AD VA good till 50s then CNVM/GA normal ERG, bad EOG no tx amsler grid and observation

simple TMOD Flashcards by Anna Mintz

tosoplasmosis

**protozoan

pyrimethamine, sulfadiazene, folinic acid
steroid

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histoplasmosis

**nematode

steroids

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ectopia lentis

**causes: 1. trauma, Marfan’s (up + out), Homocysteinuria (down + in), weill marchesani

CL with pupil
only if super bad astigmatism or diplopia do surgery

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HZV keratitis - herpes

oral acyclovir 800mg PO 5x/d
OR valacyclovir 1000mg PO TID
+/- oral steroid

+conjunctivitis or episcleritis

lubrication
cold compress

RTC 1-7d

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HSV keratitis - herpes

trifluiridine 9x/d
OR ganciclovir ung 5x/d

+IK (no epi)
- topical steroid

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EKC - epidemic keratoconjunctivitis

Betadine

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Acanthomoeba

Neosporin

OR Brolene

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Pupil sparing CN3 palsy

observation –> daily first week, then monthly until resolves (expect in 3 months)

**if aberrant regeneration appears, pupil gets involved, does not resolve in 3 mos, or in child –> MRI/MRA needed

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Recurrent corneal erosion

erythromycin ointment QID and lubrication w/ PFATs q2h

can add:

bandage CL
NaCl drops
stromal micropuncture / PTK / debridement / oral tetracycline

f/u 1 day

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interstitial keratitis

**cause: herpes S and Z, congenital/acquired syphillis, lyme, TB

topical steroid (pred forte q2h) + cyclo (homatropine TID)

treat underlying cause 
ex. herpes -->
\+ oral antiviral (Valtrex PO BID)
ex. syphillis -->
\+IV crystalline penicillin G 
ex. early Lyme disease -->
\+oral doxycycline

f/u 3-7 days

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Horner’s

send for head and neck MRI + chest CT /x-ray

10% cocaine = dilation
1% hydroxyamphetamine
- dilate = pre-ganglionic
- no dilate = post-ganglionic

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DLK - post-LASIK

**2-5 days post

steroid q1h

if really bad –> lift flap and debride then re-float

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Epi ingrowth - post-LASIK

**1-2 week post

asymptomatic, <1-2mm –> observe

otherwise lift, debride and re-float flap

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staph marginal keratitis

treat bleph 
WC  + lid hygiene + topical antibiotic (fq QID)
\+ 
treat cornea
topical mild steroid (lotemax QID)
OR
combo AB/steroid (tobradex QID)

**self-limiting

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acute angle closure glaucoma

1 gtt timolol +
1 gtt apraclonidine +
1 gtt pilocaprine +
acetazolamine 500mg PO

once angle open and IOP <30

rx pilo QID and pred QID until LPI can be done (min 2 day later)
can also add timolol BID

F/U 1 day

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Best’s disease

*AD
*VA good till 50s then CNVM/GA
*normal ERG, bad EOG

no tx
amsler grid and observation

Stargardt

*AR
*Good VA till teens-20s
*beaten bronze, bulls eye macula, pisciform flecks
*normal ERG and EOG

no tx
low vision

familial drusen

*AD
*good VA till 50s+ then CNVM or GA
*normal ERG and EOG - advanced = bad EOG

no tx
low vision, amsler

endophthalmitis

*fast onset = Staph-epi
*late onset = P. acnes

mild-mod
- intravitreal vancomycin and ceftazidime + topical ABs

severe
- pars plana vitrectomy

macrolides

azithromycin
erythromycin
clarithromycin

aminoglycosides

tobramycin
gentamycin
neomycin

tetracyclines

tetracycline
doxycycline
minocyline

Adie’s pupil

**assoc w/ loss of deep tendon reflexes

no tx but can do extra ADD and tint on glasses

anterior non-granulomatous uveitis

steroid q1h +
cyclo BID

f/u 1 day

granular dystrophy

**AD lubrication, bandage CL if symptomatic / VA affected - superficial keratectomy / PTK / lamellar keratoplasty / PK (recurrs in 3-5yrs)

Fuch's endo dystrophy

**increases change of glaucoma Muro128 QID DSEK or full thickness transplant if endo decompensates f/u 3 months

remove fb topical antibiotic (erythromycin QID) +/- topical NSAID topical cycloplegic add oral NSAID if pain f/u 1 day

interferon retinopathy

asymptomatic = watch closely, keep interferon symptomatic = decrease dose or d/c interferon retinal findings go away after cessation of tx w/o permanent sequlae

VKC

1. mild steroid (lotepred) 2. BEZPOP (pataday good for kids) f/u 1 week then use BEZPOP prophylactically

Phthiriasis palp

**lice removal with jewler's forceps + bacitracin TID f/u next day pt needs to clean everything on high heat and put away for 2 weeks

CME

* *Irvine Gass = 6wks - 3mos post surgery * *assoc w/ RP casued post surgery 1. topical NSAID QID+ topical steroid QID 2. after 4-6 weeks of 1. try oral CAI caused by RP 1. oral CAI caused by DM/ vascular 1. focal laser / grid laser

amblyopia

esoT --> push full plus of wet exoT/no strab --> cut by 1.50-2.00 from wet f/u 2 months

dellen

PF ATs q2h + AT ointment at night F/u 1-7 days

hypotony after surgery

pressure patch w/ AB f/u 1 day still bad = refer for wound suturing

sickle cell retinopathy

non-prolif = no tx prolif (neo) = full scatter laser photocoagulation of neo or observation since 50% resolve **common complication = vitreous heme, RD

BRAO/CRAO

obervation every 3-6 mo

Possner Schlossman

topical steroid QID if IOP still high add: alpha2, beta-block or CAI f/u 1-2days

Coats

focal laser of the peripheral retinal telangiectasia watch for total exudative RD --> can lead to neovasc glaucoma

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simple TMOD Flashcards

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