Opthalmology Flashcards

(29 cards)

1
Q

Loss of colour vision and reduced acuity?

A

Typically optic neuritis

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2
Q

Feature of proliferative diabetic retinopathy which can cause vitreous haemorrhage?

A

Neovascularisation

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3
Q

Earliest feature of diabetic retionopathy?

A

Microvascular aneurysms

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4
Q

Acetazolamide/dorzolamide mechanism? What do they do?

A

Carbonic anhydrase inhibitors
Lower IO pressure

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5
Q

Band keratopathy association?

A

Sarcoid
(or any hypercalcaemia)

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6
Q

MS vs NMO/MOG disease?

A

In NMO/MOG the visual loss is often severe and bilateral, with profound optic disc swelling

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7
Q

Connective tissue disease and a painful red eye?

A

Uveitis

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8
Q

Findings in CMV retinitis?

A

Necrotising vasculitis with haemorrhages
“bushfire”

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9
Q

Classic occular finding in acne rosacea?

A

Keratitis

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10
Q

Peripheral visual loss, night vision loss and myopia? Either fit and well or syndromic

A

Retinitis Pigmentosa

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11
Q

Arteriolar attenuation, pigmented bone spicules in the periphery and waxy optic disc pallor?

A

RP

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12
Q

What, primarily, is dysfunctional in retinitis pigmentosa?

A

Rods (rhodopsin protein)

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13
Q

Occular finding in Marfans?

A

Ectopia lentis (lens subluxation or dislocation)

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14
Q

Lisch nodules of the iris?

A

Neurofibromatosis

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15
Q

Where may the lesion be in Horner’s syndrome?

A

Go by the level of anhydrosis

Head, arms and trunk = central lesion

Just face = pre=ganglionic i.e. Pancoast’s or cervical rib

Absent = carotid artery

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16
Q

Primary angle closure glaucoma management?

A

1st line Prostaglandin analogues e.g. LatanoPROst
These increase uveoscleral outflow

2nd line BB or carbonic anhydrase inhibitor - these reduce aqueous production

17
Q

Sudden painless loss of vision with a dense shadow starting peripherally and moving centrally?

A

Retinal detachment

18
Q

Loss of vision and cherry red spot?

A

Retinal artery occlusion

19
Q

Flashes and floaters?

A

Vitrious detachment

20
Q

Visual deterioration and hazy cornea?

A

Acute angle closure glaucoma

21
Q

Central scotoma =?

A

Optic neuritis

22
Q

Drug causes of acute glaucoma?

A

TCA
Anticholinergics
Dilating drops

23
Q

Superior vs inferior hemianopia?

A

PITS
Parietal = inferior
Temporal = superior

24
Q

Drusen

25
Emergency management of acute angle closure glaucoma?
IV acetazolamide Eye drops
26
Irregular dark red lines radiating from the optic nerve?
Angioid retinal streaks
27
Treatment of proliferative diabetic retinopathy?
Laser
28
Bevacizumab mechanism?
Anti VEGF
29
Who can you not give antioxidant supplements to in macular degeneration?
Smokers