Flashcards in Ophthomology 1 Deck (18):
Viral versus bacterial conjunctivitis –
1. # of eyes?
2. Type of discharge?
1. Both versus unilateral
2. Watery versus thick, purulent
3. Easily versus poorly transmissible
4. Normal in both
5. Itchy versus not itchy
6. Preauricular versus none
7. None versus topical antibiotics
Patient presents with red itchy eyes with discharge. Pupils normal – suspected diagnosis? Most accurate test? Best initial therapy?
Clinical diagnosis (no testing necessary)
Patient presents with red eyes and photophobia. History of autoimmune disease. Suspected diagnosis? Most accurate test? Best initial therapy?
Slit lamp exam
Patient presents with painful eye. Pupil fixed at midpoint. Suspected diagnosis? Most accurate test? Best initial therapy?
#Mannitol (osmotically draw fluid out of eye )
#Pliocarpine, beta blockers or apraclonidine (constrict pupil)
Presentation of chronic glaucoma? Confirm diagnosis with? Medications?
Tonometry indicating elevated IOP
#-prost (Prostaglandin analog)
#Topical beta blockers
#-amides (Carbonic anhydrase inhibitors)
Patient presents with a red eye and complains of sensation of "sand in the eyes" – suspected diagnosis? Most accurate test? Best initial therapy?
No specific therapy (patch not clearly beneficial)
Normal Cup-to-disc ratio? In acute angle-closure glaucoma?
Patient presents with red, swollen, and painful eye. Fluorescein staining shows dendritic pattern – suspected diagnosis? Oral Treatment? Topical treatment?
ORAL Acyclovir, famcyclovir, valacyclovir
Topical trifluridine or idoxuridine
Do not treat herpes keratitis with? (Will make condition worse?)
Diagnosed cataracts with? Treatment?
Ophthalmoscope or slitlamp
No medical treatment – surgery to remove intraocular lens
Diabetic retinopathy – most accurate test? Treatment if non-proliferative? If proliferative?
Tight glucose control
Laser photocoagulation and anti-VEGF injections
Diabetic presents with vitreal hemorrhage – management?
Management of retinal artery occlusion?
#anterior chamber paracentesis
Treatment of retinal vein occlusion?
Patient presents with sudden onset of painless, unilateral vision loss – suspected diagnosis? Management?
#Mechanical reattachment (surgery, leisure, cryotherapy)
Most common cause of blindness in the US? Unilateral or bilateral? External appearance of the eye?
Normal external appearance
Types of macular degeneration?
Type that causes permanent blindness? Mechanism?
Dry (atrophic) versus wet (neovascular);
Wet - new vessel growth between the retina and underlying Bruch membrane