Symptom cards (AED) - if not included either not mentioned or assume asymptomatic

Question 1

Name, describe appearance, is it symptomatic?

Answer 1

Telangiectasia:

.- Corkscrew squiggly or masses of BV- Asymptomatic, cosmetic or systemic disease indicator- - - -

Question 2

Name, list symptoms (1)

Answer 2

Kaposi’s sarcoma:

no symptoms

Question 3

.Name, symptoms (3)

Answer 3

Cavernous sinus fistula:

Self or other noted red eye
Diziness/weakness (b/c blood not going to brain)
Whooshing noise (from blood escaping artery)

Question 4

Name, symptoms (2)

Answer 4

Stye/Hordeolum

Discomfort
Distortion of lid margin (cosmesis)

Question 5

Name, describe, symptoms (3)

Answer 5

Chalazion

.- Blockage of MG.- Inflammation- symptoms: cosmesis, generally painless, does not affect V.A (only lower lid)

Question 6

Name, symptoms (4)

Answer 6

Sebaceous gland carcinoma

Chronic non-healing bleph;
Recurrent mass, multi-lobed;
Red irritated eye for months to years;
Loss of lashes and eyelid structure

Question 7

Name, symptoms (7)

Answer 7

Molluscum contagiosum

Skin lesion (1-2wks)
Mild photophobia
Lacrimation
VA slightly decreased
Hyperaemia
Or can be asymptomatic
Cosmesis

Question 8

name, symptoms (5) (not really symptoms that much though mainly signs honestly)

Answer 8

Keratoacanthoma

Papule grows rapidly over 2-6wks
Volcano appearance but not as cratered
Raised with central plug, but lacks halo (unlike in invasive)
In middle aged or elderly
Sun damaged skin (premalignant)

Question 9

Name, symptoms-ish (4), cause (1)

Answer 9

Seborrheic Keratosis (SK):

Usually asymptomatic
Present for months-years
May slowly enlarge
Often multiple in light affected skin
Caused by UV

Question 10

Describe Solar or Actinic Keratosis (3) Also how long might it be present for?

Answer 10

.- Scaly apperance.- Benign skin tumour.- Just cosmetically unappealing— May be present for months

Question 11

List 5 symptoms of Epithelial Basement Membrane Dystrophy (EBMD)

Answer 11

Typically asymptomatic but can have …
Mild, blurred vision + image ghosting
Irritation (if the cysts rupture)
Gritty sensation that resolves within 24 hours
RCE can develop in around 10% of cases (recurrent corneal erosions) [leads to pain, FB sensation, photophobia, decreased vision]

Question 12

List 3 symptoms of Meesman’s dystrophy

Answer 12

Transient blurred vision
Surface irritation
Mild FB sensation with photophobia is possible as disease progresses

Question 13

List 5 symptoms of Reis-Buckler’s Dystrophy

Answer 13

Red, sore watery eyes
Photophobia
RCEs can develop
Ocular surface discomfort
Increasing blurred vision with age; vision is impaired from childhood

Question 14

List 5 symptoms of Thiel-Behnke corneal dystrophy

Answer 14

Almost identical to Reiss Bucklers symptoms

Red, sore watery eyes
Photophobia
RCEs can develop
Ocular surface discomfort
Increasing blurred vision with age (but later than Reiss bucklers)

Question 15

List 5 symptoms of Lattice Dystrophy

Answer 15

Ocular discomfort
Photophobia
Blurred vision
RCEs can develop: often occur in early childhood
Visual impairment increases with time, usually declines after early adulthood (3rd decade apparently)

Question 16

List 5 symptoms of Granular Dystrophy

Answer 16

Ocular discomfort + FB sensation
Glare
Photophobia
RCEs can develop
Increasing blurred vision as the central opacities become confluent (merge)

Question 17

Name, List 2 symptoms

Answer 17

Avenillino Dystrophy:

Painful RCEs common (more common than granular)
Reduced vision (normally in middle age when central opacities become confluent)

Question 18

Name, Give two symptoms

Answer 18

Schnyder’s Crystalline Dystrophy:

Increasing glare and reduced vision in adulthood

Question 19

List 4 symptoms of Fuchs Endothelial Dystrophy

Answer 19

Early: aysmptomatic
Moderate: mild decrease in VA, which increases over time as posterior stromal oedema increases
Late: significant reduction in VA b/c epithelial oedema

Note: patients will have worse vision upon waking which improves after several hours

Question 20

Name, List 1 symptom

Answer 20

Posterior polymorphous corneal dystrophy

May develop reduced vision and ocular discomfort if corneal oedema develops

Question 21

Name, List 4 possible symptoms

Answer 21

Filamentary Keratopathy

FB sensation (pulling on filaments with blink)
Watery eyes (stimulated reflex tears)
Decreased vision
Photophobia

Question 22

Name, List 2 possible symptoms, when might this affect vision? (1)

Answer 22

Superficial punctate keratopathy (SPK)

May be asymptomatic
If symptomatic - gritty, photophobia
If dense, may affect vision

Question 23

What’s this? List 4 symptoms

Answer 23

Subepithelial Infiltrates

FB sensation
Photophobia
Watery eyes (discomfort)
Decreased vision (if centrally)

Question 24

Name, List 5 symptoms

Answer 24

Neurotrophic keratopathy

Photophobia
Conjunctival redness
Swollen eyelids
Decreased vision
No pain (no innervation, loss of corneal sensitivity)

Question 25

Name, List 3 symptoms

Answer 25

Bullous Keratopathy: Very painful Photophobia Decreased vision and haloes around lights

Question 26

Name, List 4 symptoms

Answer 26

Interstitial Keratitis Pain, photophobia Ocular ache Increased tearing Reduced vision

Question 27

Name, List 5 symptoms

Answer 27

Marginal Keratitis Redness Discomfort Photophobia Watery discharge Blurred vision

Question 28

Name, List 3 symptoms. What age group is it typically found in?

