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cornea groupings Flashcards

(53 cards)

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1
Q

old (40

A

Senile Arcus [40-60 YO 60%]
Senile Arcus [> 80 YO 100%]
White Limbal Girdle of Vogt [ > 40 YO; 60%]
White Limbal Girdle of Vogt [ > 80 YO; 100%]
Salzmann’s Nodular Degerneration [Elderly]
Hudson Stahli Line [Elderly]

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2
Q

young (14)

A

Axenfeld-Rieger’s Anomaly [Young Adulthood]

Arcus Juvenilus [if

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3
Q

a/w edema (1)

A

RCE (FOCAL CORNEA)

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4
Q

TX W/ BSCL (3)

A
  1. RCE

2. BAND KERATOPATHY

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5
Q

TX WITH STEROIDS

A

STERILE CORNEAL ULCER

MOOREN’S DEGENERATION

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6
Q

a/w hyperopia (1)

A

microcornea

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7
Q

aw myopia (1)

A

megalocornea

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8
Q

no tx (6)

A 
Posterior Embryotoxon
White Limbal Girdle of Vogt
Cornea Farinata
Band Keratopathy [if asymptomatic]
Hudson Stahli Line
Mooren's Degeneration
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9
Q

Aw/glaucoma (5)

A 
Microcornea [Angle Closure Glaucoma]
Axenfeld-Rieger's Anomaly [50%]
Peters' Anomaly [50%]
nevus of ota 
lattice corneal dystrophy (type 2 )
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10
Q

syndrome

A

Axenfeld-Rieger’s Anomaly
Peters’ Anomaly

Parinaud’s Oculoglandular Conjunctivitis

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11
Q

Penetrating keratoplasty tx (5)

A 
Peters' Anomaly [Only]
Keratoconus [Only]
Pellucid Marginal Degeneration
Terrien's Marginal Degeneration
Salzmann's Nodular Degeneration
EBMD
Thiel-Behnke Corneal Dystrophy
Lattice Corneal Dystrophy Type 1 [Early in life; 4th decade]
Lattice Corneal Dystrophy Type 2
Granular Corneal Dystrophy Type 1
Granular Corneal Dystrophy Type 2
Macular Corneal Dystrophy [Only; by 4th decade w/ good prognosis]
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12
Q

A/W Decemet’s Membrane (3)

A

Peters’ Anomaly [& Endothelium]
Senile Arcus [Gerontoxon; DM -> BL]
Keratoconus [Vogt’s Line/Striae; Vertical; Late]

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13
Q

A/W Microphthalmos (2)

A

Peters’ Anomaly

Microcornea

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14
Q

A/W Systemic Disease

A
  1. Peters’ Anomaly [Cleft plate, heart defects, skeletal]
    Corneal Degenerations
  2. Keratoconus [Marfan Syndrome, Atopia, Down Syndrome, Ehlers-Danlos Syndrome]
  3. Band Keratopathy [Hypercalcemia, Excessive Vitamin D, Renal Failure, Sarcoidosis, Hyperparathyroidism, JIA]
    Lattice Corneal Dystrophy Type 2 [CAP: Cranial neuropathy, Autonomic disturbance, Peripheral polyneuropathy]
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15
Q

A/W Cholesterol (2)

A

Senile Arcus [Gerontoxon; yellow-white hazy stromal ring]

Terrien’s Marginal Degeneration [yellow-white line central to thinning]

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16
Q

Lipid Profile Needed (2)

A

Senile Arcus
terrien marginal degeneration
xanthoma

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17
Q

Lucid Limbal Area (2)

A

Senile Arcus

White Limbal Girdle of Vogt Type 2 [Narrow]

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18
Q

increased risk of HA (1)

A

SENILE ARCUS (4X)

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19
Q

100% of Patients > 80 YO (2)

A

Senile Arcus

White Limbal Girdle of Vogt

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20
Q

No Lucid Area (2)

A

White Limbal Girdle of Vogt Type 2

Terrien’s Marginal Degeneration

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21
Q

Degeneration of Subepithelial Collagen (1)

A

White Limbal Girdle of Vogt

Pinguecula

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22
Q

A/W Epithelium (3)

