Ocular Conditions Flashcards

(39 cards)

1
Q

What are the symptoms of uveitis (iritis)

A
Painful
Red eye
SMALLER PUPIL 
Disorientated pupil
Blurred vision
Eyes look cloudy
Headache
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2
Q

What are the causes of uveitis (iritis)

A

Unclear
Inflammation of the iris or urea
Affects mainly children and adults
Trauma or immune response potentially

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3
Q

What are the treatments of uveitis (iritis)

A

Corticosteroid drops
Corticosteroid Injections
Atropine drops

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4
Q

What are the symptoms of blepharitis

A
Inflammation of eye lids
Itchy or burning gritty eyes
Difficulty opening eyes
Crusty eye lashes 
Photophobia
Loss of eye lashes
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5
Q

What are the causes of blepharitis

A

Infestation of parasites or demodex mites
Viral or fungal infection rare
Bacterial infection: staphylococcus aureus
Allergic: mascara

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6
Q

What are the treatment options for blepharitis

A

Topical or oral antibiotics to remove infection

Wash eye lids daily to control symptoms

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7
Q

What are the symptoms of a stye

A

Swollen or lumpy eye lid with white head in middle

Redness

Swelling and tenderness for couple of days

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8
Q

What are the causes of a stye

A

Ingrown eye lashes

Staphylococcus infection of sebaceous glands

Recurrent in diabetes

Correlates with stress

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9
Q

How do you treat a stye

A

Mostly self limiting: better in few days or weeks

Topical antibiotics

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10
Q

What are the symptoms of conjunctivitis

A
Bilateral or unilateral
pain
Itchiness 
Redness of eye
Production of sticky discharge
Watering eyes
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11
Q

What are the causes of conjuctivtis

A

Allergic (seasonal): pollen

Bacterial or viral

Dust mites

Make up

Unclean contact lenses

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12
Q

How do you treat conjunctivitis

A

Normally self limiting and clears up within a couple of weeks

Infected: chloramphenicol or fusidic acid

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13
Q

What is keratitis and its symptoms

A

Inflammation of the cornea

Discharge
Conjunctival discharge
Red eye
Eye lid oedema

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14
Q

What are the causes of keratitis and its treatment

A
Fungal (candida) 
Viral: Herpes Simplex
Parasite: Acanthemoba
Bacterial: contact lenses
Most common blindness cause

Treatment:
Oral or ointment antibiotic or eye drops

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15
Q

What is Ectropion and its symptoms

A

Condition in which eye lid turns outwards

Symptoms:
Permeant watery eyes 
Eyelid sagging 
Conjunctival exposure
Corneal exposure
Pain on ocular surface
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16
Q

What are the causes of Ectropion

A

Bells palsy
Weakening of eye muscle in region (old people)
Congenital defect
Injury to skin around eye

17
Q

What are the treatment methods of Ectropion

A

Mild cases: no treatment

Extreme: surgery

18
Q

What is Exophthalmos (proptosis) and its symptoms

A

Abnormal protrusion of eye ball

Symptoms:
Eye lids forced apart
Blurred or double vision
Constant drying and pain of eye

19
Q

What are the causes of Exophthalmos

A
Volume of tissue behind eye increasing
Graves disease
Hyperthyroidism
Infection of sinuses
One eye protruding: cancer, brain tumour, cyst
20
Q

What is cataracts and its symptoms

A

Clouding of lens in eye

Symptoms:
Blurriness
Gradual decrease in eye sight
Colour faded
Discomfort in bright lights
21
Q

What are the risk factors of cataracts and how do you treat it

A

Smoking
Overexposure to light
STEROIDS (long use time)

Surgery: removal of lens and replacement with artificial one

22
Q

What is Keratoconjuctivitis sicca and its symptoms

A

Dry eye syndrome: reduced production of tears

Symptoms:
Ocular irritation
Typical bilateral presentation
Worsens through the day 
Redness of eyes
Complications: scarring, conjunctivitis, light sensitivity, corneal thins
23
Q

