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13 Cards in this Set
- Front
- Back
Primary Acute Angle Glaucoma
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PP: older, female, hyperope, Asian, Eskimo, cortical cataracts
Sx: pain, red eye, headache, acute blurry vision, haloes, photophobia, emesis Test: GAT, SLE (angles <1/4), Pupils Critical DDx: Pupils fixed in mid-dilated position, narrow/angles closed, corneal edema, GAT >40. |
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Corneal Abrasion
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PP: none
Sx: trauma, pain, photophobia, FB sensation, lacrimation, red eye, blepharospasm, conjunctival injection. Test: SLE w/ NaFL Critical signs: central punctate staining if wearing contact lens. Defects to epithelium, FB vertical tracks, Seidel's sign |
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Corneal Ulcer
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PP: EW SCL wearer, corneal trauma, dry eyes, tear film anomalies, diabetics, topical steroid use, immune conditions
Sx: pain, photophobia, lacrimation, foreign body sensation Test: SLE w/ NaFl staining Critical Signs: gray white lesion, green discharge hypopyon, corneal infiltrates, cells and flare and blepharospasm. |
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Herpes Simplex
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PP: Children 6 months to 5 years old, direct contact, UV, trauma or temperature aggravation
Sx: watery dischage, fever, malaise, FB sensation Test: SLE w/ NaFL staining Critical signs: watery vesicles on lids, follicular conjunctivitis, diffuse SPK and SEI's, true dendritic ulcers with terminal end bulbs, palpable preauricular nodes, decreased corneal sensitivity, nasal or oral cold sores, genital cold sores. |
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Pterygium
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PP: person spends lots of time outdoors
Sx: asymptomatic, maybe decreased vision, red eye, FB sensation, irritation, hyperemia, dry eyes Test: SLE (conj, limbus, cornea) w/ NaFL staining Critical signs: pink/white triangular groth on nasal/temp conj or cornea, DELLEN, SPK, decreased TBUT, irregular keratometry mires, induced astigmatism |
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Trichiasis
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PP: none
Sx: red eye, FB sensation, chronic tearing, decreased VA's secondary to scarring Test: SLE (inferior cornea) w/ NaFL Critical signs: entropion, misdirected lashes, epithelial staining (infection, ulcers), SPK |
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Recurrent Corneal Erosion
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PP: Hx of epithelial defects-- map dot dystrophy, corneal trauma or refractive surgery (flap)
Sx: sharp pain upon waking up in the morning, FB sensation, photophobia, tearing, blur. Test: SLE (cornea) w/ NaFL Critical Signs: NaFL pooling, microcysts, rideges of epithelial basement membrane |
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Dry Eye
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PP: older, post menopausal women, lagopthalmos, associated Sjogren's syndrome, Steven Johnson, SCL wearer, medications: antihistamines, sedatives, contraceptives, diuretics, beta blockers, parasympatholytics, accutane
Sx: dry, gritty, sandy feeling, burning, epiphoria, photosensitivity Test: SLE (cornea) w/ NaFL staining Critical signs: inferior 1/3 NaFl staining, band pattern SPK, dry mucous membranes (filaments), decreased TBUT (3 times <10 seconds), abnormal Schirmers (<5 mm), dellen |
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Herpes Zoster
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PP: older, stressed, corticosteroid user, immunocompromised
Sx: pain, HA, fever, malaise, chills, neuralgia, prodrome, FB sensation, rash on one side of face Test: SLE (cornea), RB Critical Signs: pseudo-dendritic corneal ulcers without terminal bulbs, + Rose bengal staining, Hutchingson's sign, diffuse SPK, petechial sub conj hemes, vesicular lesions that respect the midline |
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Iritis
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PP: Systemic conditions-- respiratory, dermatologic, or joint problems
Sx: red eye, sudden onset of severe pain and VA's loss, photophobia Test: SLE (conical beam) and GAT Critical signs: AC reaction (cells and flare), decreased IOP |
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Fuch's Dystrophy
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PP: 75 yo, hyperopia, shallow AC and family history
Sx: haziness and glare in vision, corneal edema, pain, photophobia, decreased VA upon awakening Test: SLE w/ specular reflection Critical signs: corneal edema, cell drop out/guttata in the endothelium, hazy cornea |
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Giant Papillary Conjunctivitis
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PP: CL wearer, prosthetic patient
Sx: itching, tearing, mucous discharge, FB sensation, photophobia, CL intolerance, blur, burning Test: SLE (superior cornea), Lid Eversion, NaFl staining Critical signs: cobblestone papillae and mucous discharge on superior palpebral conjunctiva, stringy mucus, superior SPK |
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Vernal Keratoconjunctivitis
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PP: Hx of allergies, 3-25 year old males, asthma, eczema, hay fever, warm climates, onset during spring and fall
Sx: FB sensation, itching around eyes, ropy mucus discharge in AM, photophobia, "hot lids" Test: SLE (superior palpebral conj, cornea) w/ Lid Eversion Critical Signs: cobblestone papillae, lid edema, possible ptosis, mucus discharge, shield ulcer, chemosis, Tranta's dots |