Ophthalmology Flashcards

(38 cards)

1
Q

What is the axial length of the eye?

A

23mm

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2
Q

What are the two main refracting surfaces of the eye?

A

Cornea

Lens

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3
Q

What is the centre of the retina?

A

Macula

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4
Q

Where does image focus in myopia?

A

Before the retina

‘Short-sight’

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5
Q

Where does image focus in hypermetropia?

A

After the retina

‘Long-sight’

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6
Q

How many bones comprise the eye orbit?

A

7

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7
Q

What causes double vision?

A

Misalignment of visual axis

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8
Q

What is in-sinking of the eye called?

A

Enopthalmos

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9
Q

When does facial development occur in uterto?

A

4-8 weeks

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10
Q

When does the optic vesicle develop?

A

4 weeks from forebrain

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11
Q

What is coloboma?

A

Disruption to eye development

Can occur to iris or retina

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12
Q

What are the main features of newborn eyesight?

A

Can not focus 20-30cm ways
High contrast
Cannot move between two images

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13
Q

What are the main features of eyesight at 5-8 months?

A

Good colour vision by 5 months

Can crawl and reach for objects at

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14
Q

What are the main features of eyesight at 9-12 months?

A

Can spot small (2-3mm) object nearby

Watched faces and can imitate expressions

Searches for hidden objects after observing hiding

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15
Q

What are the main features of eyesight at 24 months?

A

Complete myelinisation of the optic nerve - acuity is normal

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16
Q

What are the main features of eyesight at 2-5 years?

A

Brain functions nearly adult

Analysis of complex visual scenes

17
Q

What are the main features of eyesight at 3 years?

A

Retinal tissue is mature

Child can do puzzles, draw a crude circle and but 2.5cm pegs into holes

18
Q

Define blindness

A

So blind that they cannot do any work for which eyesight is essential

19
Q

What are the most common forms of visual impairment

A

Cataract

Uncorrected refractive issues

20
Q

What are the consequences of visual impairment?

A
3x more likely
to be unemployed
involved in a motor accident
suffer from mental illness
more likely to have a fall whilst walking
21
Q

Where do 60% of the world’s blind live?

A

subsaharan africa, china and india

22
Q

How does trachoma lead to blindness?

A
Active trachoma
Repeated infections lead to scarring of the eyelid
Trichiasis
Corneal opacity
Blindness
23
Q

How can avoidable causes of blindness be eliminated?

A

SAFE

Surgery
Antibiotics
Face Washing
Education and Environmental

24
Q

What us the most common cause of visual impairment in the UK?

A

Age related macular degeneration

Can be dry or wet

Visual loss accelerated in wet AMD

25
How to avoid wet AMD?
Avoid cigarettes Good nutrition and cardiovascular health Anti-VEGF injection
26
How do we diagnose diabetic retinopathy?
Screening programme
27
How can diabetic retinopathy be partially controlled?
Good control - HbA1c
28
What is first line treatment for diabetic retinopathy?
Laser photocoagulation BUT it is destructive May stabilise but cannot restore vision
29
What is diabetic maculopathy?
Leakage and bleeding at the macula | Treated by anti-VEGF injection
30
What is glaucoma?
A progressive optic neuropathy characterised by typical optic disc changes and commensurate visual field defects
31
Why is glaucoma actively screened for?
50% undiagnosed
32
What is a cause of glaucoma?
Raised intra-ocular pressure
33
What is cataract?
Clouding of the lens
34
How are cataracts treated?
Intraocular lenses
35
What is Thyroid Eye Disease?
Most common in Graves hypothyroidism
36
What causes Thyroid eye disease?
Antibodies targeting antigens in the thyroid and orbit - Insulin like growth factor 1 receptor Ab - Thyroid stimulating hormone receptro TSHR Ab
37
What can cause a life and sight threatening emergency?
Temporal Arteritis | Oculomotor nerve palsy
38
What are the diagnosis criteria for temporal arteritis?
Age> 50 New headache ESR > 50mm/h Positive temporal artery biopsy