Shell Test 2 Flashcards
What cells secrete the inner mucin layer of tear film?
Goblet cells
What bacteria are part of the normal flora of the conjunctiva?
G+ cocci
What are some signs of conjunctivitis?
Hyperemia
Chemosis
Serous to mucopurulent discharge
Prominent lymphoid follicles
Blepharospasm (pain)
Pruritis
T/F: Mast cell tumors of the conjunctiva are often benign in dogs
True
Is primary conjunctivitis more common in dogs or cats?
Primary = cats
Secondary = dogs
Primary conjunctivitis is usually associated with what infectious agents?
Feline herpesvirus
Chlamydophila
Calici virus
Mycoplasma
What breeds are associated with ligneous or membranous conjunctivitis?
Dobe
Goldens
What breed is associated with plasmoma?
GSD
What breeds are associated with nodular grandulomatous episcleritis?
Collies
Shelties
What is the most common cause of conjunctivitis in cats/kittens?
Herpes
What clinical signs are associated with neonatal herpes?
Ankyloblepharon
Symblepharon
What clinical signs are associated with 8-12 week old kittend with herpes?
Upper respiratory signs
Ocular signs
In mature cats with herpes, where is the virus harbored?
Cranial nerve 5
How would you dx chlamydophila?
Conjunctival swab and PCR
If you see chemosis, whats the infectious agent?
Clamydophila
Tx for chlamydophila?
Topical tetracyclines, chloramphenicol
Systemic doxy if severe
What side effect is associated with tetracyclines in humans?
Bone marrow suppression
Chronic infectious conjunctivitis can lead to other ocular diseases in cats. What are they?
KCS
Epiphora
EØ keratoconjunctivitis
Sequestrum
What is the function of the inner mucin layer of the tear film?
Anchor aqueous tears to corneal epithelium
What is the function of the middle aqueous layer of the tear film?
Supply nutrients to cornea
What percent of the middle aqueous layer of the tear film is made from the lacrimal gland and the nictitans gland?
Lacrimal = 60-70%
Nictitans = 30-40%
What is the function of the outer lipid layer of the tear film?
Stabilize tear film
Slows evaporation
What are the two common tear film abnormalities?
Impaired production
Impaired drainage
What happens as a result of impaired production of the tear film?
KCS
What happens as a result of impaired drainage of the tear film?
Epiphora
What breeds are associated with congenital KCS?
Yorkies
Chihuahuas
What percent of acquired KCS is immune mediates?
80%
Lymphoplasmacytic inflammation of lacrimal and nictitans glands is associated with what condition?
Acquired KCS
What infectious agents can cause nonimmune mediated KCS?
Distemper
Herpes
What drugs can cause acquired KCS?
Sulfa drugs
Etogesic (NSAID)
The loss of what cranial nerves can cause KCS?
5 and 7
What is the normal STT value for dogs?
≥15mm/min
STT value for early KCS
11-14
STT value for moderate KCS?
6-10
STT value for severe KCS?
<5
What is the normal STT value for cats?
10mm/min
T/F: There is no cure for KCS
True
What drugs are used to stimulate tear production?
Topical Cyclosporine A
Topical Tacrolimus
What is it called when normal hairs rub on the cornea?
Trichiasis
What is symblepharism?
Conjunctiva stuck to cornea
If you have a case with KCS that is also neurologic, what drug would you use?
Pilocarpine
What congenital disorders can cause epiphora?
Atresia
Imperforate punctum (usually lower)
Tx for epiphora?
Cannulate punctum and flush
What eye abnormality is associated with immune mediated thrombocytopenia?
Hyphema
What eye abnormality is associated with diabetes mellitus?
Cataracts
What eye abnormality is associated with hypertension?
Retinal detachment
What piece of equipment is used for direct funduscopy exam?
Opthalmoscope
What pieve of equipment is used for indirect funduscopy?
Condensing lens
Cobalt light source
What is the doctor word for bright light?
Photopic
What is the doctor word for dim light?
Scotopic
What cranial nerves are tested with the menace response?
2 and 7
What cranial nerves are tested with the dazzle reflex?
2 and 7
What cranial nerves are tested with PLR?
2 and 3
Also tests retina, iris sphincter, and mid-brain
What cranial nerves are tested with the palpebral blink reflex?
5 and 7
What cranial nerves are tested with the vestibulo-ocular reflex?
3, 4, 6, and 8
What is the order of diagnostic testing for eye disorders?
STT
Fluorescein stain
Tonometry
What is the normal IOP in dogs and cats?
10-25
Which type of tonometers require a topical anesthetic?
Indentation (Schiotz)
Applantation (Tonopen, Accupen)
Which type of tonometer does not require a topical anesthetic?
Rebound (Tono Vet)
What would cause a low IOP?
Uveitis
Decreased aqueous production d/t inflammation
What would cause a high IOP?
Restraint
Glaucoma
Jug occlusion
Pushing on globe
Why do you want to take the IOP before causing mydriasis?
Dont want to dilate the pupil if there is glaucoma
When is tropicamide contraindicated?
Glaucoma
Some lens luxations