Ophthamology Review Flashcards
What should a primary care provider do for a presumed retinal detachment?
Refer & position patient with head down.
In what age range do you expect to most commonly find amaurosis fugax?
Patients older than fifty.
What is the #1 cause of retinal artery occlusion?
Carotid atherosclerotic disease.
When treating herpes keratitis should you use topical antiviral, topical steroid or both?
Don’t use steroids. Topical antiviral and refer!
A patient describes his vision loss as a curtain coming down and then going back up. What might the diagnosis be?
A patient presents with a painful, red nodule on the eyelid. What diagnosis should you be thinking of? What treatment should you begin with?
Hordeolum (sty). Warm compress and progress to topical abx if necessary.
A fundal exam shows a cherry red spot. What diagnosis should you be thinking of?
Central retinal artery occlusion
A college student presents with a little purulent drainage from one eye and nontender preauricular lymphadenopathy. What diagnosis and pathogen should you be thinking of?
What should a primary care provider do for presumed central retinal artery occlusion?
Ophthalmic emergency! Refer and intermittent pressure and release of the eye.
A patient presents with unilateral blurriness developing over a few days. Fundal exam shows a “blood and thunder” pattern. What is the most likely diagnosis?
Central vein occlusion
What is appropriate treatment for central vein occlusion?
Typically self limited. Treat underlying disease.
Is glaucoma more prevalent in males or females?
Give two risk factors for glaucoma.
African American descent and diabetes
What is the yellow, brown fleshy mass on the conjunctiva which usually does not interfere with vision?
A fundal exam shows a cup to disc ratio of >0.5. There are also vessels bending over the disc. What is the most likely diagnosis?
A patient presents saying that he doesn’t seem to need his glasses anymore after 30 yrs. What is the most likely diagnosis?
A patient has metamorphopsia and a central blind spot. What is the most likely diagnosis?
What is the most likely quadrant for a retinal detachment?
A patient presents with pain in one eye. The cornea is hazy and the pupils are fixed. What is the most likely diagnosis?
What is the most common way of testing for metamorphopsia?
You notice drusen deposits on fundal exam. What is the most likely diagnosis?
A patient presents with irritated, burning and tearing eyes. You notice some scurf and scales. Where do you begin treatment?
This is blepharitis. Treatment begins with good hygiene and moves on to topical antibiotics if necessary.