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Part 2/TMOD Prep > Treatment and Follow up for conditions > Flashcards

Treatment and Follow up for conditions Flashcards

1
Q

CSCR

A

Usually self resolving but laser therapy is an option. Stress reduction is needed.

FU: 1 month (6 to 8 months based on Wills Eye)

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2
Q

Based on findings of PPA and Lattice degeneration, what would you expect the refractive status of the pt be?

A

Myopia

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3
Q

What CN innervates the lower lid?

A

CN 7

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4
Q

The AREDS study established the importance of vitamin supplementation to prevent the conversion of ______ to _______?

A

Moderate ARMD to Severe ARMD

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5
Q

The measure of the total number of cases of disease within a population is referred to as?

A

Prevalence

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6
Q

Which CN is most commonly associated with vasculopathic etiology?

A

CN 6

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7
Q

What are the 3 best ways to distinguish between longstanding vs recently acquired deviations?

A
  1. CT in 9 fields of gaze
  2. MRI
  3. Vertical Vergence ranges
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8
Q

FU for BRVO?

A

1 month (1 to 2 months for the first 4 months and then every 3 to 12 months)

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9
Q

What condition is a common side effect of a Vitrectomy in 1 to 2 years?

A

Cataracts

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10
Q

Chemical Burn

A

Scopolamine 0.25%

Daily, then every 2 days

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11
Q

Corneal Abrasion

A

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

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12
Q

Foriegn Body

A

Alger Brush and AB

1 day

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13
Q

Traumatic Iritis

A

Cyclopentolate 0.25%

5 to 7 days

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14
Q

Hyphema

A

Bed Rest

Daily

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15
Q

Blowout Fracture

A

Oral AB - Cephelexin 250 to 500mg QID

1 to 2 weeks

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16
Q

Commotio Retinae

A

None

1 to 2 weeks

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17
Q

Recurrent Corneal Erosion

A

NaFl - Negative staining
Cyclopentolate 1% then AT’s

1 to 2 days and then 1 to 3 months

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18
Q

Pterygium/Pinguecula

A

Sunglasses

1 to 2 years

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19
Q

Band Keratopathy

A

Mild: ATs
Moderate to Severe: EDTA

1 to 2 days, otherwise 3 to 12 months

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20
Q

Bacterial Keratitis

A

Scopolamine 0.25% - prevent PAS
AB - FLQ

Daily

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21
Q

Fungal Keratitis

A

Natamycin or Amphoteracin B

Daily

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22
Q

Acanthamoeba Keratitis

A

PHNB or Chlorhexidine

1 to 4 days

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23
Q

HSV

A

Viroptic 5 times

2 to 7 days

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24
Q

HZV

A

A:800 mg x 5x
F:500 mg x 3x
V:1000 mg 3x

1 to 7 days

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25
Q

IK

A

Steriod and Cyclo

3 to 7 days, 2 to 4 weeks

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26
Q

Phlyctenulosis

A

Steroid and antibiotic combo

Several days and healing 7 to 14 days

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27
Q

FUCH Endothelial Dystrophy

A

Muro 128

3 to 12 months

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28
Q

Viral Conjunctivitis

A

Self limiting: ATs

Gets worse 4 to 7 days and then resolve in 2 to 3 weeks

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29
Q

Vernal KC

A

Lodoxamide or Permirloast

1 to 3 days

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30
Q

Bacterial Conj

A

Polytrim or FLQ

2 to 3 days

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31
Q

Gonnococcal Conj

A

IM Ceftriaxone 1g

Daily

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32
Q

Pediculosis

A

Mechanical removal

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33
Q

SLK

A

ATs

2 to 4 weeks

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34
Q

Subconj Heme

A

None

2 to 3 weeks

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35
Q

Episcleritis

A

ATs

2 to 3 weeks

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36
Q

Scleritis

A

Ranitidine 150 mg PO

Depends on response

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37
Q

Blepharitis

A

Lid scrubs 2x a day

3 to 4 weeks

38
Q

Chalazion/Hordeolum

A

Warm compresses

3 to 4 weeks, if chalazia does not respond steroids

39
Q

Dacryocystitis

A

Systemic antibiotic
Child: Amox
Adult: Cepha

Daily

40
Q

Preseptal Cellulitis

A

Amox, if allergic then TRI/Sulfameth

Daily

41
Q

Basal Cell Carcinoma

A

Surgical excision

1 to 4 weeks

42
Q

Squamous Cell Carcinoma

A

Surgical excision or radiation

1 to 4 weeks

43
Q

Dacryoadenitis

A

Systemic antibiotic

24 hours

44
Q

POAG

A

PGs

reexamine 3 to 6 months

45
Q

Ocular HTN

A

Observe initially but start glaucoma med

6 to 12 months

46
Q

Acute Angle Closure

A

Compression gonioscopy, three rounds of all glaucoma meds and recheck IOP in one hour

