Introduction to Ophthalmic procedures in the horse Flashcards

1
Q

What cranial nerves are tested in PLR

A

II and III

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2
Q

What cranial nerves tested in palpebral

A

V and VII

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3
Q

What cranial nerves tested in menace

A

II and VII

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4
Q

What sedation can we give for eye exams

A

Xylazine, detomidine, +/- butorphanol

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5
Q

What does the auriculopalpebral block, block

A

Motor to orbicularis oculi

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6
Q

What does supraorbital block, block

A

Sensory to medial 2/3 of upper eyelid

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7
Q

Identify blocks 1-2

A
  1. Aurioculopapebral
  2. Supraorbital
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8
Q

When should the schrimer test be done

A

Before anything else is put in eye and before sedation ideally

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9
Q

What is normal schirmer tear test result

A

30mm in one minute

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10
Q

Less than 10mm on schirmer test indicates what

A

Tear deficiency

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11
Q

What does the fluorescein stain, stain

A

Corneal stroma when epithelium is gone

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12
Q

What does the fluorescein stain not strain

A

Descemets membrane

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13
Q

What is the order of tissue in the eye

A

Corneal epithelium—> stroma—> descemets membrane—> corneal endothelium

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14
Q

What does the rose bengal stain, stain

A

Corneal epithelium- evaluates integrity of tear film

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15
Q

What are the 3 components of tear film

A
  1. Outer oily layer (meibomian glands)
  2. Aqueous layer (lacrimal, nictitans gland)
  3. Inner mucin layer (conjunctival goblet cells)
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16
Q

If you have an ulcer that does not uptake fluorescein stain what does that tell you

A

Stroma is gone, only descemets membrane left from keeping eye rupture

17
Q

Identify stains

A

top: fluorescein- superficial ulcer
Bottom: rose bengal- keratitis

18
Q

What does the tonopen do

A

Measures IOP

19
Q

What is normal IOP

A

16-30mm Hg

20
Q

What should you apply before doing tonopen

A

Proparacaine

21
Q

What drug do we use to dilate eyes

A

Tropicamide

22
Q

What does the direct examination of fundus look at

A

0 for retina/optic nerve
Green 20 for cornea/lids
Greater magnification

23
Q

What does indirect examination of fundus reveal

A

Inverted imagine, less magnification

24
Q

Identify the 3 structures in this image and is it healthy or unhealthy

A

top/yellow: tapetum
Bottom/blue/black: non-tapetum
Orange circle: optic disk/nerve

25
What is wrong here
Butterfly lesion, chorioretinal around optic nerve Seen with recurring uveitis
26
what wrong here
Severe chorioretinal degeneration near optic disc in horse with recurrent uveitis
27
what is this
Sub-palpebral lavage kit- good for aggressive/long term treatment
28
What is the appropriate order of ophthalmic procedures
1. Visual exam of ocular adnexa 2. Neuro exam 3. Schirmer tear test 4. Sedation 5. Block auriculopalpebral 6. Block supraorbital 7. Fluorescein stain 8. Rose bengal stain 9. Apply proparacaine- obtain IOP with tonopen 10. Retract 3rd eyelid 11. Administer tropicamide 12. Examine fundus 13. Flush nasolacrimal duct with saline