Flashcards in Lecture XII Deck (53):
What happens to the eyes in pregnancy? (3)
-Refractive error changes
-Transient loss of accommodation
What is a retinal complication from pregnancy?
Pregnancy induced HTN leads to retinopathy
What can happen with DM retinopathy with pregnancy?
Should you change the glasses prescription or contact lens prescription in pregnancy?
No--will change too fast
What causes the exophthalmos with Grave's disease?
EOM hypertrophy 2/2 Ab stimulating
What are the histological findings of the thyroid with grave's disease?
Scalloping of the colloid
What is the most common cause of unilateral or bilateral exophthalmos in the adult?
How well does the severity of exophthalmos with serum thyroid levels in grave's disease?
True or false: Thyroid ophthalmopathy can progress even after thyroid function is normal
What may happen to the optic nerve with Grave's disease?
Pressure on the nerve
What are the three major non-surgical treatments for thyroid ophthalmopathy?
What is the major symptoms of iritis? Others?
What must be r/o with iritis?
What are the three major clinical exam findings of iritis?
-White cells in the anterior chamber
What are the ophthalmologic complications of Sarcoidosis? (4)
-Anterior uveitis (iritis)
-Dry eye syndrome
What is the great mimic of Sarcoidosis?
What are the exam findings of sarcoidosis in the eye? (cornea, retina)
-Granulomatous uveitis ("mutton fat")
-Candlewax drippings in the choriditis
What are the ocular complications from RA?
Perforations of the ciliary body = ?
What is the major complication from RA corneal ulcerations?
Perforation of the cornea
What is the major ocular findings from JRA? What is characteristic about the joint issues with JRA?
Iritis that is often asymptomatic and chronic
What may happen if iritis in JRA goes unrecognized? (3)
What are the ocular manifestations of SLE?
-Peripheral corneal ulcers
-Retinopathy and optic neuropathy
What are the s/sx of CT diseases in the eyes?
What medications can cause dry eyes?
What syndrome may cause tear deficiency?
What is the treatment for ocular surface disease? (3)
-Artificial tears OTC
What are the s/sx of ischemic optic neuropathy?
What is the systemic symptoms of giant cell arteritis?
What is the treatment for giant cell arteritis?
-Bx of the temporal artery
What is the timeframe in which the bx for giant cell arteritis will not be affected by the steroids given for treatment?
What are the three classic lab elevations with Giant cell arteritis?
What are the ocular s/sx of migraines? (3)
-Transient cortical blindness
What medications should chronic migraine sufferers avoid?
What is the long term treatment for migraines?
-Examine for visual loss
What is amaurosis fugax?
-Temporary arterial obstruction, causing sudden and transient visual loss
What are the organ system that affects amaurosis fugax?
What can mimic occlusion with amaurosis fugax?
What is the treatment for CRAO? (2)
What are the fundus characteristics after CRAO?
blind eye with a pale disc
What are the two classic malignancies that affect the optic nerve?
True or false: most of the malignancies involving the eye are secondary
What are the complications of radiation to the eye?
What chemotherapeutic agent can cause superficial keratitis?
What chemotherapeutic agent can cause optic neuropathy?
What chemotherapeutic can cause CRAO?
True or false: pregnancy can cause serous retinal detachment
What is the role of corticosteroids in the treatment of exophthalmos 2/2 Grave's disease?
Reduces the antibody production. However, this is only a temporizing measure.
What type of injection characterizes iritis?
What is the treatment for iritis?
Cycloplegic agents (antimuscarinics to cause dilation of the pupil)
What type of pupil do patients with iritis have: miotic or mydriatic?
What causes the "snowglobe" appearance of irits?