Pathology of the Eye Flashcards
Proptosis can commonly be caused by what?
Enlargement of the lacrimal gland.
Tumors of optic nerve
Thyroid opthalmopathy - Graves disease
What are some complications of proptosis?
corneal ulceration, opacity, defective vision
Exopthalmus
abnormal bulging of the eyes
Conjunctivitis.
inflammation of conjunctiva
How is conjunctivitis usually caused?
viral
bacterial
Gonococci- Neonatal conjunctivitis
parasitic
Loa Loa
Clinical features of conjunctivitis.
redness, discharge, exudate bacterial, Pain, difficulty in vision, photophobia
What is trachoma?
Bacterial conjunctivitis leading to scarring.
What is trachoma caused by?
Caused by Gram – ve , Chlamydia Trachomatis
What is the prescription of trachoma?
Rx – SAFE- S- Surgical care A- Antibiotic F- Facial cleanliness E- Environmental improvement
Similarities of Pinguecula and Pterygium.
Submucosal elevations on the conjunctiva.
Result from actinic damage,
Located in the sun-exposed regions of the conjunctiva (i.e. interpalpebral fissure).
Pinguecula.
It is a small, yellowish thickened submucosal elevation of conjunctive
Does pinguecula invade the cornea?
no
Pinguecula is an accumulation of what type of damage to collagen?
sun-damaged collagen
What can pinguecula lead to?
May lead to foreign body granulomatous reaction against the elastotic collagen: actinic granuloma
Where does pterygium typically originate and travel?
Typically originates in conjunctiva moves on the limbus.
What is pterygium?
It is a submucosal growth of fibro-vascular connective tissue that migrates onto the cornea, dissecting into Bowman’s layer
Does pterygium cross the pupillary axis?
no
What can pterygium lead to?
mild astigmatism, No visual loss/ defect. Irritation
Those who suffer with pterygium may be at risk for what?
actinic-induced neoplasms – squamous cell carcinoma and melanoma.
Does the cornea have blood supply?
no
The cornea having no blood supply makes it good for what? (think surgery)
graft acceptance
Neovascularization and inflammation of the cornea may lead to what appearance of the cornea?
opacity
What are corneal dystrophies? How does it affect both eyes typically? Is it hereditary? Characteristic appearance?
Genetic, bilateral and hereditary
abnormal deposition in Descemet’s membrane creating loss of the endothelial layer of cornea > fluid able to pass out clouding cornea
Ground glass appearance
Fuchs Endothelial dystrophy?
Loss endothelium , edema , thickening of stroma