Ocular Disorders Flashcards

(55 cards)

1
Q

What are the different disorders?

A

Age-related Macular Degeneration (AMD)
Cataract
Diabetic retinopathy
Glaucoma
Under-corrected + uncorrected refractive error

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2
Q

What secondary conditions are people with vision impairment at greater risk to?

A

Falls
Depression
Increased risk of hip fracture
Increased early mortality
Social isolation

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3
Q

What does the retina contain?

A

Rods + cones

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4
Q

What are rods?

A

Sensitive to light

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5
Q

What are cones?

A

Sensitive to colours

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6
Q

What do cones need to be activated?

A

Light

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7
Q

Describe macula

A

Rich in cones
Degenerates = loses ability to see colours

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8
Q

What can happen if the retina detaches?

A

Leads to blindness if not fixed

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9
Q

What is AMD?

A

Chronic degenerative condition that affects central vision = not enough blood supply to area

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10
Q

Why does central vision disappear in AMD?

A

Deterioration of pigment layer of retina

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11
Q

What are the functional implications of AMD?

A

Difficulty distinguishing people’s faces
Difficulty with close work
Perceive straight lines as distorted/curved
Difficulty identifying edge of step
Unable to determine traffic light changes
Difficulty reading

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12
Q

What is cataract?

A

Clouding of the lens inside the eye

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13
Q

Why is blurred vision caused in cataract?

A

Light is scattered as enters eye = blurred vision

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14
Q

What can cause cataract?

A

Long term use of corticosteroids
Exposure to UV light
Ageing, smoking + diabetes

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15
Q

What are the functional implications of cataract?

A

Blurred vision
Reduced contrast
Difficulty judging depth
Halo/double vision around lights at night
Sensitive to glare + light
Dulled colour vision

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16
Q

What is diabetic retinopathy?

A

Small blood vessels of retina leak + bleed inside the eye
= “clouds” that obstruct sight

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17
Q

What are the functional implications of diabetic retinopathy?

A

Difficulty with fine details
Fluctuations in vision
Blurred, hazy or double vision
Difficulty seeing at night/low light
Sensitive to glare + light
Difficulty focusing

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18
Q

What is glaucoma?

A

Increased intraocular pressure due to malfunction in aqueous humour drainage system = optic nerve damage

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19
Q

What can relieving the pressure do in glaucoma?

A

Reduces progression of the disease

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20
Q

When is it considered closed angle glaucoma?

A

If trabecular meshwork is physically blocked by peripheral iris

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21
Q

When is it considered open angle glaucoma?

A

Still open but NO drainage system

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22
Q

What are the risk factors for glaucoma?

A

Extreme refractive error
Diabetes
Migraine
Cataracts
Previous eye injuries
Sleep apnoea
Male
Corticosteroids

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23
Q

What are the functional implications of glaucoma?

A

Difficulty adjusting to lighting changes
Occasional blurred vision
Halo around lights
Increased sensitivity to glare + light
Difficulty identifying edge of steps/road
Tripping over

24
Q

What is refractive order?

A

Focusing disorder of the eye

25
What is refractive order correctable by?
Glasses Contact lens Laser surgery
26
What are the different refractive disorders?
Hyperopia Myopia Astigmatism Presbyopia
27
What is hyperopia?
Object focuses behind retina = see far objects
28
What is myopia?
Object focuses in front of retina = see close objects
29
What is astigmatism?
Abnormal shaped cornea = object partially clear + other blurred
30
What is presbyopia?
Rigidity of lens = unable to focus
31
What are the risk factors of refractive error?
People over 40 should have regular eye tests to eliminate refractive error
32
What are the functional implications of refractive error?
Long-sightedness (hyperopia) Short-sightedness (myopia) Blurred vision (astigmatism) Difficultly seeing near objects (presbyopia)
33
What is a hordeolum (stye)?
Inflammatory infection of hair follicle
34
What is a chalazion (meibomian cyst)?
Collection of fluid/soft mass cyst
35
What is blepharitis?
Inflammation of margin of eye lids
36
What is entropion?
Inversion of eye lid into eye
37
What is ectropion?
Out-turned eye lids
38
What are the disorders of the eye lid?
Hordeolum Chalazion Blepharitis Entropion Ectropion Conjunctivitis
39
What is the mechanism of conjunctivitis?
Inflammation of conjunctiva
40
What is the etiology of conjunctivitis?
Viral/bacterial Irritants
41
What are the signs + symptoms of conjunctivitis?
Redness/swelling/itching Tearing exposed to light Pus Contagious
42
How is bacterial conjunctivitis treated?
Chloramphenicol Lid hygiene
43
How is viral conjunctivitis treated?
Lubricants Steroids if keratitis
44
How is chlamydial conjunctivitis treated?
GUM clinic Azithromycin
45
How is allergic conjunctivitis treated?
Lid hygiene Mast cell stabiliser Antihistamine Steroid
46
What treats ocular inflammation?
Corticosteroids Steroid-antibiotic combinations NSAIDS Oral analgesics
47
What treats ocular infection?
Topical antibiotics Oral antibiotics Anti-viral Analgesics
48
What are mydriatics?
Drugs that cause pupil dilation
49
What may mydriatics be used for?
Examine fundus Pain relief
50
What are the cautions when using mydriatics?
Blur vision Take care with stairs, curbs, hot liquids Do not drive till blurring resolves
51
What are miotics?
Constrict pupil
52
What are miotics used to treat?
Glaucoma
53
What is an example of miotics?
Pilocarpine
54
What can miotics cause?
Night blindness Stinging Brow ache/spasm
55
What may happen wit long term use miotics?
Difficult to dilate