PPQ Flashcards
Aphacic crescent is visible
In case of lens subluxation
what is the function of tapetum
reflection of light into receptors
in case of synechia posterior
there’s an adhesion between iris and anterior lens capsule
to give subconjuctival injection in an alert horse
Topical anaesthesia should be used
what is a sub palpebral lavage kit used for?
to provide long term frequent topical treatment
most significant way of aqueous humor draining
Conventional in horses non-conventional (uveoscleral) way that’s why they are less prone to glaucoma
which statement is true regarding atropine
Effectivity gives information about the severity of uveitis (the longer the dilation of pupils happens the less
serious is the uveitis) (also fun fact browneyes more sensitive to atropine than blue eyes so they stay dilated
longer)
the indirect pupil light reflex is present in the right eye(OD), this means?
the retina is functional in OS
which treatment can be successful in long term management of equine recurrent uveitis in a sighted eye
Pars plana vitrectomy
Sub scleral cyclosporine-A implantation
Low dose gentamycin intravitreal injection
what king of mydriatics would you use to dilate the pupils at the opthalmic examination
0.5-4% tropicamide, wait for 20 minutes, lasts 4-6 hours
Atropine also
which is not an acute sign of uveitis
Mydriasis (see miosis)
what is distant opthalmoscopy
examination of the inner eye from an arms distance
the rose bengal die stains
Necrotic and degenerated conjuctival and corneal epithelium
which test is not for the evaluation of the vision
PLR is not!
menance reflex/dazzle reflex + cotton test + obstacle are
what is the feature of feline retina
Cat has a rounded optical nerve disc/head. The vessels from the periphery of the retina.
The retinal vessels are originating from the periphery of the optic nerve head
what is not requirement of the examination of the ocular fundus in small animals
Examiner in sitting position.
REQUIRED! Darkened examination room, slit lamp biomicroscope, tropicamide induced mydriasis.
which test can be used to evaluate the quality of PFT
the fluorescein staining test
Which answer is not true
Production of the aqueous is depends on the thermoconvection!
1) hydrostatic pressure; 2) the oncotic pressure gradient across the ciliary epithelium.
Which statement is true regarding atropine
effectivity gives information about the severity of uveitis
what kind of mydriatics would you use to dilate the pupil at the opthalmic exam
1% tropicamide
Which answer is correct? the shape of a mid wide pupil is
Horizontal eliptic in horses and cattle (herbivores)
which nerve block is used most commonly at ocular exam in horse
frontal nerve
which statement is false regarding the slit lamp biomicroscopy
width of the anterior chamber cannot be etimated
to give subconjuctival injection in an alert horse
topical anaesthesia should be given
characteristic of posterior chamber
bounded by the posterior part of iris and the anterior lens capsule
what kind of surgical procedure can be used to treat an indolent chronic superficial corneal ulcer in a horse
superficial keratotomy or keratotomy
bupthalmus can be a feature of
glaucoma (stretching of sclera)
a supraorbital nerve block is recommended for a horse, when
in both cases, so for lacerated wound of the superior eyelid and when placing a subpalpebral drain
using direct opthalmoscope
a virtual magnified image of the fundus can not be obtained through pupil of small size
what kind of suture can be used to treat a deep stromal corneal abscess in a horse
penetrating or lamellar keratoplasty
if a descemetocele is stained by fluorescein
stroma has a stain uptake, but not the descement membrane
the purpose of the auriculopalpebral nerve block
to relax the orbicularis oculi muscle
administration of corticosteroids is contraindicated when
the cornea has fluoresceine stain uptake
the chorioretinal scarring in ERU is a possible consequence of
A previous damage of the photoreceptors and retina pigment epithelium RPH
it is characteristic of the fundus that
the light reflective layer is missing in swine
which statement is true? about SPL
frequent topical treatment can be performed with a subpalpebral drain
retinal detachment can be diagnosed with
with opthalmoscope or US examination
ectropion can NOT be
intermittent
what is not topical
Subconjunctival, retrobulbar, intravitreal, injection
IS: dropping, ointment, subpalpebral and nasolacrimal methods
fluorescent dye
orange hydrophillic liquid, stains exposed stroma green
what is NOT true for the third eyelid
muscular in dog (its muscular in large animals)
what NOT microsurgery
Oral surgery
YES: paediatrics, neuro, heart, eye. Lacrimal, puncta, corneal, conjunctival, intraocular (lens, iris)
when to culture/ take bacterial sample
before topic anaesthesia
PRA
Progressive retinal atrophy. Retina is atrophies, so less light is absorbed. The rods undergo dysplasia/ dies.
