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Part 2/TMOD Prep > Treatment and Follow up for conditions > Flashcards

Treatment and Follow up for conditions Flashcards

(90 cards)

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1
Q

CSCR

A

Usually self resolving but laser therapy is an option. Stress reduction is needed.

FU: 1 month (6 to 8 months based on Wills Eye)

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2
Q

Based on findings of PPA and Lattice degeneration, what would you expect the refractive status of the pt be?

A

Myopia

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3
Q

What CN innervates the lower lid?

A

CN 7

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4
Q

The AREDS study established the importance of vitamin supplementation to prevent the conversion of ______ to _______?

A

Moderate ARMD to Severe ARMD

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5
Q

The measure of the total number of cases of disease within a population is referred to as?

A

Prevalence

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6
Q

Which CN is most commonly associated with vasculopathic etiology?

A

CN 6

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7
Q

What are the 3 best ways to distinguish between longstanding vs recently acquired deviations?

A
  1. CT in 9 fields of gaze
  2. MRI
  3. Vertical Vergence ranges
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8
Q

FU for BRVO?

A

1 month (1 to 2 months for the first 4 months and then every 3 to 12 months)

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9
Q

What condition is a common side effect of a Vitrectomy in 1 to 2 years?

A

Cataracts

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10
Q

Chemical Burn

A

Scopolamine 0.25%

Daily, then every 2 days

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11
Q

Corneal Abrasion

A

Erythromycin or Polytrim or FLQ q2h to q4h

Bandage CTL- 24 hours, then 2 to 3 days fr a large abrasion

CTL wearer - 2 to 5 days

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12
Q

Foriegn Body

A

Alger Brush and AB

1 day

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13
Q

Traumatic Iritis

A

Cyclopentolate 0.25%

5 to 7 days

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14
Q

Hyphema

A

Bed Rest

Daily

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15
Q

Blowout Fracture

A

Oral AB - Cephelexin 250 to 500mg QID

1 to 2 weeks

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16
Q

Commotio Retinae

A

None

1 to 2 weeks

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17
Q

Recurrent Corneal Erosion

A

NaFl - Negative staining
Cyclopentolate 1% then AT’s

1 to 2 days and then 1 to 3 months

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18
Q

Pterygium/Pinguecula

A

Sunglasses

1 to 2 years

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19
Q

Band Keratopathy

A

Mild: ATs
Moderate to Severe: EDTA

1 to 2 days, otherwise 3 to 12 months

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20
Q

Bacterial Keratitis

A

Scopolamine 0.25% - prevent PAS
AB - FLQ

Daily

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21
Q

Fungal Keratitis

A

Natamycin or Amphoteracin B

Daily

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22
Q

Acanthamoeba Keratitis

A

PHNB or Chlorhexidine

1 to 4 days

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23
Q

HSV

A

Viroptic 5 times

2 to 7 days

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24
Q

HZV

A

A:800 mg x 5x
F:500 mg x 3x
V:1000 mg 3x

1 to 7 days

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25
IK
Steriod and Cyclo 3 to 7 days, 2 to 4 weeks
26
Phlyctenulosis
Steroid and antibiotic combo Several days and healing 7 to 14 days
27
FUCH Endothelial Dystrophy
Muro 128 3 to 12 months
28
Viral Conjunctivitis
Self limiting: ATs Gets worse 4 to 7 days and then resolve in 2 to 3 weeks
