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Flashcards in Lens Deck (11)
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1
Q

Causes of subluxed lens

A

HHEWASM (bad acryonym, i know :-(

Homocystinuria - down and in.  MR.
Hyperlysinemia
Ehlers Danlos
Ectopia lentis +/- et pupilae
Weil Marchesani
Aniridia
Sulfite oxidase deficiency
Marfans - up and out
2
Q

Microspherophakia - ddx and how to treat

A

*Weil marchesani
Peters
Marfans
Alports

May cause ACG by the lens pushing forward on the pupil margin. Rx by dilating - pull the zonules, flatten the lens and pull it back

3
Q

Generations of IOL formulas and how they differ

A

ACD = anterior chamber depth

1 - ACD constant (SRK)
2 - ACD related to AL
3 - ACD related to AL & K (Holliday 1, Hoffer, SRK-T)
4 - complex formula (Holliday 2)

4
Q

Which IOL formulas are best for short, med, long eyes

A

Short - Hoffer Q, Holladay 2
Med - Holladay 1, SRK-T, Hoffer-Q, Haigis
Long - Holladay 2, SRK-T, Haigis

5
Q

4 ways of calculating IOL after LASIK

A
  1. Historical K
  2. Using RGP CL
  3. Online calculators
6
Q

Types of hyperopia

A

Absolute = absolute minimum they need to see at distance
Manifest = most plus you can push on them during manifest refraction
Cycloplegic

Latent is the different between manifest and cycloplegic

7
Q

ASC is caused by? (histo description)

A

Secreted by irritated metaplastic anterior epithelial cells

8
Q

PSC is caused by? (histo description)

A

Bladder cells adjacent to lens capsule

9
Q

Retained lens nuclei in what conditions

A

Trisomy 13
Rubella
Lowe’s

10
Q

Silicone oil causes what types of refractive changes

A

Measurement of AL: SO slows down the wave so the eye looks longer than it is.

After you correct for the AL, add 3D to the lens power (expect the SO to cause a hyperopic shift).

If already have IOL in place, causes hyperopic shift

11
Q

Types of biometry

A

Optical (IOL master) > immersion > contact