DDx's Ocular Symptoms

Question 1

Burning (most common)

Answer 1

BDMC

Question 2

Burning (less common)

Answer 2

COPES

Question 3

BDMC

Answer 3

@ Blepharitis
@ Dry Eye syndrome
@ Meibomitis
@ Conjunctivitis (inf, aller, mech, chem)

Question 4

COPES

Answer 4

@ Corneal defects
@ Ocular Toxicity (meds, cosm, solutions)
@ Ping/Pter (inflamed)
@ Episcleritis
@ SLK (sup limbic keratoconj)

Question 5

Transient Vision Loss (MC)

Answer 5

VMAP

Question 6

Transient Vision Loss (LC)

Answer 6

COCO BIGGO

Question 7

VMAP

Answer 7

@ Vertebrobasilar Art Insuff (bilat)
@ Migraine (10 - 60min with or without H/A)
@ Amaurosis Fugax (TIA - Unilat)(few min)
@ Papilledema (sec’s)

Question 8

COCO BIGGO

Answer 8

@ CNS lesion
@ Optic disc drusen
@ CRVO (impending)
@ Orbital lesion (may assoc with eye mov)

@ BP changes (sudden)
@ ION
@ Glaucoma
@ GCA (giant cell arteritis)
@ Ocular Ischemic syndrome (carotid occl disease)

Question 9

Vision Loss >24hrs sudden painless (MC)

Answer 9

RIVORS

Question 10

Vision Loss >24hrs sudden painless (LC)

Answer 10

OMO

Question 11

RIVORS

Answer 11

@ RAO/RVO
@ ION
@ Vit hemmor
@ Optic Neuritis (pain with movement in 50%)
@ Ret detach
@ Sudden discov of pre -exist unilateral vis loss

Question 12

OMO

Answer 12

@ Other ret/CNS disease (stroke)
@ Methanol poisoning
@ Ophthalmic artery occl (motil defect & ptosis)

Question 13

Vision Loss - gradual/painless (weeks to years) (MC)

Answer 13

CROCC

Question 14

Vision Loss - gradual/painless (weeks to years) (LC)

Answer 14

OC

Question 15

CROCC

Answer 15

@ Cat
@ Refractive error
@ Open angle Glauc (OAG)
@ Chronic angle closure Glauc (CACG)
@ Chronic ret disease (eg ARMD, DRP)

Question 16

OC

Answer 16

@ Optic neuropathy/atrophy (CNS tumor)

@ Chronic corneal disease (eg. dystrophy)

Question 17

Vision Loss - Painful

Answer 17

EUKOA

Question 18

EUKOA

Answer 18

@ Endopthhalmitis
@ Uveitis
@ Keratoconus (Hydrops)
@ Optic Neuritis
@ AACG

Question 19

Vision Loss - Post Traumatic

Answer 19

CHLORINE CRVC

Question 20

CHLORINE CRVC

Answer 20

@ Commotio retinae
@ Hyphema
@ Lens dislocation
@ Optic Neur (traumatic)
@ RD
@ Irreg Cornea
@ Neuropathy - cranial
@ Eye Lid Swelling

@ CNS injury
@ Ruptured globe
@ Vit/Ret hemorr
@ Cat (traumatic)

Question 21

Vision loss - other

Answer 21

Nonphysiologic visual loss (malingering or Ped func bilat amblyopia)

Question 22

Vision Distortion (MC)

Answer 22

PACMARI

Question 23

Vision Distortion (LC)

Answer 23

KTM CNHR

Question 24

PACMARI

Answer 24

@ Pharmacology (scopolamine patch)
@ Acquired Myopia (Cat, DM, Cill spasm, Meds, RD Sx)
@ Corneal irreg
@ Macular disease (ARMD, MacOedema, CSCR, CNVM’s)
@ Acquired Astig (Sx, chalazion, fracture, edema)
@ Refractive error (inc presbyiopia)
@ Intoxication (ethanol, methanol)

Question 25

KTM CNHR

Answer 25

@ Keratoconus @Topical eye drops (myotics, cyclo @ Migraine (transient) @ CNS abnormalities (inc Papilledema) @ Nonphysiological (Malinger) @ Hypotony @ RD

Question 26

Monocular Diplopia (MC)

Answer 26

RICCI

Question 27

Monocular Diplopia (LC)

Answer 27

DMR CN

Question 28

RICCI

Answer 28

``` @ Refractive error @ Incorrect Rx alignment @ Corneal opacity/irregular @ CAT @ Iris defect (eg. iridectomy) ```

Question 29

DMR CN

Answer 29

@ Dislocated lens/IOL @ Macular disease @ RD @ CNS causes (rare) @ Nonphysiological

Question 30

Binocular Diplopia - typically intermittent

Answer 30

MD

Question 31

Binocular Diplopia - Constant

Answer 31

634 COVID PASS

Question 32

MD

Answer 32

@ Myesthenia Gravis | @ Decompensation of existing phoria

Question 33

634 COVID PASS

Answer 33

@ 6,3,4th nerve isolated palsy @ Cavernous sinus orbital fissure syndrome @ Orbital disease (eg. Thyroid, Pseudotumor, Tumor) @ Vertebrobasilar artery insuff @ Internuclear ophthalmoplegia @ Direct Trauma (fractures/muscle pinch) @ Post Sx (scleral buckle, over/undercorrected strabSx) @ Aneisokonia @ Spectacle issue @ Strokes and CNS leasions

Question 34

Eyelash Loss

Answer 34

VINCENT

Question 35

VINCENT

Answer 35

``` @ Vogt-Koyanagi-Harada @ Infection/Inflammation of eyelid @ Neoplasm cutaneous @ Chronic skin disease (alopecia areata) @ Event (radiation, burns, trauma) @ Nuts - Trichotillomania @ Thyroid disease ```

Question 36

Eyelid crusting (MC)

Answer 36

BCM

Question 37

Eyelid crusting (LC)

Answer 37

DNC

Question 38

BCM

Answer 38

@ Blepharitis @ Conjunctivitis @ Meibomitis

Question 39

DNC

Answer 39

@ Dacryocystitis @ Nasolacrimal duct obstr @ Canaliculitis