Treatment and Follow up for conditions Flashcards
CSCR
Usually self resolving but laser therapy is an option. Stress reduction is needed.
FU: 1 month (6 to 8 months based on Wills Eye)
Based on findings of PPA and Lattice degeneration, what would you expect the refractive status of the pt be?
Myopia
What CN innervates the lower lid?
CN 7
The AREDS study established the importance of vitamin supplementation to prevent the conversion of ______ to _______?
Moderate ARMD to Severe ARMD
The measure of the total number of cases of disease within a population is referred to as?
Prevalence
Which CN is most commonly associated with vasculopathic etiology?
CN 6
What are the 3 best ways to distinguish between longstanding vs recently acquired deviations?
- CT in 9 fields of gaze
- MRI
- Vertical Vergence ranges
FU for BRVO?
1 month (1 to 2 months for the first 4 months and then every 3 to 12 months)
What condition is a common side effect of a Vitrectomy in 1 to 2 years?
Cataracts
Chemical Burn
Scopolamine 0.25%
Daily, then every 2 days
Corneal Abrasion
Erythromycin or Polytrim or FLQ q2h to q4h
Bandage CTL- 24 hours, then 2 to 3 days fr a large abrasion
CTL wearer - 2 to 5 days
Foriegn Body
Alger Brush and AB
1 day
Traumatic Iritis
Cyclopentolate 0.25%
5 to 7 days
Hyphema
Bed Rest
Daily
Blowout Fracture
Oral AB - Cephelexin 250 to 500mg QID
1 to 2 weeks
Commotio Retinae
None
1 to 2 weeks
Recurrent Corneal Erosion
NaFl - Negative staining
Cyclopentolate 1% then AT’s
1 to 2 days and then 1 to 3 months
Pterygium/Pinguecula
Sunglasses
1 to 2 years
Band Keratopathy
Mild: ATs
Moderate to Severe: EDTA
1 to 2 days, otherwise 3 to 12 months
Bacterial Keratitis
Scopolamine 0.25% - prevent PAS
AB - FLQ
Daily
Fungal Keratitis
Natamycin or Amphoteracin B
Daily
Acanthamoeba Keratitis
PHNB or Chlorhexidine
1 to 4 days
HSV
Viroptic 5 times
2 to 7 days
HZV
A:800 mg x 5x
F:500 mg x 3x
V:1000 mg 3x
1 to 7 days
IK
Steriod and Cyclo
3 to 7 days, 2 to 4 weeks
Phlyctenulosis
Steroid and antibiotic combo
Several days and healing 7 to 14 days
FUCH Endothelial Dystrophy
Muro 128
3 to 12 months
Viral Conjunctivitis
Self limiting: ATs
Gets worse 4 to 7 days and then resolve in 2 to 3 weeks
Vernal KC
Lodoxamide or Permirloast
1 to 3 days
Bacterial Conj
Polytrim or FLQ
2 to 3 days
Gonnococcal Conj
IM Ceftriaxone 1g
Daily
Pediculosis
Mechanical removal
SLK
ATs
2 to 4 weeks
Subconj Heme
None
2 to 3 weeks
Episcleritis
ATs
2 to 3 weeks
Scleritis
Ranitidine 150 mg PO
Depends on response
Blepharitis
Lid scrubs 2x a day
3 to 4 weeks
Chalazion/Hordeolum
Warm compresses
3 to 4 weeks, if chalazia does not respond steroids
Dacryocystitis
Systemic antibiotic
Child: Amox
Adult: Cepha
Daily
Preseptal Cellulitis
Amox, if allergic then TRI/Sulfameth
Daily
Basal Cell Carcinoma
Surgical excision
1 to 4 weeks
Squamous Cell Carcinoma
Surgical excision or radiation
1 to 4 weeks
Dacryoadenitis
Systemic antibiotic
24 hours
POAG
PGs
reexamine 3 to 6 months
Ocular HTN
Observe initially but start glaucoma med
6 to 12 months
Acute Angle Closure
Compression gonioscopy, three rounds of all glaucoma meds and recheck IOP in one hour
Angle recession glaucoma
POAG Med: No Pilo
Yearly
Possneur Schlossman
Beta Blocker and 1 week of steroids
Few days and then weekly
PDS
POAG medication or Peripheral laser Iridotomy
1 to 6 months
PXF
POAG meds or SLT/ALT but effectiveness is shorter long-term
1 to 3 months
ICE Syndrome (Beaten Bronze)
None
6 to 12 months
Horner’s
Treat underlying condition
Argyll Robertson
Treat active disease, usually syphyllis
Work up FTAABS VDRL
ADIES
Pilocarpine 0.125% QID for Cosmesis
Routine
Papilledema
SLE with HRuby Lens and Treat systemic condition
IIH/Psuedo Tumor
-MRI/MRV and treat with Acetezolamide 250mg
3 to 4 weeks
AION
Systemic steroids
6 to 12 months
NAION
Observation 1 month
PVD
None
Based on symptoms
Retinal Break
Laser or Cryo
Same as retinal detachment
Retinoschisis
None
6 months
RD
Bed rest after surgery
1 day
CRAO
ESR CRP to rule out GCA
Refer to internist and repeat in 1 to 4 weeks
BRAO
None
3 to 6 months
CRVO
Change to other HTN medication
20/40 or better than = 1 to 2 months
Less than 20/200 = every month for the first 6 months
Watch out for 90 day glaucoma
BRVO
Gold standard, focal retinal laser, if edema is present
1 to 2 months for the first 4 months, then 3 to 12 months
HTN Retinopathy
Control HTN as per internist
2 to 3 months control diastolic below 110 HH mg
OIS
Imaging: duplex doppler MRA, Oculopalethysmorgraphy
Corrotid Endarterectomy
T2DR
CSME: Focal or Grid laser
PDR: Panretinal Laser
Mild: 9 months
Moderate to severe: 4 to 6 months
PDR: 2 to 3 months
CME
Ketorolac
3 months
CSCR
Self resolve - no steroids or stress
6 to 8 weeks
ARMD
A REDS 2 (C, E ,CUPRC ACID, O3FA, Lutein and Zeaxanthin)
6 to 12 months
Sickle Cell
Hemoglobin Electrophoresis, Sickle cell preparation, and sickledex
None
Ocular Histoplasmosis
Anti-VGF, PDT for subfoveal CNV
Treatment needs to start within 72 hours, then monitor for every 6 months.
Macular Hole
Spontaneous high myopia
6 months
Iritis
Cycloplegia and Steroid
1 to 7 days taper steroids
FHIC
None
None
Toxoplasmosis
History: raw meat or exposed to cats
First line: Pyrimethamine, folic acid, sulfadiazine and prednisolone
3 to 7 days, then every 1 to 2 weeks
Snow flake cataract
Diabetes
Sunflower cataract
Wilson’s Disease
Christmas Tree cataract
Myotonic
PSC
NF2 and Down syndrome
CI
Low AC/A , poor near fusional amplitudes and high exo at near
VT and BI reading
1 month
AI
Decreased amplitudes
CE
High eso, high AC/A
BO prism
Chromatic Abberation
High NU and low CA
Legal blindness
20/200 in best seeing eye
10 degrees radius from point of fixation
20 degrees or less in diameter
Abnormal automaticity
A and B abnormal
ratio = normal
Ocular Motor abnormality
Ratio low and high errors
Automaticity and ocular motor
High ratio and high errors
