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Ophthalmology > Orbital Disorders > Flashcards

Orbital Disorders Flashcards

1
Q

Lateral lid swelling, pain tearing
Inferonasal globe displacement
Sjorgen’s disease

A

Dacroadenitis

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2
Q

Idiopathic dacroadenitis TX

A

Corticosteroid PO

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3
Q

Bacterial dacroadenitis TX

A

Augmentin PO

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4
Q

Refractory or recurrent dacroadenitis TX

A

BX lacrimal gland

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5
Q

DX tests for dacroadenitis

A

CT/MRI of orbits
Culture/BX as needed

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6
Q

Narrowing of the lacrimal duct

A

Dacryostenosis

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7
Q

Dacryostenosis work up

A

Probing/irrigation of duct

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8
Q

Excessive tearing, pain, mucopurulent discharge from lacrimal duct

A

Dacryocystitis

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9
Q

Dacryocystitis TX

A

Topical augmentin
I+D if abscess forms

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10
Q

What is dacryocystitis?

A

Infection of lacrimal sac due to lacrimal duct obstruction

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11
Q

Red, tender swelling of eyelids, fever, proptosis, elevated WBCs

A

Orbital Cellulitis

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12
Q

Orbital Cellulitis DX tests

A

CBC
Culture if open wound present
Serum blood culture if systemic source suspected
CT of orbits

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13
Q

Orbital Cellulitis TX

A

Broad spectrum ABX
Clindamycin - PCN allergies
Surgical/sinus drainage

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14
Q

Lid lag, lid/conjunctival edema, telangiectasia, proptosis/exophthalmos

A

Thyroid Eye Disease

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15
Q

Thyroid Eye Disease DX tests

A

Full thyroid panel
Continued monitoring of px thyroid
CT/MRI/US if thyroid is not the cause

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16
Q

Moderate-Severe thyroid eye disease TX

A

Prednisone PO
Elevate HOB at night
Radiation/sugery

17
Q

Thyroid eye disease follow up

A

Eye exam q3-6 mos
VF testing as needed

18
Q

Most common orbital blowout fracture type

A

Orbital zygomatic

19
Q

Enophthalamus, decreased sensation, extrusion of extraocular muscles, HX of trauma

A

Orbital blowout fracture

20
Q

Orbital blowout fracture complications

A

Loss of vision
Retinal detachment
Vascular compromise
Injury to globe

21
Q

Orbital blowout fracture TX

A

Augmentin/azithromycin PO
(prophylaxis)
Corticosteroids PO
Refer to eye surgeon (3-5 days)

22
Q

20 y.o. male, hx of blunt injury, swinging flashlight sign, decreased vision

A

Globe rupture

Ophthalmology (10 decks)

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