29
Vernal KC
Lodoxamide or Permirloast 1 to 3 days
30
Bacterial Conj
Polytrim or FLQ 2 to 3 days
31
Gonnococcal Conj
IM Ceftriaxone 1g Daily
32
Pediculosis
Mechanical removal
33
SLK
ATs 2 to 4 weeks
34
Subconj Heme
None 2 to 3 weeks
35
Episcleritis
ATs 2 to 3 weeks
36
Scleritis
Ranitidine 150 mg PO Depends on response
37
Blepharitis
Lid scrubs 2x a day 3 to 4 weeks
38
Chalazion/Hordeolum
Warm compresses 3 to 4 weeks, if chalazia does not respond steroids
39
Dacryocystitis
Systemic antibiotic Child: Amox Adult: Cepha Daily
40
Preseptal Cellulitis
Amox, if allergic then TRI/Sulfameth Daily
41
Basal Cell Carcinoma
Surgical excision 1 to 4 weeks
42
Squamous Cell Carcinoma
Surgical excision or radiation 1 to 4 weeks
43
Dacryoadenitis
Systemic antibiotic 24 hours
44
POAG
PGs reexamine 3 to 6 months
45
Ocular HTN
Observe initially but start glaucoma med 6 to 12 months
46
Acute Angle Closure
Compression gonioscopy, three rounds of all glaucoma meds and recheck IOP in one hour
47
Angle recession glaucoma
POAG Med: No Pilo Yearly
48
Possneur Schlossman
Beta Blocker and 1 week of steroids Few days and then weekly
49
PDS
POAG medication or Peripheral laser Iridotomy 1 to 6 months
50
PXF
POAG meds or SLT/ALT but effectiveness is shorter long-term 1 to 3 months
51
ICE Syndrome (Beaten Bronze)
None 6 to 12 months
52
Horner's
Treat underlying condition
53
Argyll Robertson
Treat active disease, usually syphyllis Work up FTAABS VDRL
54
ADIES
Pilocarpine 0.125% QID for Cosmesis Routine
55
Papilledema
SLE with HRuby Lens and Treat systemic condition
56
IIH/Psuedo Tumor
-MRI/MRV and treat with Acetezolamide 250mg 3 to 4 weeks
57
AION
Systemic steroids 6 to 12 months
58
NAION
Observation 1 month
59
PVD
None Based on symptoms
60
Retinal Break
Laser or Cryo Same as retinal detachment
61
Retinoschisis
None 6 months
62
RD
Bed rest after surgery 1 day
63
CRAO
ESR CRP to rule out GCA Refer to internist and repeat in 1 to 4 weeks
64
BRAO
None 3 to 6 months
65
CRVO
Change to other HTN medication 20/40 or better than = 1 to 2 months Less than 20/200 = every month for the first 6 months Watch out for 90 day glaucoma
66
BRVO
Gold standard, focal retinal laser, if edema is present 1 to 2 months for the first 4 months, then 3 to 12 months
67
HTN Retinopathy
Control HTN as per internist 2 to 3 months control diastolic below 110 HH mg
68
OIS
Imaging: duplex doppler MRA, Oculopalethysmorgraphy Corrotid Endarterectomy
69
T2DR
CSME: Focal or Grid laser PDR: Panretinal Laser Mild: 9 months Moderate to severe: 4 to 6 months PDR: 2 to 3 months
70
CME
Ketorolac 3 months
71
CSCR
Self resolve - no steroids or stress 6 to 8 weeks
72
ARMD
A REDS 2 (C, E ,CUPRC ACID, O3FA, Lutein and Zeaxanthin) 6 to 12 months
73
Sickle Cell
Hemoglobin Electrophoresis, Sickle cell preparation, and sickledex None
74
Ocular Histoplasmosis
Anti-VGF, PDT for subfoveal CNV Treatment needs to start within 72 hours, then monitor for every 6 months.
75
Macular Hole
Spontaneous high myopia 6 months
76
Iritis
Cycloplegia and Steroid 1 to 7 days taper steroids
77
FHIC
None None
78
Toxoplasmosis
History: raw meat or exposed to cats First line: Pyrimethamine, folic acid, sulfadiazine and prednisolone 3 to 7 days, then every 1 to 2 weeks
79
Snow flake cataract
Diabetes
80
Sunflower cataract
Wilson's Disease
81
Christmas Tree cataract
Myotonic
82
PSC
NF2 and Down syndrome
83
CI
Low AC/A , poor near fusional amplitudes and high exo at near VT and BI reading 1 month
84
AI
Decreased amplitudes
85
CE
High eso, high AC/A BO prism
86
Chromatic Abberation
High NU and low CA
87
Legal blindness
20/200 in best seeing eye 10 degrees radius from point of fixation 20 degrees or less in diameter
88
Abnormal automaticity
A and B abnormal ratio = normal
89
Ocular Motor abnormality
Ratio low and high errors
90
Automaticity and ocular motor
High ratio and high errors

Part 2/TMOD Prep (4 decks)

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