Vision and Sensory Flashcards
Cataracts
Cloudy Lens
Gradual onset of painless blurry vision
Can end in blindness if left untreated
Cataracts: Risk factors
Older age
Eye trauma
Congenital risk
Diabetes
Chronic Corticosteroid use
Smoking and ETOH consumption
Cataract Manifestations
Painless
Blurry vision
Halo around lights
Altered color perceptions
Glare issues at night
Decrease accommodation
Diabetic Retinopathy
40% of patients with DM over the age of 40 have DM retinopathy
2 types
Nonproliferative retinopathy
Proliferative retinopathy
Diabetic Nonproliferative retinopathy
-Capillary microaneurysms, retinal swelling, hard exudate
-Macular edema - plasma leaks from macular blood vessels
-Capillaries rupture leading to “dot or blot” hemorrhaging
Diabetic Proliferative Retinopathy
-Advanced retinopathy
-New blood vessels are fragile and leaky
Hypertensive Retinopathy
High blood pressure creates blockages in retinal blood vessels
Initially there is no vision changes
Sustained, severe HTN can cause sudden visual loss related swelling of the optic disc and nerve
Normal vision is restored with treatment of the HTN
Retinal Detachment
Retina has tear or leak
Vitreous humor flows behind the retina
Rapid, progressive detachment from choroid
Detached Retina: RF
Usually spontaneous:
-Myopia (Near sight) (Can’t see far away)
-Over 40
-Traumas to the head
Clinical Manifestations of Detached Retina
-Sudden, unilateral vision loss
-Painless
-May see floaters
-Flashes of light
Age Related Macular degeneration
-Most common cause of irreversible vision loss in people over 60 in the US
Wet or dry ( know Slide )
Macular degeneration: Etiology and pathogenesis
Aging
Family history
UV light exposure
Hyperopia
Smoking
Light colored eyes
Protective factors for macular degenerations
Dark green, leafy vegetable protective
Dry macular degeneration
Yellow deposits in the retinal pigment epithelium
Wet macular degeneration
Growth of new, leaky blood vessels in an abnormal location of the retina