Systemic disease and eye problems Flashcards
1
Q
NOSPECS mneumonic for thyroid eye disease:
A
No symptoms or signs Only lid retraction +/- lid lag Soft tissue involvement Proptosis Extraocular muscle involvement (diplopia) Corneal disease Sight-threatening optic neuropathy
2
Q
Symptoms of thyroid eye disease:
A
Injection Redness, dryness, watering Photophobia Vision loss Diplopia
3
Q
Treatment for thyroid eye disease:
A
Artificial tears for the keratopathy
Elevate head at night for eyelid oedema
Systemic steroids (monitor IOP)
Radiation if steroids fail
4
Q
Effect of MS on eye:
A
Optic neuritis VFD CN palsies - usually VI Nystagmus RAPD and swollen discs (disc may appear normal if retrobulbar optic neuritis)
5
Q
Eye symptoms of MS:
A
CN II dysfunction develops over hours or days usually one eye at a time - Decrease in VA, VF and colour (red desaturation)
Pain on eye movements
Uhtoff’s sign: worsening of symptoms on exercise or increased body temperature
6
Q
MRI of MS eye disease:
A
Multiple periventricular WM lesions
