Retinal Disorders Flashcards

1
Q

What type of equipment is used to examine the eye?

A
Indirect ophthalmoscope
Biometry 
Perimetry 
Fundus camera 
Optical coherence tomography
Fluorescein angiography  
Electrophysiology
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2
Q

Where are rods located?

A

Peripheral areas of the retina

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3
Q

What is a specific feature of the blind spot?

A

No rods or cones

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4
Q

What is electrophysiology?

A

Investigations recording electrical signals from the eye, optic nerve and brain in response to visual stimuli

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5
Q

What does an electroretinogram measure?

A

Retinal function

Records action potentials within retina

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6
Q

What does an electrooculogram measure?

A

Function of RPE and photoreceptors

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7
Q

What do visually evoked potentials measure?

A

Optic nerve function

Electrical activity in visual cortex

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8
Q

What could be the causes of sudden painless loss of vision?

A
Central retinal vein occlusion 
Central retinal artery occlusion 
Ischaemic optic neuropathy 
Stroke 
Vitreous haemorrhage  
Retinal detachment
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9
Q

What are the causes of central retinal vein occlusion?

A

Hypertension
Glaucoma
Hyperviscosity
Inflammation

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10
Q

What are the causes of central retinal artery occlusion?

A

Emboli

Inflammation

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11
Q

What are the different types of ischaemic optic neuropathy?

A

Arteritic

Non arteritic

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12
Q

How do you differentiate between the different types of ischaemic optic neuropathy?

A

Arteritic form will have raised inflammatory markers on blood analysis

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13
Q

What are the symptoms of giant cell arteritis?

A
Headache 
Scalp tenderness 
Jaw claudication 
Neck pain 
Nausea 
Loss of vision
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14
Q

What is the investigation for giant cell arteritis?

A

Temporal artery biopsy

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15
Q

What are the symptoms of optic neuritis?

A

Pain on eye movement

Reduced vision red desaturation

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16
Q

What is optic neuritis associated with?

A

Multiple sclerosis

17
Q

What are the causes of gradual painless vision loss?

A
Cataract 
Refractive error 
Age related macular degeneration 
Open angle glaucoma 
Diabetic retinopathy
18
Q

What are the risk factors for age related macular degeneration?

A

Age
Smoking
Poor diet

19
Q

What are the signs of age related macular degeneration?

A

Distortion of vision

Struggle to read and recognise faces

20
Q

What are the 2 types of age related macular degeneration?

A

Wet

Dry

21
Q

What are the clinical signs of diabetic retinopathy?

A

Cotton wool spots
Exudates
Appearance of new vessels

22
Q

What are retinal dystrophies?

A

Inherited conditions affecting photoreceptor function leading to progressive loss of vision

23
Q

What are some examples of retinal dystrophies?

A

North Carolina macular dystrophy
Stargardt macular dystrophy
Cone dystrophy
Drug induced retinopathy

24
Q

What type of drugs will cause retinopathy?

A

Anti malarials
Phenothiazines
Tamoxifen

25
Q

How is gene therapy used in treatment of the retina?

A

Viral vector injected under the retina containing replacement gene into host DNA