Strabismus Flashcards
(25 cards)
What is the treatment of cataract ?
Cataract surgery ( removal of the lens) with or without intraocular implant
If you can’t prescribe lens or glasses
- occlusion therapy to avoid amblyopia
Most common cause of leukocoria
Cataract
Retinoblstoma is restricted to which age ?
3 years max
Describe the shape of retinoblastoma
White/nodular mushrooms shaped mass from retina into the vitreous
What is the treatment of retinoblastoma ?
If large and severe : enucleation
Others :
IV chemo
Radiation
Laser therapy
Cryotherapy
Observation
Treatment of Retinopathy of pre maturity ?
MOST IMP : laser photocoagulation
Cryotherapy
Anti VEGF agent
Pars plana vitrectomy
What is the treatment of coat’s disease?
Mild non vision threatening:
Observation
Laser
Anti VEGF
Cryotherapy
Pars plana vitrectomy
Painful blind eye :
Enucleation
What is the treatment of retinal detachment?
Conservative buckling procedure
Pars plana vitrectomy with or without silicon oil
Treatment of phorias ?
Correction of refractive errors
Orthoptic exercises
Prisms in glasses
Surgical treatment only when diplopia
What is the angle of deviation in infantile esotropia ?
> 30 prism diopter
Treatment of infantile esotropia?
Check if there’s Refractive error
Check for amblyopia
Early surgical treatment
What is the age of refractive accommodative ?
3 years pre school
What is the age of infantile strabismus?
6 months
What is the treatment of refractive estopria ?
Convex glasses
Complete cycloplegic refraction
Ambylopia therapy
What is the treatment of partial accommodative refractive estropia ?
CCR
Ambylopia
Surgical correction of residual squint
Treatment of exotropia ?
Check for refractive error and leave for 6 months then you can consider Surgical correction of deviation but no surgery before 6M-1year
When do babies start to have clear vision ?
At 6 months
Determination of deviation is made by what ?
By cover and uncover test
What are the measurements of deviation ?
1-Hirschberg’s test
(Corneal reflection)
2- prism cover test
What do we use in Cycloplegic refraction ?
Cyclopentolate 1% and atropine 1%
What is the difference between recession and resection ?
First 1 to weaken the muscle
Resection to strengthen the weak muscle
What are the types of amblyopia ?
1-strabismic ambylopia
2- anisometropic Ambylopia
3- stimulus deprivation amblyopia
What are the tests used to diagnose Ambylopia?
Pin hole
Crowding phenomena
And visual acuity
What is the treatment of ambylopia ?
Occlusion therapy
