Lecture 8: Ocular Diseases Flashcards

(55 cards)

1
Q

describe the eye

A

Eye:
Many specialized structures
With the CNS converts light to visual images

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2
Q

what happens with inappropriate function of the eye

A

Inappropriate function:
Loss of sight
Pain

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3
Q

what can cause ocular disease

A
Ocular disease:
Congenital
Immune mediated
Secondary to systemic disease
Traumatic
Inflammatory
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4
Q

what can cause inflammation of the conjunctiva

A

Irritant
Allergic, ocular trauma, foreign body, fur, eyelash irritation
Infection:
Bacterial, systemic disease (distemper)

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5
Q

what are the clinical signs of conjunctivitis

A
Red, inflamed conjunctiva
Chemosis: swelling (edema)
Discharge:
Serous to mucopurulent
Crusting
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6
Q

what are the signs of pain caused by conjunctivitis

A

Protruding nictitant membrane
Squinting
Blepharospasm

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7
Q

how do you diagnose conjunctivitis

A
Signs, history
Need to (try to) identify initiating cause:
Complete ocular exam
Bacterial culture
Testing for systemic disease
Allergy testing
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8
Q

how do you treat conjunctivitis

A

Depends on cause
Antibiotic
+/- steroids (when not?)

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9
Q

when do you not give steroids for conjunctivitis

A

if there is an ulcer

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10
Q

what is epiphora

A

Abnormal overflow of tears
Obstructed nasolacrimal duct
Overproduction of tears

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11
Q

what causes epiphora

A
Congenital obstruction
Infection/inflammation
Trauma
Foreign body
Tumors
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12
Q

what are the clinical signs of epiphora

A

Clinical signs:
Excessive watery discharge
Irritation of underlying skin
Eye rubbing

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13
Q

how do you diagnose epiphora

A

History – Eye exam
Fluorescein (why?), schirmer
Diagnostic imaging, surgical exploration

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14
Q

how do you treat epiphora

A
Depends on underlying cause
Flushing
Stenting
Surgery
Removal of irritant
Correction of deformity
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15
Q

what is the most common complication of treating epiphora

A

re-occurance

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16
Q

what is cherry eye

A

Prolapse of nictitating membrane

With inflammation & hypertrophy

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17
Q

which animals are pre-disposed to cherry eye

A

Cocker spaniels, English bulldogs, Boston terriers, Beagles

Rare in cats

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18
Q

what causes cherry eye

A

Causes:
Genetic predisposition
Ocular infection/irritation
Sun damage

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19
Q

what are the clinical signs of cherry eye

A
Red mass in medial canthus
Mucopurulent discharge
Irritation:
Conjunctivitis
Tearing
Squinting
Unilateral or Bilateral
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20
Q

how do you treat cherry eye

A
Surgical correction (not removal)
Important for tear production, can predispose to KCS
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21
Q

what is entropion

A
Entropion:
Most common seen
Inversion of eyelid
Very painful
Creates eye damage
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22
Q

