3 Flashcards
What do you give to “steroid responders” postop from their fistulizing blebs?
Give the steroids anyway. It’s important to monitor for any IOP spikes while administering the steroids and respond with the appropriate treatment when it occurs. The benefit outweigh the risk, especially if you carefully monitor the patient during the treatment process.
What technique can be used to identify angle structures when the angle is minimally pigmented?
Corneal light wedge
If a TM is normal, how much angle must be closed in chronic ACG before the IOP rises above normal?
270 degrees
What quadrant closes last in CACG from narrow angles?
Inferior
What iris type sheds the most pigment with a PI (pigment storm)?
Dark brown
If there are PAS in the angle, is a PI indicated?
No - won’t help
Your patient is considering SLT surgery. While performing gonioscopy, at first glance you believe you see your corneal light wedge terminate at the trabecular meshwork. What other, sometimes pigmented and speckled structure, might you be really seeing?
Sampaolesi line
Which has lower IOP results: Trabeculectomy or Tube? Which is more prone to infection?
Trabeculectomy for both
-blebs are more exposed and can leak
A 45 year old white male presents to clinic with a new vertical deviation. What tests should be ordered as part of an adult strabismus work-up?
MRI Brain/Orbits with and without contrast, CT of the orbits, CVA imaging, ESR, CRP, TSH, Free T4, Anti-Acetylcholine Esterase
antibodies (blocking, binding, modulating), and ESR, CRP, Platelets
What does it mean to have a patient with a “perfect storm” in terms of IOP, gonio findings, and pigmentation? Why would a slight elevation (IOP of, say, 19 to 24 OU) worry you in this otherwise seemingly healthy patient?
The perfect storm is considered normal to low 20s in IOP, gonio showing 270 degree closure, and darkly pigmented eyes. A quick elevation in pressure is indicative to act quickly in order to reduce the risk of damage.
What is the most important thing to consider when treating Salzmann nodules?
They should be resected before they reach the optic zone
What are some conditions that can be related to neurological disease and manifest as ocular motility disorders?
Strab
Nystagmus
What are the criteria for diagnosing infantile nystagmus syndrome (INS)?
Infantile onset and ocular motor recordings show diagnostic (accelerating) slow phases
Usually side effects from strabismus surgery happen in less than what percent of the population?
5%
What is the treatment of choice in a case of congenital glaucoma?
Usually some type of angle surgery to help outflow of aqueous rather than pharmacotherapy
