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29 Cards in this Set

  • Front
  • Back
What is the most common cause of vision loss in people over 55?
Age related Macular Degeneration (AMD)
What is AMD?
Irreversible condition that causes loss of sight in the central field of vision
Affected cells in the macula eventually break down and lose ability to function
What is dry AMD?
Most common type, found in 90% of people with AMD
Tiny deposits called Drusen appear within the retina that increase in number over time leading to loss of vision
What is wet AMD?
More severe type, only found in 10% of patients with AMD
Causes vision loss due to abnormal blood vessel growth
T or F: Dry AMD can develop into wet AMD.
True
What is an Amsler grid?
A grid of vertical and horizontal lines used to monitor a person's central visual field.
*Test frequently to monitor AMD
How is AMD diagnosed?
Medical eye exam
Amsler grid testing
Macula photos
Angiography
What are some of the treatment options for AMD?
Photodynamic therapy
Laser therapy
Meds (anti-VEGF)
Low vision devices (Magnifiers, telescopes, large print material)
What are some changes you can make to protect your vision?
Wear sunglasses
Improve diet and blood pressure
Limit saturated fats
Eat foods rich in lutein and zeaxanthin
Stop smoking
What is diabetes and why is it important when dealing with the eye?
Condition in which the body's ability to process and store sugar is impaired
16 million Americans have diabetes
*Diabetics are 25 times more likely to become blind*
What is diabetic retinopathy?
A complication of diabetes caused by deterioration of blood vessels in the retina
Major cause of vision loss
Asymptomatic at early stages
What is the onset of diabetic retinopathy for Type 1 and Type 2 diabetics?
Type 1: 5 years after diagnosis
Type 2: may be present at di
What are exam findings for Background Diabetic Retinopathy?
Intraretinal hemorrhages
Macular exudates or microaneurysms
Vascular changes
What are the exam findings for Proliferative Diabetic Retinopathy?
Same as Background Diabetic Retinopathy
Neovascularization
Possible vitreous hemorrhage
How is diabetic retinopathy treated?
Easily detected during annual routine eye exams
Treatable with laser surgery in early stages
T or F: Focal laser treatment of diabetic retinopathy caused a 50% decrease in the percentage of eyes with vision loss
True
Panretinal Photocoagulation is a technique used to treat what?
Proliferative Diabetic Retinopathy
*Used in combo with anti-VEGF
What is a vitrectomy?
A microvascular surgery in which the vitreous humor is removed from the eye and replaced with a sterile solution
What are the anti-VEGF drugs?
Avastin
Lucentis
Macugen
Eyelela (VEGF trap)
What is a cataract?
Progressive clouding of the eye's natural lens that interferes with light passing thru to the retina
What are the causes of cataracts?
Aging
Diabetes
Family history
Previous injury or surgery
What are the symptoms of cataracts?
Waxy vision
Color shift/distortion
Reading is difficult
Driving is dangerous
Glares, halos around lights
Double vision
How are cataracts treated?
No treatment to reverse or prevent
To achieve clear vision, cataract removal surgery
T or F: Lasers can be used to remove a primary cataract?
False
Done via a no-stitch cataract surgery
Describe the steps in cataract surgery.
1. Small incision on side of cornea
2. Phacoemulsification used to break up and remove cloudy lens
3. Artificial lens put in
4. Lens in place and eye heals
What is a full focus lens?
A lens that allows people who have undergone cataract surgery to focus through a range of distance and not just at long distances
Removes need for reading glasses
What is Posterior Capsular Opacification?
Clouding of the membrane left behind after the natural lens has been removed
Sometimes referred to as secondary cataract
Treated with YAG laser capsulotomy
What is the most common type of retinitis today?
CMV retinitis
What are the three symptoms of retinal detachment?
Flashes
Floaters
Loss of side vision