Ophthalmology

Undergraduate medicine - prep for written ophthalmology exam

15 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
What signs on the face are present in Horner syndrome?
What causes it?
Signs: miosis, anhidrosis, ptosis, enopthalmos (ipsilateral to side of lesion)
Caused by a sympathetic palsy (lesion in cervical sympathetic chain or central pathway)
Name a short acting mydriatic eye drop
Tropicamide
List the five most common causes of chronic visual loss
- POAG
- ARMD
- cataracts
- diabetic retinopathy
- refractive error (astigmatism, hypermetropia, myopia)
What is amblyopia?
Poor vision caused by abnormal development of the visual areas of the brain in response to abnormal visual stimulation during early development
What is dacryocystitis?
Infetion of the nasolacrimal sac
What is a chalazion?
Meibomian cyst due to blockage of one of the meibomian glands on the inside of the eyelid.
What is the medical term for teary eyes?
Epiphora
What test do you perform to test for a dry eye?
Schirmer's test (filter paper placed under lower tarsal plate and leave hanging from the ey for five minutes...check to see how far the moisture has progressed down the filter paper).
What is the term for normal refraction?
Emmetropic
What is the term used for physiologic loss of accommodation in the eyes, often due to aging?
Presbyopia
Causes of diplopia can be divided into three main categories. What are the categories and give an example in each.
- neurological e.g. cranial nerve dysfunction III, IV, VI
- mechanical restriction e.g. thyroid eye disease
- muscular dysfunction e.g. myasthenia gravis
What are the main causes of visual flashers?
Retinal detachment, vitreous detachment, vitreous haemorrhage
What are the seven visual questions you should ask in a patient presenting with an eye problem?
- unilateral or bilateral
- pain
- red eye
- discharge (watery or purulent)
- loss of vision (acute or chronic)
- diplopia
- flashes/floaters/other visual phenomenon
History taking: specific past ocular history questions to ask.
- any past ophthalmological diagnoses, procedures or medications
- ever seen an optometrist? Wear glasses?
- history of eye problems in either eye?
- previous eye surgery?
History taking: past medical history. What specific conditions should you ask in a patient presenting with an eye problem? (systemic conditions, not occular hx)
- HTN (--> hypertensive retinopathy)
- diabetes (--> diabetic retinopathy, cataracts, trasien tblurring of vision in hyperglycaemia, POAG)
- systemic inflammatory disease e.g. rheumatoid arthritis (-->inflammatory disease of the eye e.g. scleritis, episcleritis and uveitis)