Answer 28

Phlyctenulosis: usually occurs in young children Redness, discomfort Photophobia, watery discharge May have blepharospasm

Question 29

Name, List 3 symptoms

Answer 29

Mooren's ulcer Conjunctival redness Pain, photophobia Mucus/watery discharge

Question 30

List 4 symptoms of Thygeson's Superficial Punctate Keratitis

Answer 30

Photophobia Tearing FB sensation May have mild decrease in vision

Question 31

What's this? List 2 symptoms

Answer 31

Band keratopathy Asymptomatic initially May develop surface irritation, blurred vision, glare

Question 32

Name, List 5 symptoms

Answer 32

Salzmann's Nodular Degeneration Asymptomatic, through to surface discomfort FB sensation Increased lamination Photophobia Blurred vision

Question 33

Name, List 3 symptoms

Answer 33

Terrien's Marginal Degeneration Asymptomatic intially with periodic irriatation then decreasing vision Irregualar astig b/c of corneal thinning

Question 34

Name, List 3 symptoms

Answer 34

Spheroidal degeneration Surface irritation Burning FB sensation

Question 35

Name, List one symptom

Answer 35

Lipid Keratopathy Vision affected if located centrally

Question 36

What's this? List 2 symptoms

Answer 36

Vortex Keratopathy Corneal effects largely asymptomatic Other visual disturbances from drug use (b/c this condition can be induced by drugs)

Question 37

What is this condition? List 5 symptoms

Answer 37

Pingueculum Usually asymptomatic Cosmetically unappealing FB sensation if inflamed No affect on vision Dry eyes if eyelids don't fully cover cornea (dry patch may lead to dellen/ulcer)

Question 38

What is this condition called? List 5 symptoms

Answer 38

Pterygium Cosmetic FB sensation Dryness Reduction in vision if encroaching on visual axis or increasing cyl (Rarely) diplopia

Question 39

What's this? List 2 symptoms

Answer 39

Concretions: are deposits on palpebral conj. Generally asymptomatic May have gritty FB sensation

Question 40

What is this called? List 2 symptoms

Answer 40

Amyloidosis Usually aysmptomatic in eye deposits Not tender unless large enough to affect lid function or give FB sensation

Question 41

What is this? List 2 symptoms

Answer 41

Ecchymosis In itself is painless an no affect on vision If associated with trauma, other associated symptoms likely present

Question 42

What's this? List 3 symptoms

Answer 42

Bitot's spot Ocular surface irritation Reduced vision Nightblindness

Question 43

What's this condition called? List 3 symptoms

Answer 43

Superior limbic keratoconjunctivits Burning FB sensation Slightly blurred vision Lacrimation/mucoid discharge

Question 44

What's this? List 4 symptoms

Answer 44

Floppy Eyelid Syndrome Gritty sore eyes Blurred vision Increased lamination Lids require un-eversion on waking

Question 45

What's this? List 8 symptoms

Answer 45

Bacterial conjunctivitis Acute onset of redness/gritty/burning/sticky discharge Eyelids frequently stuck together on waking Worst in morning (dark warm env under closed eyes) May have mild photophobia due to SPK Conjunctival hyperaemia, esp. in fornixes (useful ddx) Mild papillary reaction Mucopurulent discharge Crusting on lids, phylectenules, corneal marginal infiltrates

Question 46

What's this? List 7 symptoms

Answer 46

Bacterial Conjunctivitis (gonococcal) Hyperacute onset of redness + gritty/burning Copious discharge with lids sticking together May have mild photophobia due to SPK Marked conjunctival hyperaemia, chemosis, + papillary reaction with swelling Often have preauricular lymphadenopathy Purulent discharge Possible corneal involvement - risk of perforation

Question 47

What's this? List 5 symptoms

Answer 47

Pharynogoconjunctival fever (PCF) Follicular conjunctivitis Often bilateral (starts unilateral then can become bilateral in 3-7 days) Often preauricular lymphadenopathy 3-4 days after onset May have pseudomembranes May have keratitis (30% of cases) [diffuse spk, subepithelial infiltrates (rare)]

Question 48

What's all this? List 4 symptoms

Answer 48

Trachoma Onset early childhood generally, with gritty FB sensation Often unilateral initially, mucopurulent discharge Prolonged, remittent course Scarring, leading to trichiasis, dry eye, reduced vision and blindness

Question 49

Name, List 5 symptoms

Answer 49

Adult inclusion conjunctivitis (AIC) Mucopurulent discharge (or watery) with a gritty FB sensation Sometimes blurred vision Uni or bilateral (but usually unilateral) Often prolonged or chronic course over many months Often associated with urethritis, vaginitis or cervicitis

Question 50

Name, List 3 symptoms

Answer 50

Anterior blepharitis ``` Ocular surface burning + FB sensation Sticky crusting along lid margins Mild photophobia (corneal PRR, SPK) ```

Question 51

What's this? List 4 symptoms

Answer 51

Posterior blepharitis Gritty/burning sensation, esp. on waking Crusting and redness of lid margin Symptoms worse in dry/air conditioned env. Photophobia if corneal involvment (such as spk)

Question 52

What is this called? List 5 symptoms

Answer 52

Ocular rosacea Facial flush Red eye Recurrent styes + chalazions Burning or gritty sensations Photophobia

Question 53

List 7 symptoms of contact lens related hypoxia

Answer 53

Reduced VA Corneal oedema Epithelial erosion (SPK) Epithelial microcysts Endothelial blebs Stromal striae Limbal neovascularisation