Intro to opthamology Flashcards

1
Q

What are the 2 refracting surfaces in the eye

A

The cornea and the lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where in the eye does light focus?

A

The macula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where in the eye is the macula found?

A

The center of the retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the medical term for short sightedness?

A

Myopia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the medical term for long sightedness?

A

Hypermetropia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens to the length of the eyeball in myopia?

A

The eyeball is long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens to the length of the eyeball in hypermetropia?

A

The eyeball is short

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where does the image focus in myopia?

A

In front of the retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where does the image focus in hypermetropia?

A

Behind the retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What leads to double vision?

A

Misalignment of the visual axis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What happens if there is inflammation in the orbit?

A

The eyes bulge out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does the orbit of the eye contain?

A

The eyeball, muscles, vasculature, nerves, lacrimal gland, drainage system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the medical term for bulging of the eye?

A

Proptosis/ exophthalmos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does fracture of the orbit cause?

A

Enopthalmos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why may there be restricted eye movements in a fracture of the orbit?

A

A muscle may get trapped

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is colobomas?

A

Disruption of the fusion process which forms the eyeball

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When during embryo development does the optic vesicle develop?

A

Week 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What years of a child’s life are most crucial for visual development?

A

The first 7 years

19
Q

After what age can a lazy eye not be remedied?

A

After 7 years of age

20
Q

What is the legal definition of blindness?

A

So blind that they cannot do any work for which eyesight is essential

21
Q

What is the most common cause of blindness?

A

Cataracts (age related) and wrong glasses

22
Q

What is trachoma?

A

When due to inflammation the eyelid and eyelashes are pushed backwards, this causes eyelashes to abrade the eye leading to conjunctival scarring

23
Q

In the UK which demographics are more likely to be blind?

A

Women and those from minority ethnic backgrounds

24
Q

How does age related macular degeneration cause poor vision?

A

There are changes to the retina which causes scarring and affects vision

25
What are the 2 types of age related macular degeneration ?
Dry and wet
26
What is the difference between the 2 types of age related macular degeneration?
Wet is accelerated visual loss
27
How may wet age related macular degeneration present?
Sudden visual loss, distortion, blood at macula
28
How is age related macular degeneration treated?
Anti-VEGF injections
29
How is age related macular degeneration prevented?
Avoiding smoking, having good nutrition and cardiovascular health
30
What type of complication is diabetic retinopathy?
Microvascular
31
How is diabetic retinopathy treated?
Intravitreal injections
32
What is glaucoma?
Progressive optic neuropathy characterised by optic disc changes and following visual field defects
33
What happens to intra ocular pressure (IOP) in glaucoma?
It might be raised but it is possible it will stay normal
34
What structure does glaucoma affect and how does it progress?
It affects the optic nerve by progressively eroding it from the center outwards, it is irreversible
35
How is glaucoma treated?
Eyedrops to lower IOP
36
What is cataract?
Clouding of the lens
37
How is cataract treated?
Extraction in surgery and replacement with intra ocular lens implant
38
What is the pathophysiology of thyroid eye disease?
Cross reactivity of antibodies targeting antigens in the thyroid and the orbit (IGF1-R and TSHR)
39
What are the 2 main life and death situations in opthamology?
Aneurysm (causing non pupil sparing 3rd nerve palsy) and temporal arteritis
40
How will aneurysm causing non pupil sparing 3rd nerve palsy present?
Headache, droopy eyelid, when eyelid is lifted eye is down and out, pupils are fixed and dilated
41
How does aneurysm causing non pupil sparing 3rd nerve palsy arise?
The oculomotor nerves runs along the posterior communicating artery, the aneurysm compresses the nerve
42
How will temporal arteritis present?
Acute loss of left vision, loss of appetite, headaches, sore scalp, pain on chewing food
43
What are the conditions for diagnosis of temporal arteritis?
Age of onset is over 50 years Headache must be new, ESR over 50 mm/h Abnormalities in temporal arteries and positive biopsy of artery