Opthalmology Flashcards
Management of anterior uveitis
Urgent referral
Treated with steroid and cycloplegic eye drops
Treatment of herpes simplex keratitis
Topical aciclovir
Ptosis and dilated pupil
Ptosis and constricted pupil
Dilated: Third nerve palsy
Constricted: Horners
What eye condition can be present in cases of seborrhoeic dermatitis
Blephritis
Catarscts
Endopthalmitis
Ciliary flush and painful red eye with photophobia and reduced vision
Anterior uveitis
Failure to correct childhood quints may lead to…
Amblyopia
Reduction in aqueous secretion and induction of pupillary constriction
Acute angle closure glaucoma
3 presentations of horners syndrome
head, arm, trunk = central lesion: stroke, syringomyelia
just face = pre-ganglionic lesion: Pancoast’s, cervical rib
absent = post-ganglionic lesion: carotid artery
Paipilloedema
Grade 4
What does macular degeneration NOT cause
Tunnel vision
What condition are dursen found in
Dry macular degeneration
Squint management
Refer to opthalmology
Known precipitant of acute angle closure glaucoma
Mydriatic drops
Sudden painless loss of vision with a dense shadow starting peripherally and progressing centrally with spider webs and flashing lights
Retinal detacthment
Sudden painless loss of vision with severe retinal haemorrhages on fundoscopy
Central retinal vein occlusion
What is hutchinsons sign
Vesicles extending to the tip of the nose
Strongly associated with ocular involvement in shingles
Difference between vessels in episcleritis and scleritis
Episcleritis: vessels are mobile when gently pressure is applied on the sclera
Scleritis: vessels are deeper so they do not move
Painless, transient monocular blindness together with the description of a ‘black curtain coming down’
amaurosis fugax
Difference between acute angle closure glaucoma and primary open angle closure glaucoma
Acute: hypermetropia
Primary: myopia
Contraindication for a lumbar puncture
Raised ICP
Relevant afferent pupillary deficit and central scotoma
Optic neuritis (MS)
Decreasing vision over months with metamorphopsia and central scotoma
Wet age related macular degeneration
Presentation of ‘red eye’ in glaucoma and uveitis
Glaucoma: severe pain, haloes, ‘semi-dilated’ pupil
Uveitis: small, fixed oval pupil, ciliary congestion