Opthalmology Flashcards
Argyll Roberston pupil
Bilaterally small pupils that accomodate but don’t react (Causes incldue neurosyphillis and diabetes)
Marcus gunn pupil
RAPD - seen during swinging light examination of a pupil response
Treatment of anterior uveitis
Urgent review by opthalmology
Cycloplegics (dilating drops) eg atropine, cyclopentolate
Steroid eye drops
Which is more painful - episcleritis or scleritis?
Scleritis
What is the role pf phenylephrine drops in differentiating episcleritis and scleritis?
Blanches the conjuntival and episcleral vessels but not the scleral vessels. If the redness improves after phenylephrine then it is episcleritis
Treatment of episcleritis
Conservative
Atrificial tears
Initial Management of acute closed angle gluacoma
Eye drops
Pilocarpine (direct parasympathomimetic)
Beta blocker eg timolol
Alpha 2 agonist eg apracolinidine
IV acetazolamide
Definitive managment of acute closed angle gluacoma
Laser peripheral irodotomy
Management of optic neuritis
High dose steroids
Horners syndrome
Ptosis (drooping eyelid)
Miosis (Constricted pupil)
Anhidrosis (lack of sweating)
On the affected side
What are cotton wool spots
Areas of retinal infarction seen in pre proliferative diabetic retinopathy
Management of scleritis
Oral NSAIDS
Oral steroid