What are the causes of keratoconjuctivtis sicca and treatment

A
Causes: 
Environmental factors
Concomitant illness
Hormonal changes
Ageing
Tear fluid loss

Treatment:
Ocular lubricant use like carbomer or hydroxyethylcellulose

24
Q

What is glaucoma and the symptoms

A

Gradual increased eyeball pressure which leads to eye sight loss

Symptoms:
Hazy or blurry vision
Impairment of peripheral vision
Largely asymptomatic
Nausea or vomiting
Sudden sight loss
25
What are the causes of glaucoma
1. Mainly when the aqueous humour cannot be drained away from eye due to the trabecular meshwork (does the draining) being blocked 2. The optic nerve is then damaged by the extensive pressure built up which leads to sight loss
26
What are the two glaucoma types
Open angled: slow clogging of drainage canal that develops slowly (life long) Angle Closure: Blocked drainage canal (rise intraocular pressure) Develops quickly
27
What are the risk factors of glaucoma
Age: older you are, more at risk Blood pressure: lower pressure, higher risk Race: afro carribean, african: lead to chronic open angle glaucoma Family History: Close relatives with glaucoma at higher risk Medical history: diabetic patients at increased risk of developing it
28
How do you treat glaucoma and why do you use these therapies
1. Prostaglandin analogues Latanoprost: Increases flow of fluid out of eye (aqueous humour) to reduce intraocular pressure 2. Beta blockers: Timolol Maleate: reduces intraocular pressure by slowing production of aqueous humour in eye 3. Carbonic anhydrase inhibitors: Brinzolamide: Reduces amount of aqueous humour produced which lowers pressure 4. Sympathomimetic: Brimonidine Tartate: Reduces production of aqueous humour and increases drainage 5. Miotics: Pilocarpine Hydrochloride: Opens up the trabecular framework to allow drainage of eye
29
What are the symptoms and causes of acute injury to eye (foreign body corneal scratch)
``` Symptom: Dry eye sensation Sensation of foreign body Appearance: redness excessive tear production ``` ``` Causes: Superficial trauma fingernails Power tools Sand, grit, mud ```
30
What are the symptoms of diabetic retinopathy
Early stages: non proliferative diabetic retinopathy Only detectable early stage by FUNDUS photography Later stages: vessels proliferate and vision deteriorates
31
What are the causes of diabetic retinopathy
Microvascular changes lead to degeneration of vascular walls Affects 80% of patients with diabetes for 10 years onwards 90% cases preventable
32
What are the treatment options of diabetic retinopathy
Appropriate glucose control Intravitreal injection: corticosteroid like fluocinolone acetone Operation to remove blood or scar tissue
33
What is subconjunctivital haemorrhage, its symptoms and causes and treatment
Symptoms: blood burst from blood vessel, initial pain disappears, no vision change Causes: mild physical trauma Self limiting
34
What is age related vascular degeneration and its symptoms
painless eye condition: caused by loss of central vision in both eyes Symptoms: difficult reading, colours less vibrant, faces difficult to recognise
35
What are the types of vascular degeneration
Types: DRY AMD: cells become damaged with build up of druse Wet AMD: when abnormal blood vessels form beneath macula
36
How do you treat vascular degeneration
No cure for either Wet AMD: anti-vascular endothelial growth factor: Ranibizumab
37
What is myopia and the causes of it
Distant objects: blurred Close objects: seen clearly Occurs between childhood to adulthood Causes: Light not properly focused on retina Eyes too long front to back Cornea: too steeply curved
38
How do you correct myopia or hyperopia
Lenses (glasses or contact lenses used) Myopia: concave lenses Hyperopia: convex lens
39
What are the different contact lens types
Rigid (hard or gas permeable) Soft (hydrogel or silicone hydrogel) Requires: ONCE a day, strict cleaning compliance Complications: papillary conjunctivitis, ulcerative keratitis, acanthamoeba keratitis