what is entropion/ectropion

A

Conformational abnormalities of the eyelid

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23
Q

what is ectropion

A

EVersion
Droopy eyes
Exposed conjunctiva:
Bacterial infection, irritant exposure

24
Q

what are the clinical signs of ectropion/entropion

A

Blepharospasm
Squinting
Epiphora
Corneal ulceration  change in corneal color

25
how do you treat entropion/ectropion
surgical correction
26
what is a corneal ulcer
Defect in the corneal epithelium | Frequent if dogs and cats
27
what causes corneal ulcers
``` Infection Trauma Foreign body Entropion KCS ```
28
what are the clinical signs of corneal ulcers
Pain: squinting, epiphora, prominent thrid eyelid, pawing at eye Visual defect in cornea Clouding of the eye Conjunctivitis
29
how do you diagnose corneal ulcers
History & Eye exam | Fluorescein eye stain
30
how do you treat corneal ulcers
``` Removal of cause Control of inflammation Pain reduction Antibiotics E-Collar Serum Corneal graft ```
31
what is chronic superficial keratitis (pannus)
Progressive, bilateral, inflammatory condition of the cornea
32
what causes pannus (CSK)
``` Genetic predisposition (German shepherds Labradors retrievers Border collies Greyhounds) Probably immune-mediated UV radiations Altitude ```
33
What are the clinical signs of pannus (CSK)
White, pink or brown pigmentation, vascularization & opacification Starting at OUTSIDE edge of cornea and working inwards Will affect signt Usually causes discomfort
34
how do you diagnose pannus (CSK)
Diagnosis | History & clinical signs
35
how do you treat pannus (CSK)
``` Earlier treatment = better prognosis No cure, can be managed medically Corticosteroids (topical, injections) Lifelong Reduce exposure to UV ```
36
what is KCS
Tear (aqueous) deficiency | Most common cause of conjunctivitis in dogs, rare in cats
37
what causes KCS
``` Causes: Autoimmune Drug therapy Distemper Genetic ```
38
what are the clinical signs of KCS
``` Clinical signs: Conjunctivitis Chronic muco-purulent discharge Corneal ulceration Scarring Pain/discomfort (rubbing) ``` Depends on severity of disease (amount of tears produced)
39
how do you diagnose KCS
History and Eye exam Schirmer tear test Normal: 18-24 mm KCS
40
how do you treat KCS
Treatment Eye lubrification Immune suppressive drugs Need to verify the presence of corneal ulcer before treatment
41
what is anterior uveitis
Inflammation of the anterior chamber of the eye Iris Ciliary body Common in dogs and cats
42
what causes anterior uveitis
``` Systemic diseases Trauma Irritants Cataract Neoplasia Idiopathic ```
43
what are the clinical signs of anterior uveitis
``` Eye appears cloudy Increase in proteins in anterior chamber Inflammation of cornea Painful Miosis Decrease IOP (intra-ocular pressure) Photophobia Blepharospasm ```
44
how do you diagnose anterior uveitis
History, Signs, Eye exam Ophthalmoscope exam IOP measurement (very important why?) Fluorescein
45
how do you treat anterior uveitis
Fast and aggressive treatment is crucial! prevent glaucoma, scarring of the uveal structures, and possibly blindness Close monitoring of treatment ``` Remove initiating cause Reduce inflammation (NSAIDS, Steroids) +/- antibiotics Atropine Dilates the pupil and helps prevent scarring of the iris Reduces pain ***Contraindicated if glaucoma Prognosis depends on cause Treatment can be life-long ```
46
what is cataracts
Opacity of the lens that causes blurry vision Most common in dogs Can be young or adult onset
47
what causes cataracts
``` Causes: Age Genetics Radiation Trauma Inflammation Systemic disease (DM) ```
48
describe nuclear sclerosis
Affects the lens Normal change Mild vision impairment Can see retina
49
describe cataracts
Affects the lens Abnormal change More severe impairment Cannot see to retina
50
how do you diagnose cataracts
``` Diagnosis: History Rapid onset in young dogs Ophthalmic exam May require dilation (what to check before?) ```
51
how do you treat cataracts
Surgical removal Steroids if inflammation Atropine
52
what is progressive retinal atrophy
``` Genetic disorder in which the retina atrophies and the animal goes blind Affects cats and dogs Bilateral condition Non-painful Early onset, progressive ```
53
what are the clinical signs of progressive retinal atrophy
Dilated pupils (glow or shine of the eye) Night blindness at first, then complete blindness Owners may notice more since quicker onset than old dogs Disorientation Fear of dark rooms Getting lost Cataract formation common in later stages
54
how do you diagnose progressive retinal atrophy
Needs exam by ophthalmologist | Change in retina blood vessel pattern, optic nerve, etc
55
how do you treat progressive retinal atrophy
None | Client education! Not painful!