Fundus Anomalies (Choroid)

Question 1

inflammation of the choroid

Answer 1

Choroiditis

Question 2

Classifications of Choroiditis

Answer 2

Acute & Chronic

Question 3

due to perforating wounds of the eyeball

Answer 3

Exogenous (acute)

Question 4

caused by infection localized elsewhere in body

Answer 4

Endogenous (acute)

Question 5

occurs as an ocular manifestation of some internal disease such as syphilis or tuberculosis

Answer 5

Chronic

Question 5

there are patches of exudation, each gradually shading into surrounding portions of choroud

Answer 5

Diffuse choroiditis

Question 5

clinical varieties of posterior uveitis

Answer 5

Diffuse choroiditis
Disseminated choroiditis
Circumscribed choroiditis
Juxtapapillary choroiditis
Anterior choroiditis
Central choroiditis

Question 6

form of circumscribed choroiditis which is adjacent to disk; usually oval

Answer 6

Juxtapapillary choroiditis

Question 6

presents numerous round or irregular yellowish spots with fluffy bord scattered over the fundus

Answer 6

Disseminated choroiditis

Question 6

single patch of yellowish color with fading edges is seen near the macula

Answer 6

Circumscribed choroiditis

Question 6

presents foci of exudation similar to those found in disseminated choroiditis but limited to the periphery of the choroid

Answer 6

Anterior choroiditis

Question 7

form of circumscribed choroiditis situated in macular regiion

Answer 7

Central choroiditis

Question 7

Symptoms:
severe reduction/loss of central vision but peripheral vision is preserved

Answer 7

Central choroiditis

Question 7

Symptoms
-seeing black spots & distortion of objects

Answer 7

Central choroiditis

Question 8

Symptoms
-flashes of light, sparks of bright circles before the eyes

Answer 8

Central choroiditis

Question 9

Ophthalmoscopic signs:
gray/white spot, usually half the size of disk, either mottled or in uniform in color, with more or less pigmentation scattered in irregular deposits or forming a border

Answer 9

Choroiditis

Question 9

Ophthalmoscopic signs:
choroidal vessels forming a border

Answer 9

Choroiditis

Question 10

Ophthalmoscopic signs
-lesion found in macular are

Answer 10

Choroiditis

Question 10

Tuberculosis is the most common cause

Answer 10

Choroiditis

Question 11

Etiology
-Tuberculosis (common cause)
-syphilis
-infection resulting from a perforating injury acute
-infectious disease of childhood

Answer 11

Choroiditis

Question 12

Prognosis
-single patch involving macular region will seriously impair vision

Answer 12

Choroiditis

Question 12

Prognosis
-dependent upon position of patches of exudation with subsequent atrophy

Answer 12

Choroiditis

Question 12

occurs in adults, usually ages 40-60

Answer 12

Malignant Melanoma of Choroid

Question 12

always primary & involves one eye only

Answer 12

Malignant Melanoma of Choroid

Question 13

no symptoms, only sign may be discovered by chance; a brown or black, flat or slightly elevated, circumscribed mass in the choroid, slowly increase in size

Answer 13

Insidious stage

Question 14

tumor grows out of the globe; metastasis frequently occurs in the liver

Answer 14

Stage of Extraocular Extensions or Mestasis

Question 14

Ophthalmoscopic signs: round or spindle-shaped cells, usually pigmented

Answer 14

Malignant Melanoma of Choroid

Question 14

OS: begins as flat disk-shaped mass in the outer layers of choroid

Answer 14

Malignant Melanoma of Choroid

Question 14

defect in visual field or diminution in vision is the initial symptom, depending on location of tumor

Answer 14

Stage of clinical symptoms

Question 15

tumor continue to increase in size & produce inflammatory signs as result of glaucoma & release of irritating necrotic products

Answer 15

Stage of Secondary glaucoma