Master the Boards: Ophthalmoogy Flashcards Preview

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Flashcards in Master the Boards: Ophthalmoogy Deck (17):
1

What presents with itchy eyes, discharge, and normal pupillary size?

Conjunctivitis

Tx often topical antibiotics

2

What is the most accurate test for diagnosis uveitis?

Slit lamp exam

3

What presents with painful eye with a fixed, midpoint pupil?

What is the best tool for making diagnosis?

Glaucoma

Tonometry

4

What cause of a red eye presents with the sensation of sand in the eyes?

What is the best tool for making a diagnosis?

Corneal abrasion

Fluorescin stain

5

Name options for the medical management of chronic glaucoma?

What is done if medical management is inadequate?

Prostaglandin analogues, beta-blockers, alpha2-agonists, pilocarpine, topical carbonic anhydrase inhibitors

Laser trabeculoplasty

6

Describe presentation of acute-angle closure glaucoma

Cup to disc ratio is > ?

What are medical management options?

Sudden painful vision loss, hard pupil, red eye, worse when walking into dark room because pupillary dilation worsens

IV acetazolamide, IV mannitol, beta-blockers, pilocarpine, laser iridotomy

7

Infection of the cornea =

Keratitis

8

A dendritic pattern seen on fluorescin staining indicates what disease?

What medication should NOT be given or else it may worsen disease?

Herpetic keratitis

Steroids

9

Is there a medical therapy for cataracts?

No, the lens needs to be surgically removed and replaced

10

What is the most accurate test to diagnose diabetic retinopathy?

Fluorescin angiography

11

What is the treatment of proliferative retinopathy?

Laser photocoagulation


(VEGF can be used to control the neovascularization in some patients)

12

What two eye disease present similarly with monocular vision loss?

How can they be distinguished on retinal exam?

Central retinal artery occlusion
Central retinal vein occlusion

CRAO: pale retina and dark macula
CRVO: blood extravasation into retina

13

Ranbizumab is sometimes used for CRVO. How does it work?

Monoclonal antibody similar to bevacizumab

14

Sudden painless, unilateral vision loss described as a "curtain coming down" = ?

Retinal detachment

15

Bilateral visual loss in a 68 yo male which starts with loss of central vision loss = ?

Macular degeneration

16

What is the best initial therapy for wet macular degeneration?

Bevacizumab (anti-VEGF)

17

Itchiness and bilateral involvement is more classic of viral or bacterial conjunctivitis?

Viral conjunctivitis: itchy, bilateral