Optho Flashcards
Down and out eye, ptosis, mydriasis
CN 3
Pupillary involving can 3 palsy (or mydriasis) is concerning for?
Aneurysm
Ptosis, miosis, anhidrosis
Horner’s syndrome
Eye deviated medially and inability to abduct eye
CN VI palsy
Yellowish nodule that doesn’t extended into the cornea
Pinguecula
Triangular growth that extends into the cornea
Pterygium
Nintendo chronic inflammation of the meibomian gland
Chalazion
Tender acute inflammation of the meibomian gland
Hordeolum (stye)
Preaurucular lymohadenopathy most consistent with what type of conjunctivitis
Viral
Conjunctival papillae seen in what type of conjunctivitis?
Treatment?
Allergic
Naphozoline
Conjunctivitis 3-5day olds is likely?
Gonoccocal or HSV
Conjunctivitis in 24-48hr olds is likely
Chemical
Conjunctivitis in contact lens wearers
Pseudomonas
Conjunctivitis in 5-14day olds
Chlamydia
Cell and flare on slit lamp exam
Anterior uveitis (iritis)
‘Consensual photophobia and pain’
Chemical Burns of the eye (which are worse?): alkali or acidic
Alkali
Liquefactive necrosis
Hutchinson’s sign
Vesicles at the tip of the nose concerning for herpes zoster ophthalmicus
Treatment of pre-septal cellulitis
Augmentin
Hazy cornea, fixed, mid-dilated pupil
Acute angle glaucoma
Treatment of acute angle closure glaucoma
Beta blocker,acetazolamide, pilocarpine, optho consult
Complications of blowout orbital fracture
Injury to infra-orbital nerve (parasthesia)
Inferior recurs and inferior oblique muscle entrapment – diplopia on upward gaze
Seidel sign
Globe rupture/penetrating trauma
Bright green stream/waterfall with fluoroscein instillation.
Management of globe rupture
Shield the eye and call optho
No IOP check
Painless loss of vision with cherry red spot
Central retinal artery occlusion
Needs globe massage, emergent consult, and admission for CVA workup
Painless loss of vision with ‘blood and thunder’, cotton wool spots, and retinal hemorrhages in fundoscopy
Central retinal vein occlusion
Diagnosis of temporal arteritis
Temporal artery biopsy
