Lens Flashcards

(40 cards)

1
Q

Where do the lens zonules go from to?

A

Ciliary processes of the ciliary body to the lens capsule

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2
Q

During development of the lens where does it get its nutrition from?

A

Hyaloid artery

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3
Q

Where does the lens in an adult get its nutrition from and excrete it’s waste?

A

Aqueous

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4
Q

What is aphakia?

A

Absence of a lens

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5
Q

Which breeds can get the inherited form of persistent hyper plastic primary vitreous/ persistent hyperplastic tunica vasculosa lentis?

A

Staffy

Doberman

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6
Q

New lens fibres causing compression of the lens results in loss of hydration of the lens nucleus. What is this called?

A

Nuclear sclerosis

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7
Q

Young puppies (few weeks old) can show opacities at the equatorial end of one or more suture lines in the lens. Does this remain in adulthood?

A

No, disappears within a few weeks

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8
Q

Congenital inherited cataracts are seen in which breeds (4)?

What condition are they normally associated with?

Do they progress?

What is the treatment?

A

Miniature schnauzer
Cocker spaniel
Golden retriever
WHWT

Microphthalmos

No

Don’t normally need surgery. Twice weekly atropine

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9
Q

Which breeds are predisposed to early developing cataracts?

Are these progressive?

A

Boston terrier
French bulldog
Staffy
Welsh springer

Yes

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10
Q

Which breeds are affected by posterior polar subcapsular cataract?

Do they progress

Do they normally affect vision?

What shape do they normally take?

A

Retriever breeds
Siberian husky
Large munsterlander
English and white setters

Progression minimal

No

Triangular/ Y shape

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11
Q

What is Mittendorf’s dot?

Where is it in reference to the suture lines?

A

Insertion of the hyaloid vasculature on the posterior lens capsule

Ventromedial to the suture lines

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12
Q

Which breeds are prone to getting secondary cataract with PRA?

what age bracket?

A

English cocker spaniel
Miniature poodles

Middle aged

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13
Q

What is nyctalopia?

A

Decreased vision in dim light

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14
Q

Does retinal degeneration cause cataracts in cats?

A

No

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15
Q

What can diabetic cataracts cause?

Which breed is this common in?

A

Lens rupture and Phacoclastic uveitis

Or phacolytic uveitis

Labs

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16
Q

What can cause cataracts in orphaned puppies/ kittens?

A

Inappropriate milk substitutes

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17
Q

Which cat breeds can get congenital cataracts?

Where in the lens?

A

Persian
British short hair

Nuclear

18
Q

What is the most common cause of cataract in the cat?

19
Q

When performing phacoemulsification atropine is used 12 and 2h prior to surgery. What condition should this not be used for and what medication should be used instead?

A

KCS

Tropicamide

20
Q

What other medication as well as atropine is used 12h prior to phacoemulsification?
Why?

A

Phenylephrine

Helps dilation

21
Q

Topical NSAIDs is applied every 30mins 4x 2h prior to phacoemulsification.
What does this do?

A

Prevents prostaglandin mediated intra operative miosis

Reduces the blood aqueous barrier breakdown

22
Q

Instead of using atropine in the eye prior to phacoemulsification, what other technique can be used?

A

Intracameral adrenaline

23
Q

Sodium hyaluronate, chondroitin sulphate and methylcellulose are examples of what?

A

Viscoelastics

24
Q

How long are usually are topical antibiotics used for post phacoemulsification?

25
How long are usually are topical anti inflammatories used for post phacoemulsification?
2-3 months
26
Topical mydriatics are often used post phacoemulsification for what reason? Which one?
Stabilise the blood aqueous barrier Reduce synechia Tropicamide
27
Which breeds are predisposed to primary lens luxation (2)? What age bracket?
Terriers Border collies Young- middle aged
28
What is the word for wobbling of the iris?
Iridodonesis
29
When using mannitol as an osmotic diuretic, what dose should be used?
Mannitol 10-20% | 1-2g/kg IV over 20-30mins
30
In the lens where are the cells which replicate (metabolically active area)?
Anterior epithelium on anterior surface
31
Do the lens fibres have nuclei? Is the lens hydrated or dehydrated?
No Dehydrated
32
What is this congenital disorder? Which breed?
Persistent primary hyperplastic vitreous Staffy Doberman
33
What are lens fibres made up of? What do these change to in cataracts
Soluble crystallins Insoluble crystallins
34
What is the difference between a mature and immature cataract?
Mature cannot get tapetal reflection, immature can!
35
Which condition is normally associated with intumescent cataract? What can this cause?
DM Phacoclastic uveitis
36
What type of cataract is this (lens is in place!)? Why does it have this appearance?
Hypermature cataract Some leaking of lens- phacolytic uveitis
37
What type of cataract is this?
Morgagnian
38
What changes do crystallins undergo with ageing that causes opacity?
Oxidative change
39
Inherited Posterior polar subcapsular cataracts start where? Breeds?
Around the suture lines Retriever breeds; labs, golden retrievers Red & white setter Munsterlander Siberian husky
40
What is the gene mutation for primary lens luxation? What is the inheritance?
ADAMTS17 Recessive but carriers can get PLL