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Pediatric Optometry > Syndromes > Flashcards

Syndromes Flashcards

1
Q

What is the treatment for epithelial keratitis?

A

HSV

Topical antiviral therapy
Trifluridine solution OR Vidabarine

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2
Q

every how many hours of trifluridine solution?

A

every 2 hours

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3
Q

how do you manage if theres conjunctival or corneal involvement?

A

Topical Trifluridine 1%

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4
Q

mainstay of therapy for systemic disease and or posterior ocular disease

A

intravenous acyclovir

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5
Q

4 Ocular Clinical Features of HSV

A

Conjunctivitis, keratitits, chorioretinitis
Lateral blepharoconjunctivitis
Follicular conjunctivitis
Recurrent HSV keratitis such as stromal scar formation and induced astigmatism can lead to amblyopia

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6
Q

What can lead to amblyopia?

A

stromal scar formation and induced astigmatism

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7
Q

HSV 1 lesions found in?

A

Skin, oral and eye

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8
Q

HSV 2 lesions found in?

A

genitalia and skin of the thighs

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9
Q

A double stranded DNA Virus

A

HSV

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10
Q

HSV transmitted during periods of?

A

asymptopmatic shedding of virus by infected persons

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11
Q

What are the 4 Systemic Features of Down Syndrome?

A

Broad short hands and protruding tongue
Upward slanting palpebral fissure
Mental handicap
Epicanthal fold

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12
Q

OCULAR FEATURE OF DOWN SYNDROME

A

Cataract

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13
Q

cataract occurs in about how many percent of patients?

A

75%

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14
Q

In down syndrome, the opacities are?

A

symmetrical

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15
Q

cataract often develop in?

A

late childhood

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16
Q

Acute viral infection of children

A

RUBELLA

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17
Q

it is characterized by low-grade fever, rash and lymphadenopathy

A

RUBELLA

18
Q

Infection during pregnancy can result in?

A

fetal infection with sever congenital defectcs

19
Q

transmission of rubella?

A

respiratory droplets

20
Q

treatment for rubella?

A

cataract surgery

21
Q

4 Ocular Features of Rubella

A

Conjunctivitis
Retinitis with atrophy, hypoplasia in Ciliary Body and hypoplasia of Iris Dilator Muscle
The characteristic salt and pepper retinopathy
Cataract, microphthalmia, glaucoma, anterior uveietis anf corneal haze

22
Q

salt and pepper retinopathy

A

RUBELLA

23
Q

Heriditary Nephritis Syndrome

A

ALPORTS SYNDROME

24
Q

what is the causse of alports syndrome?

A

genetic defect in type iv collagen

25
Q

what syndrome wherein males and females are equally affected?

A

ALPORTS

26
Q

it worsens as renal functions deteriorates

A

ALPORTS

27
Q

ALPORTS Hearing loss in patients

A

SENSORINEURAL HEARING LOSS

28
Q

If alports progress? TIFF

A

tubular atrophy, interstitial inflammation and fibrosis and foam cell developed IF/TA

29
Q

Renal plantation as effective treatment

A

ALPORTS

30
Q

for dual sensory loss

A

vision and care rehabilitation

31
Q

6 Systemic Features of ALPORTS “PHIMTT”

A

Polyneuropathy
Hypoparathyroidism
Ichthyosis
Macrothromocytopathia
Thrombocytopenia
Thyroid abnormalities

32
Q

6 OCULAR FEATURES OF ALPORTS “CTS PPB”

A

Corneal finding include posterior polymrphous dytsrophy, corneal arcus and recurrent nontraumatic corneal erosions

Thinned basal lamina with basement membrane disruptions

Spontaneous and traumatic ruptures of anterior lens capsule

Perimacular yellow flecks

Posterior lenticonus

Bilateral anterior lenticonus and perimacular flecks

33
Q

A syndrome of retinal degeneration combined with obesisty, diabetes mellitus and sensorineural hearing loss

A

ALSTROM SYNDROME

34
Q

4 OCULAR FEATURES OF ALSTROM “PIRI”

A

Posterior subcapsular cataracts
Iris and ciliary body lacy vacoulization and asteroid hyalosis
Retinitis pigmentosa and large, superficial optic nerve drusen are found
Infantile cone and rod retinal dystrophy

35
Q

Treatment forf ALSTROM

A

Management of endocrine cardiac and kidney disease

36
Q

PROGNOSIS

A

less then 20/200 by 10 years of age no lp

37
Q

Choanal atresia is present in about how many percent? CHARGE

A

58%

38
Q

mental dev is affected

A

CHARGE ASSOCIATION SYNDROME

39
Q

GENITAL HYPOPLASIA IS MORE PRONE TO RECOGNIZE

A

CHARGE ASSO SYNDROME

40
Q

GROWTH DEF IS POST NATAL AND AFFECTS ALL BODY IN?

A

SYMMETRICAL FASHION- CHARGE

41
Q

BICOMP NIII

Bilateral marcus gunn jaw winking pheno
Iris coloboma, posterior colobomas of choroid or optic nerve with no visual impairment
Congenital glaucoma
Optic nerve hypoplasia
Microphthalmia
Persistent hypoplastic primary vitreous

Nasogastric feeding is indicated in idiv with swallowing diff
In presence of facial palsy, avoid corneal scarring by using artificial tears
In males, androgen therapy for penile growth
Indiv who survived intial neonatal and infantile period merit vigorous rehabilitation of sensory function to enable proper psychomotor development

A

6 OCULAR FEATURES OF CHARGE ASS

Pediatric Optometry (1 decks)

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