47
Q

Angle recession glaucoma

A

POAG Med: No Pilo

Yearly

48
Q

Possneur Schlossman

A

Beta Blocker and 1 week of steroids

Few days and then weekly

49
Q

PDS

A

POAG medication or Peripheral laser Iridotomy

1 to 6 months

50
Q

PXF

A

POAG meds or SLT/ALT but effectiveness is shorter long-term

1 to 3 months

51
Q

ICE Syndrome (Beaten Bronze)

A

None

6 to 12 months

52
Q

Horner’s

A

Treat underlying condition

53
Q

Argyll Robertson

A

Treat active disease, usually syphyllis

Work up FTAABS VDRL

54
Q

ADIES

A

Pilocarpine 0.125% QID for Cosmesis

Routine

55
Q

Papilledema

A

SLE with HRuby Lens and Treat systemic condition

56
Q

IIH/Psuedo Tumor

A

-MRI/MRV and treat with Acetezolamide 250mg

3 to 4 weeks

57
Q

AION

A

Systemic steroids

6 to 12 months

58
Q

NAION

A

Observation 1 month

59
Q

PVD

A

None

Based on symptoms

60
Q

Retinal Break

A

Laser or Cryo

Same as retinal detachment

61
Q

Retinoschisis

A

None

6 months

62
Q

RD

A

Bed rest after surgery

1 day

63
Q

CRAO

A

ESR CRP to rule out GCA

Refer to internist and repeat in 1 to 4 weeks

64
Q

BRAO

A

None

3 to 6 months

65
Q

CRVO

A

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

66
Q

BRVO

A

Gold standard, focal retinal laser, if edema is present

1 to 2 months for the first 4 months, then 3 to 12 months

67
Q

HTN Retinopathy

A

Control HTN as per internist

2 to 3 months control diastolic below 110 HH mg

68
Q

OIS

A

Imaging: duplex doppler MRA, Oculopalethysmorgraphy

Corrotid Endarterectomy

69
Q

T2DR

A

CSME: Focal or Grid laser
PDR: Panretinal Laser

Mild: 9 months
Moderate to severe: 4 to 6 months

PDR: 2 to 3 months

70
Q

CME

A

Ketorolac

3 months

71
Q

CSCR

A

Self resolve - no steroids or stress

6 to 8 weeks

72
Q

ARMD

A

A REDS 2 (C, E ,CUPRC ACID, O3FA, Lutein and Zeaxanthin)

6 to 12 months

73
Q

Sickle Cell

A

Hemoglobin Electrophoresis, Sickle cell preparation, and sickledex

None

74
Q

Ocular Histoplasmosis

A

Anti-VGF, PDT for subfoveal CNV

Treatment needs to start within 72 hours, then monitor for every 6 months.

75
Q

Macular Hole

A

Spontaneous high myopia

6 months

76
Q

Iritis

A

Cycloplegia and Steroid

1 to 7 days taper steroids

77
Q

FHIC

A

None

None

78
Q

Toxoplasmosis

A

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

79
Q

Snow flake cataract

A

Diabetes

80
Q

Sunflower cataract

A

Wilson’s Disease

81
Q

Christmas Tree cataract

A

Myotonic

82
Q

PSC

A

NF2 and Down syndrome

83
Q

CI

A

Low AC/A , poor near fusional amplitudes and high exo at near

VT and BI reading

1 month

84
Q

AI

A

Decreased amplitudes

85
Q

CE

A

High eso, high AC/A

BO prism

86
Q

Chromatic Abberation

A

High NU and low CA

87
Q

Legal blindness

A

20/200 in best seeing eye

10 degrees radius from point of fixation

20 degrees or less in diameter

88
Q

Abnormal automaticity

A

A and B abnormal

ratio = normal

89
Q

Ocular Motor abnormality

A

Ratio low and high errors

90
Q

Automaticity and ocular motor

A

High ratio and high errors

Part 2/TMOD Prep (4 decks)

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