vision loss

Question 1

is CRAO painful?

Answer 1

no

Question 2

features of CRAO
management ?

does it usually recover?

Answer 2

cherry red spot on macula
pale, oedematous retina

mx: ocular massage if presents within 24 hrs
carotid doppler
check BP

rarely recovers ):

Question 3

amaurosis fugax

give what meds?

Answer 3

less than 5 mins and full recovery

ASPIRIN

Question 4

treatment for CRVO

Answer 4

anti VEGF

Question 5

features of vitreous haemorrhage

rx if non resolving?

Answer 5

loss of red reflex
floaters
sudden loss of vision

bleeding from abnormal vessels: assoc with retinal ischaemia
bleeding from normal vessels: assoc with retinal tear

VITRECTOMY if non resolving

Question 6

sudden profound vision loss

Answer 6

ischaemic optic neuropathy

Question 7

glaucoma

which is an emergency - closed or open?

Answer 7

closed angle

Question 8

is closed angle glaucoma painful or not painful
what precipitates it?
other features?

Answer 8

VERY PAINFUL

pupil dilatation precipitates

eye stony hard
very red
often the patient will be vomiting

Question 9

disc appearance in open angle glaucoma?

aim of treatment?

Answer 9

cupped disc

aim of rx is to reduce IOP (using drops, laser, surgery)

Question 10

is retinal detachment painful?

Answer 10

no

Question 11

rx for wet ARMD
central or peripheral vision loss?
what is used to check central vision?

Answer 11

anti VEGF

rapid central vision loss

amsler grid used to check central vision

Question 12

features of dry ARMD

cure?

Answer 12

gradual decline in vision
central scotoma
druse - yellow deposits under the retina
atrophic patches of retina

no cure