vision loss (gradual) Flashcards

1
Q

causes of gradual vision loss

A

ABCDG // ARMD (dry) // blur // cataract // diabetes // glaucoma (open)

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2
Q

most common cause of blindness UK

A

age-related macular degeneration

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3
Q

RF ARMD

A

75+ // smoking // RF // IHD, hypertension, cholesterol, DM

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4
Q

dry ARMD symptoms + fundoscop

A

atropic // majority // drusen // gradual vision loss

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5
Q

wet ARMD + fundoscope

A

sudden vision loss // choroidal neovascularisation // red patches from retinal haemorrhage // drusen // worse prognoses

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6
Q

vision changes ARMD

A

CENTRAL reduced visual acuity // difficult in dark // flashing lights // distorsion of pictures // glare around images

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7
Q

what tests line distorsion

A

amsler grid (affected in ARMD)

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8
Q

invx ARMD

A

slit lamp // fluorcscein angio if wet ARMD // OCT to distinguish wet vs dry

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9
Q

mx ARMD

A

zinc + vit A, C, E // laser treatment

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10
Q

what usually causes blurred vision

A

refractive error!! // cataract // renital detachment // ARMD // glaucoma // optic neuritis // amaurosis fugax

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11
Q

invx blurred vision

A

snellen chart - visual accuity // fundoscope

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12
Q

what invx can test for refractive error

A

snellen + pinhole occlusion - corrects it

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13
Q

mx blurred vision

A

if gradual onset + refractive error –> optician // if pain or vision loss –> urgent opthalmology

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14
Q

what is a cataract

A

lens opacifies –> cloudy

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15
Q

causes cataracts

A

age // smoking, alcohol // DM // steroids // hypoCa!!

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16
Q

symptoms cataracts

A

gradual vision loss // faded colours // glare + halos around bright lights

17
Q

inx cataract

A

no red reflex // normal fundus + optic nerve // slit lamp = cataract

18
Q

types + causes of cataract (4)

A

nuclear - old age // polar - inherited // subcapsular = steroid // dot = normal or diabetes

19
Q

mx cataract

A

surgery if visual impairment, decreased QOL, patient wants it

20
Q

complications cataract surgery

A

retinal detachment // posterior capsule opacification or rupture // endophthalmitis

21
Q

what is glaucoma

A

raised intraocular pressure

22
Q

what is an open angle glaucoma

A

iris NOT occluding trabecular network so aquous humour CAN drain from eye

23
Q

RF glauxoma

A

age // FH 1st degree // black // myopia (short sighted) // HTN, DM, steroids

24
Q

symptoms open angle glaucoma

A

gradual vision loss // peripheral loss –> tunnel vision // decreased visual acuity

25
Q

normal optic cup

A

colour, cup, disc // cup-to disc should be 0.4-0.7

26
Q

fundoscope open glaucoma

A

optic cupping (>0.7) // pake disc // bayonetting of vessels

27
Q

invx open glaucoma

A

perimetry (for visual field) // slit lamp (fundus) // goldmanns tonometry (IOP) >24// gonioscopy (ant chamber)

28
Q

1st line mx open angle glaucoma (mechanism)

A

prostaglandin analogue eg latanoprost (increase uveascleral outflow)

29
Q

SE latanoprost

A

brown iris, long eyelashes

30
Q

mechanism timolol

A

BB blocker // reduces aquous solution

31
Q

contraindication timolol

A

asthma or heart block

32
Q

mechanism brimonidine

A

sympathetic (alpha 2 agonist) // reduces production + increases outflow

33
Q

when should brimonidine be avoided

A

taking MAOi or TCA

34
Q

mechanism pilocarpine

A

muscarnic agonist // increase uveoscleral outflow

35
Q

mechanism Dorzolamide

A

Carbonic anhydrase inhibitor // reduce production