridge can give the appearance of a squint however on testing the child does not have strabismus

18
Q

What is concomitant strabismus

A

degree of deviation does not vary with gaze as it’s a the balance between two muscles has been lost and not that there is paralysis or limitation of a muscle

19
Q

What is a nonconcomitant strabismus

A

Degree of deviation varies with gaze suggesting a neurological or muscular disease causing paresis or paralysis of the extra-ocular muscles

20
Q

What is a latent strabismus

A

present only when the use of both eyes is interrupted by covering one eye

21
Q

What is a manifest strabismus

A

present when both eyes are being used so when one eye views the object of interest the other is deviated. can be constant or intermittent

22
Q

What strabismus’ give rise to concern about underlying concern

A
constant unilateral exotropias
any acquired incomitant squint
late onset (>3-4yrs) esotropia
23
Q

What is the most common childhood strabismus

A

accomodative estropia commonly seen in hypermetropia

24
Q

What is ptosis

A

lowering of upper eyelid (levator muscle)

25
Q

Causes of congenital ptosis

A
  • congenital disinsertion of the levator muscle

- Marcus0Gunn ptosis

26
Q

Common causes of third nerve palsy in children

A
trauma - head injury
meningitis
tumour causing compression
raised ICP
neurovascular compromise
27
Q

What is the most common childhood strabismus

A

accomodative estropia commonly seen in hypermetropia

28
Q

What is ptosis

A

lowering of upper eyelid (levator muscle)

29
Q

Causes of congenital ptosis

A
  • congenital disinsertion of the levator muscle

- Marcus0Gunn ptosis

30
Q

Common causes of third nerve palsy in children

A
trauma - head injury
meningitis
tumour causing compression
raised ICP
neurovascular compromise