Study These Flashcards
A

RCE
Salzmann’s Nodular Degeneration [Nodules consist of hyaline plaques anterior to Bowman’s layer with thinned epithelium]
Band Keratopathy [elevated epithelium]

EBMD [abnormality of production of BM that extends into epithelium; multiple BM in corneal epithelium]
Meesmann Corneal Dystrophy [100s of tiny cysts in epithelium]

23
Q

A/W Subepithelium (1)

Study These Flashcards
A

White Limbal Girdle of Vogt

Lattice Corneal Dystrophy Type 1 [Discrete subepithelial white dots; and central anterior stromal haze]

24
Q

Most Centrally (4)

Study These Flashcards
A

Peters’ Anomaly
Mosaic Shagreen [Crocodile]
Polymorphic Amyloid Degeneration [& Post]
Corneal Dystrophies [ > Peripherally]
Reis-Bucklers Corneal Dystrophy [and mid periphery
Lattice Corneal Dystrophy Type 1 [Brancking lines that start centrally and more superficially & then spreads deeper towards the periphery]
Granular Corneal Dystrophy Type 1 [Initially opacities are separated by clear cornea -> eventually becomes confluent and severely effects VA; periphery is uninvolved]
Granular Corneal Dystrophy Type 2 [Because it is a combination between granular-lattice corneal dystrophy]
Macular Corneal Dystrophy

