Senescence Flashcards

1
Q

What is conjunctivochalasis?

A

Mechanical stress on inferior bulbar conj

Fold of redundant conj protruding over lower lid margin

Can obstruct the inferior punctum and disrupt the tear meniscus

epiphora and FB sensation

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2
Q

What is involutional ptosis?

A

Levator aponeurosis dehiscence, disinsertion, stretching - drooping of upper lid

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3
Q

What is involutional ectropion

A

Horizontal lower eyelid laxity leads to eversion of lower eyelid

Epiphora

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4
Q

Involutional entropion

A

Scarring of cornea when eyelid invert

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5
Q

What is arcus senillis

A

Bilateral deposition of cholesterol esters, triglycerides and phospholipids in peripheral cornea

Anterior to Descemet’s extend atneriorly and in Bowman’s extending posteriorly

Associated with hyperlipidaemia, atherosclerosis

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6
Q

What is the limbal girdle of Vogt

A

White opacities in medial and temporal libal cornea

Does not progress

Subepithelial elastosis like pingecula and pterygium

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7
Q

What are Ferry’s line

A

Adjacent of trab bleb

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8
Q

Where are Stocker’s lines

A

Precede migrating pterygiumHu

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9
Q

Hudson Stahli line

A

Tidemark at upper borde rof tear film

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10
Q

What are pingeculae

A

YEllow white deposit adjacent to the cornea

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11
Q

What are pterygia

A

Wing shpaed vascula overgrowths of conj tissue migrating onto cornea

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12
Q

hat is seen on histology of pingecula and pterygium

A

Actinic elastosis - degeneration of collagen fibres

Destruction of Bowman’s layer in pterygium

UV light association

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13
Q

What are glaukomflecken?

A

Grey white anteiror subcapsular or anteiror capsular opacities seen whtin the pupil in patients with acute or recurrent angle closure glaucoma

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14
Q

Where does vitreous detachment start

A

Parafoveally and extends anteirorly towards vitreous base

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15
Q

What is a Weiss ring

A

Vitreous cortex overlying optic nerve detaches, hole is created through which liquid filled vitreous drains out filling retrohyaloid space

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16
Q

What is asteroid hyalosis

A

Age related deposition of calcium hydroxyapatite, calclium phosphate and phospholipids in vtireous

Yellow white opacities scatttered through vitreous gel which move with ocular movements

17
Q

What is retinoschisis

A

Acid mucopolysaccharide filled cavities split the neurosensory retina at the outer plexiform later (typical) or the NFL (reticular)Whe

18
Q

Where does retinoschisis occur?

A

INferotemporal retina
Bilateral

19
Q

What is lattice degeneration

A

Demarcated circumferential area of retinal thinning usually adjacent to the vertical meridian peripherally

Atrophic round holes can be present

20
Q

What layers lost in dry AMD

A

RPE and photoreceptor layers

Thinning of outer plexiform and Bruch’s
Atrophy of choriocapillarishat

21
Q

What happens in wet AMD

A

Neovasculairsation of choroidal vessels into RPE and subretinal space

If CNVM rupture - bleeding