Loss of night vision and vision
Pigmented change in tapetum fundus with attenuation of vasculature and atrophy of optic disc. Middle aged
Labrador. (Retina atrophies, absorbs less light, more light reflected. Atrophied vessels
also
equipment’s of microsurgery
Instruments, surgeon sitting, magnification, illumination
preparation and isolation for general eye surgery
Trimming or shaving, betadine soap, disinfection of fornixes and lid margin betadine 1:10, disinfection of
eyelids and periocular area, isolation of textiles, intraoperative monitoring
General interventions in eye surgery
third eyelid flap. Tarsorrhaphy, approach of the third eyelid, lateral canthotomy, placing stay sutures into the eye globe
what does parasympatholytics do
Block m sphincter papilla + ciliary muscle> mydriasis and cycloplegia
Atropine, tropicamide, homatropine, cyclopentolate
what is mydriasis
Dilation of pupil- sympathetic innervation: M dilator pupillae, gl.
Lacrimalis (sympathomimetics, parasympatholytic)
what is miosis
Constriction of pupil
Parasympathetic innervation: M sphincter pupillae, M.ciliaris,gl. Lacrimalis (sympatholytics,
parasympathomimetics)
what is not a general intervention in eye surgery
medial canthotomy- lateral canthotomy is correct, medial is not
what is John’s test
fluorescent stain appear at nares after 1-10 minutes
components of uvea
iris, corpus cilliary, choroid
purkinje images
presence of the lens, opacity lens
connection of retina
2 sites behind the ciliary body (pars plana) and near the optic nerve head
what does ciliary body do
Structure in the eye that releases aqueous humour within the eye. Also contain ciliary muscle, which changes
the shape of the lens when your eyes focus (accommodation)
what nerve blocks for subpalpebral drainage
supraorbital and frontal nerve block
why subpalpebral drainage
continuous eye drops in horse, tarsorrhaphy
how long can drain stay
3-4 weeks
nasolacrimal drainage
only when you cant use subpalpebral
3rd eyelid flap
protection and healing. only small animals. stay for 2 weeks
what is tarsorrhaphy
suturing eyelids together
what is lateral canthotomy
Cutting the lateral canthus (decompression technique in case of IOP)
NEVER MEDIAL CANTHOTOMY
Proptosis (protrusion of the globe with respect to the orbit), ocular trauma, IOP
Contradiction: Globe rupture
stay suture of the globe
into sclera, not penetrating, support for surgery, 3 and 9 o’clock
neuromuscular blocks used
Atracurium/ pancuronium 0.2mg/kg, paralyze breathing 30 min
human opthalmology sutures
10/0 and 11/0 non-abs. atraumatic nylon
veterinary opthalmology sutures
6-8/0 monofil/polyfil abs, atraumatic
Cannula for injection of air
27G
cannula for inj of fluid
30G
extraocular tampon
cotton
intraocular tampon
Cellulose
Visoelastic material
Methylcellulose injected into anterior chamber to replace aq. humor
what is the fundus
Visible background of the eye seen through the dilated pupil (The fundus of the eye is the interior surface of
the eye opposite the lens and includes the retina, optic disc, macula, fovea, and posterior pole)
when should you not dilate the pupil
glaucoma and lens luxation
direct opthalmoscope
lens+light (slit lamp)
dipter for fundus
-1 to -3 (vitreous body 5, lens 8-12)
dorsal half of the fundus
tapetal fundus
who have tapetum fibrosum
herbivores
who has tapetum cellulosum
carnivores
who has stars of winslow in the fundus
horse
what is seen in PRA
Very reflective tapetum, atrophy of vessels, paleoptic nerve head
what is collie eye anomaly (CEA)/retinal dysplasia (RD)
scleral ectasia=sclera protrudes into the eye around the area of the optic nerve head
how is CEA seen on opthalmoscope
Folds seen as epsilon like stripes
which part of fundus is pigmented
none-tapetal fundus
reasons for retinal haemorrhage
cat with hypertension, ethylene glycol toxicosis, ehrlichiosis
retinal detachement
seperation of inner layer of retina from choroid- holes inretina
iris tumours
melanoma
solution
pH 3.5-10, sterile, pH and T stable
suspensions
Drug in small particles- tear dissolve it, longer contact time
ointment
pH + T not important, disadvantage: inhibit corneal wound healing
cannot be used intraocularly
absorption after topical administration
most washed out, conjuctival capillaries absorbed, or penetrate cornea. lipid soluble best (transcellular) (water solution- intracellular absorption)
subconjuctival injection
mostly corticosteroid, max 1ml in dorsal palpebra
retrobulbar injection
lower lateral quadrant into retrobulbar space, anaesthetic for eye removal in cow, AB in small animals
intravitreal injection
at lat canthus, 2-3 mm from limbus, gentamycin inj in glaucoma
systemic inj
only if inflamed! AB, hyperosmotic most common
what do you immediately do with a horse with pink eyes
fluorescein test