25
A/W Stroma (5)
Mosaic Shagreen [Ant & Post] Cornea Farinata [Dots/Flecks; Deep] Polymorphic Amyloid Degeneration [Throughout but more common CENTRAL & POST; Deep] Keratoglobus [complete ectasia] Salzmann's Nodular Degeneration [usually BL/Epi but can cause scarring if -> stroma]
26
Age Related [Involutional] (3)
Mosaic Shagreen Cornea Farinata Marginal Furrow Degeneration [Senile Corneal Furrow Degeneration]
27
Separated By Clear Space (5)
Senile Arcus White Limbal Girdle of Vogt Type 1 [Limbal] Mosaic Shagreen [b/w polygonal opacities] Salzmann's Nodular Degeneration [single or multiple nodules separated by clear cornea] Band Keratopathy [separated from limbus by clear zone] Granular Corneal Dystrophy Type 1 [Initially opacities are separated by clear cornea -> eventually becomes confluent and severely effects VA; periphery is uninvolved] Granular Corneal Dystrophy Type 2
28
Best Seen With Retroillumination (3)
Cornea Farinata [of Iris] Polymorphic Amyloid Degeneration [of Retina] Keratoconus [shows "oil droplets" in correlation w/ location of cone] Meesmann Corneal Dystrophy [or w/ indirect illumination] Granular Corneal Dystrophy [Types 1 & 2]
29
Every Layer Involved
Keratoconus Macular Corneal Dystrophy [Can involve]
30
Damage at Bowman's (4)
Keratoconus [Initially] Terrien's Marginal Degeneration [absent/degenerated] Salzmann's Nodular Degeneration [faulty; focal/absent] Band Keratopathy ["swiss cheese appearance" b/c holes where nerves penetrate BL] Reis-Butlers Corneal Dystrophy [Bowman's Layer and Superficial Stroma] Thiel-Behnke Corneal Dystrophy [BL; can progress to deep stroma & periphery] Macular Corneal Dystrophy [Opacities may protrude through BL causing RCEs] mnemonic: TERRIENT BAND RE-issued The BOW.
31
A/W Keratoconus
1. Ocular Associations: a. VKC b. Atopic Kertatoconjunctivitis; both from itching/rubbing eye! c. Floppy Eyelid Syndrome d. Retinitis Pigmentosis e. Significant irregular astigmatism [spectacle prescription not helpful] Mnemonic: ViKie Retried AT Florida KEr city. 2. Systemic Associations (MADE): a. Marfan Syndrome b. Atopic disease c. Down Syndrome d. Ehlers-Danlos Syndrome *[like dermatocholasis]* Mnemonic: MADE
32
A/W Ehlers-Dalos Syndrome (3)
KERATOCONNUS KERTATOGLOBUS DERMATOCHALASIS
33
A/W Iron Deposits (4)
Pterygium [Stocker's line at head of pterygium; aggressive] Keratoconus [Fleisher's Ring; in stroma around base of cone] Salzmann's Nodular Degeneration [sometimes outlines baseof nodule] Hudson Stahli Line [junction b/w middle and lower 1/3 of cornea; epithelial depostis] MNEMONIC: KEry Started Saving PT IRONICALLY
34
Tx w/ Cycloplegic
keratoconnus (acute corneal hydrops)
35
Tx w/ Hyperosmotic (2)
Keratoconus [Acute Corneal Hydrops; Muro 128 5%] Peters' Anomaly EBMD [Muro 128 5% ung QHS and sol BID]
36
Increased Chance of Perforation (3)
Pellucid Marginal Degeneration Terrien's Marginal Degeneration [w/ trauma] Mooren's Degeneration [Type 2] MNEOMONC: TERRIEN PElvis MORe PERFORATED.
37
Tx w/ Lamellar Keratoplasty(4)
Pellucid Marginal Degerneration Terrien's Marginal Degeneration Salzmann's Nodular Degerneration Band Keratopathy
38
Thinning of Cornea (5)
Keratoconus [Inferior] Keratoglobus [everywhere] Pellucid Marginal Degeneration [4-8 O'Clock] Marginal Furrow Degeneration [cornea adjacent to limbus] Terrien's Marginal Degerneration [w/opacification -> vascularization] Meesmann Corneal Dystrophy [due to fragility of corneal epi]
39
Asymptomatic (4)
Marginal Furrow Degeneration Terrien's Marginal Degeneration [if no astigmatism] Salzmann's Nodular Degeneration [unless near visual axis] Hudson Stahli Line Meesmann Corneal Dystrophy [Maybe]
40
Marginal Opacifications (3)
Senile Arcus [inferior -> superior -> 360] White Limbal Girdle of Vogt [limbal w/ N > T; never 360] Terrien's Marginal Degeneration [superior -> 360]
41
A/W Vascularization (1)
Terrien's Marginal Degeneration
42
Tx w/ CL [RGP/Scleral] (3)
Keratoconus Terrien's Marginal Degeneration Salzmann's Nodular Degerneration
43
A/W RCE (11)
Salzmann's Nodular Degeneration [b/c nodule disrupts epithelium] Band Keratopathy EBMD Meesmann Corneal Dystrophy Reis-Bucklers Corneal Dystrophy Thiel-Behnke Corneal Dystrophy Lattice Corneal Dystrophy Type 1 Lattice Corneal Dystrophy Type 2 [Later in life] Granular Corneal Dystrophy Type 1 [Low incidence but occurs later in life] Granular Corneal Dystrophy Type 2 Macular Corneal Dystrophy Rosacea [15%]
44
Unilateral > Bilateral (2)
Salzmann's Nodular Degeneration | Mooren's Degeneration [Type 1]
45
nodular (1)
SALZMANN'S NODULAR DEGENERATION
46
Spontaneous Etiology (1)
Salzmann's Nodular Degeneration
47
A/W Thygeson's Superficial Keratitis (1)
Salzmann's Nodular Degeneration
48
Tx w/ Laser Phototherapeutic Keratectomy [PTK] (2)
``` Salzmann's Nodular Degeneration Band Keratopathy EBMD Thiel-Behnke Corneal Dystrophy Lattice Corneal Dystrophy Type 1 Granular Corneal Dystrophy Type 1 Granular Corneal Dystrophy Type 2 ```
49
A/W Renal Disease (1)
Band Keratopathy
50
A/W Juvenile Idiopathic Arthritis (1)
Band Keratopathy
51
A/W Parathyroid Dz (1)
Band Keratopathy
52
Corneal Ulcers (1)
Mooren's Degeneration
53
BAND keratopathy Associated systemic diseases (6)
1. hypercalcemia 2. EXCESS vitamin D Production 3. Real failure 4. sarcoidosis 5. hyperparathyroidism 6. juvenile ischemic arteritis.

cornea (4 decks)

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