Optho Flashcards

1
Q

Sticky discharge from eye
Feels like ‘rice grain’
Can be gritty

A
Bacterial Conjunctivitis
Usually staph bur rice grain is chlamydial
Gritty is bacterial 
Treatment: Chloramphenicol 
If chlamydial give oxytetracycline
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2
Q

Watery discharge from eye
Spreads over face
Can have rash around eye and nose

A

Viral conjunctivitis

Aciclovir

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3
Q

Contact lens wearer

Pain in eye with hypophyon

A

Bacterial keratitis

Ofloxacin drops

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4
Q

Really painful eye
loss of sensation
Can occur following URTI
Dendritic ulcer

A

Steroids

Aciclovir

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5
Q

Post surgical

Devastating Loss of vision

A

Endopthalmitis
Vancomycin
Cephalosporins
Vitrectomy if fails

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6
Q

Pain
Ptosis
Perinasal
Sight loss (red)

A

Orbital cellulitis

Broad spec ab (fluclox?)

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7
Q

Pizza pie fundus
cysts
Granulomas

A

Chorioenteritis

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8
Q

Severe needl like pain

A

Corneal ulcer
Ofloxacin
Aciclovir

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9
Q

Severe pain
Violet hue on fundoscopy
Pupil doesnt change

A

Scleritis
Confirm with phenylephrine (distinguish from epi)
NSAIDs and steroids

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10
Q

painless sudden visual loss

Pale retina with cherry macula

A

CRAO
Stroke clinic if transient
Ocular massage

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11
Q

Painless sudden visual loss
Widespread haemorrhae
tortous vessels

A

CRVO

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12
Q

Sudden visual loss
Floaters
No red reflex

A

Vitreous haemorrhage

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13
Q

painless
Flashing
RAPD

A

Retinal detachment

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14
Q

Sudden painless visual loss

old patient

A

Wet age related macular degeneration

Anti-VGF

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15
Q

Gradual visual loss
halo around lights
Unilateral

A

Glaucoma

Replace lens

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16
Q

Gradual visual loss
Painful red eye
cloudy cornea

A

Glaucoma (closed angle)
Pilocarpine
Acetazolimide
iridotomy

17
Q

Gradual visual loss

Mild pain

A

Open angle glaucoma
Lantaprost
B blocker
Trabeculotomy

18
Q

Central gradual visual loss

reduced acuity of vision

A

DRMD

Vision aids

19
Q

Headaches
Blurred vision
Optic disc margin blurred

A

Papilloedema

CT and lumbar puncture

20
Q
History of mutiple sclerosis
Blurred vision
arm pain
RAPD
Heacache
A

Optic neuritis

High dose steroids