Abnormal size & Position of the eye Flashcards

(33 cards)

1
Q

problems with The Orbit and Space Occupying Lesions

A

 Infection/infl (abscess/cellulitis)
Neoplasia (usually malignant)
Specific tissue infl

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2
Q

globe displacement clinical signs

A

often dorsolaterally

freq anterior component - Exophthalmos

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3
Q

why does the 3rd eyelid protrude with exophthalmos

A

mass displaces orbital fat which pushes on the 3rd eyelid

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4
Q

what is microphthalmia

A

small eye from birth
usually bilateral
may have other defects

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5
Q

cause of microphthalmia

A

destruction of ciliary body (cyclodestruction)
sequela to infl, pthisis bulbi (severe uveitis)
targeted surgical destruction
chemical ablation

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6
Q

what is buphthalmia

A

enlargement of the eye

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7
Q

buphthalmia is due to…

A

incr in IOP - glaucoma

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8
Q

buphthalmia - pathogenesis

A

incr IOP causes globe stretching + other changes

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9
Q

buphthalmia - effects on the eye

A

conjunctival + episcleral vessel hyperaemia
corneal oedema (endothelial damage)
Haabs strike (breaks in descemets membrane)
zonular tears
corneal ulceration - d/t corneal overexposure

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10
Q

zonular tears

A

over stretching of fibres d/t lens displacement

visible lens equator through pupil

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11
Q

glaucoma

A

incr IOP

damage to the optic nerve head + neural retina

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12
Q

the retina has how many layers

A

10 - 1 epithelial + 9 neural (rod + cones etc)

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13
Q

primary glaucoma

A

inherited - affects both eyes, don’t breed the animal

goniodysgenesis - abnormal iridocorneal angle (ICA)

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14
Q

2 forms of primary glaucoma + which affects dogs more

A

open + closed
closed is more common in dogs (rapid onset)
open more in humans (insidious onset)

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15
Q

secondary glaucoma

A

something affecting the ICA

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16
Q

causes of secondary glaucoma

A
blood, fibrin, PFIMs, WBCs, neoplasia
infl
hyphema
lens luxation
intraocular/metastatic neoplasia
trauma
17
Q

causes of feline glaucomas

A

can be primary

mostly secondary with uveitis - FIV, FeLV, FIP + toxoplasma, idiopathic

18
Q

why consider the other, non affected eye in glaucoma

A

primary glaucoma will affect both eyes

long term monitoring of other eye is needed

19
Q

glaucoma - clinical signs with mid to high IOP

A

mid-dilated non-responsive pupil
conjunctival + episcleral vess conjugation
+/- vision problems

20
Q

glaucoma - clinical signs with high to v.high IOP

A
corneal oedema
haabs striae
cupping of optic nerve head
lens displacement
aphakic crescent
21
Q

aphakic crescent

A

tear of the zonules + lens movement away from it
development of crescent between pupil + lens
(corneal ulceration)

22
Q

glaucoma - treatment

A

control IOP - antihypertensive drops

if secondary - remove cause

23
Q

phacodonesis

A

vibration on the lens

24
Q

iridonesis

A

movement of the iris

25
when does phacodonesis + iridonesis often happen
often in early stage of subluxation
26
posterior luxation
lens falls backwards into the eye cataract formation lens induced uveitis lens adheres to the retina
27
anterior luxation
lens moves forward into the anterior chamber | rare
28
anterior luxation - potential problem
pupil block glaucoma corneal endothelial damage damage to centre of the cornea
29
clinical signs of subluxation/luxation
iridonesis-phacodonesis deep anterior chamber anterior presentation of the luxation incr IOP
30
what damage does rapid + high incr in IOP do
retinal ganglion cell optic nerve head (blood vessels)
31
main cause of rapid + high incr in IOP
pupil block glaucoma
32
treatment of pupil block glaucoma
immediate removal of the lens | medical therapy to control future IOP spikes
33
surgical management of lens luxation
remove lens prior to anterior luxation remove lens if acutely luxated anteriorly control of IOP with drugs