Disease

Front 1

staph aureus

Back 1

bleph
ulcer
blurred margins
perforation in 7 days

Front 2

strep pneumo

Back 2

acute bact conj
marginal infiltrates to ulcers
central snakelike ulcer that has hypopyon

Front 3

moraxella lacunata

Back 3

angular blepharoconj
with or without hypopyon

Front 4

neisseria gonorrhea

Back 4

lusterless cornea
34 hour progression to ulceration, perforation, or panophthalmitis

Front 5

haemophilus influ

Back 5

in fall
petechial hemorrhages
progression to preseptal cellulitis or metastatic meningitis

Front 6

atopic keratitis

Back 6

anterior subcap cataract

Front 7

marginal infiltrates/ulcers

Back 7

differentiate from herpes
hypersensitivity rxn
oval and linear infiltrates separated from limbus by interval of clear cornea
pain
photophobia

Front 8

dellen

Back 8

corneal thinning d/t dehydration

Front 9

epithelial defect and ulcers

Back 9

pathogens can access stroma
inflammatory response to stromal infiltration
promotion of ulceration

Front 10

bacterial corneal ulcer pathogens

Back 10

staph aureus, strp pneumo, moraxella, pseudomas

Front 11

s/s bacterial corn ulcer

Back 11

overlying epithelial defect
infiltrate extends beyond border of defect
hypopyon

Front 12

staph ulcer

Back 12

mucopurulent discharge

Front 13

strep ulcer

Back 13

serpiginous nature with undermined borders

Front 14

moraxella ulcer

Back 14

alcoholics and institutionalized pts

Front 15

psudomonas ulcers

Back 15

EW SCL pts
greenish mucopurulent discharge--GREEN GOO!
endothelial plaque
progress rapidly (perforate w/in 24 hours)

Front 16

tx of bacterial ulcer

Back 16

fortified tobra q1h alternated with fortified cefazolin q1h OR
ciprofloxacin 2gtt q15min x 6 hours, 2gtt q 30 min rest of day, 2gtt q1h on 2nd day, 2gtt q4h on days 3-14. continue past day 14 if reepithelialization hasn't occurred.

Front 17

4 main forms of hsv keratitis

Back 17

1. epithelial
2. disciform
3. necrotizing interstitial keratitis
4. indolent

Front 18

punctate epithelial keratitis from HSV

Back 18

precursor to dendritic or ameboid. may not progress

Front 19

dendritic epithelial HSV

Back 19

arborized ulcer
true terminal end bulbs
raised edges

Front 20

ameboid epithelial HSV

Back 20

large amoeba0-shaped ulcer with dendritic edge of elevated mounds

Front 21

disciform (stromal) HSV

Back 21

stromal edema with intact overlying epithelium

Front 22

necrotizing interstitial keratitis (stromal)

Back 22

multiple/diffuse stromal infiltrates often with neo
bacterial superinfection must be r/o

Front 23

indolent (neurotrophic) ulceration HSV

Back 23

sterile ulcer with smooth margins over area of stromal dixease persisting depspite antiviral therapy

Front 24

hallmark sign of HSV keratitis

Back 24

cornal hypoesthesia

Front 25

mngmt of HSF ocular dz

Back 25

debridement, topical antiviral
cycloyplegic, etc

Front 26

mngmt of HSV epithelial keratitis

Back 26

mechanical debridement, topical antiviral (viroptic q2h while awake for no longer than 21 days)

Front 27

varicella zoster keratitis types

Back 27

spk, pseudodendrites, immune stromal keratitis, neurotrophic keratitis

Front 28

pseudodendrite zoster keratitis

Back 28

periph cornea elevated
medusa-like lesions that stain vividly with rose bengal
chornic epi keratitis: corneal mucous plaque keratitis: accompanied by ciliary & tarsal conj injetion, mild anterior uveitis, fine keratic precipitattes, and corneal hypoesthesia

Front 29

mngmt of herp zoster ophthal

Back 29

oral acyclovir within 72 hrs

Front 30

fungal corneal ulcer causative agents

Back 30

FACC: Fusarium, Aspergillus, Candida, Cephalosporium

Front 31

filamentous fungal infection fungal ulcer

Back 31

fusarium, aspergillus

Front 32

yeast infection fungal ulcer

Back 32

candida

Front 33

fungal ulcers

Back 33

satellite lesions
immune ring

Front 34

protozoan corneal ulcers agents

Back 34

acanthamoeba

Front 35

s/s acanthamoeba keratitis

Back 35

severe ocular pain disproportionate to clinical signs
upper lid edema
stromal infiltrate in shape of ring

Front 36

mngmt acanthamoeba keratitis

Back 36

hosp admission?
cornal transplant often required eventually

Front 37

interstitial keratitis

Back 37

most commonly associated with syphilis
binocular: congenital
monocular: acquired

Front 38

s/s old and acute

Back 38

old: deep corneal haze, stromal thinning, ghost vessels
new: pain, conj injection, ant uveitis

Front 39

stromal edema 2nd to:

Back 39

endothelial dysfunction
apithelial dysfunction (less common)
signs: folds in descemet's membrane

Front 40

epithelial edema

Back 40

more effect on comfort and vision than stromal edema
may be 2nd to endothelial dysfunction or increased IOP
reducted by hyperosmotics
signs: microcystic edema, bullous keratopathy

Front 41

verticillata

Back 41

Fabry's disease, differentiate from drugs like miodarone, plaquenil, indomethacin, etc

Front 42

fabry's dz lens findings

Back 42

granular ant capsular cat with radial pattern
unusual post subcap cat with spoke-like deposits of granular material radiating from central part of post cortex

Front 43

marginal corneal melting/ulceration

Back 43

collagen vascular dx like RA SLE, sjogren's

Front 44

mgmt of marg corneal ulceration/melting

Back 44

bandage SCL-best
ocular lubrication
caution with steroids
r/o underlying dz

Front 45

alkaptonuria

Back 45

missign enzyme: homogentisic acid oxidase
ochronosis: pigmentation of cartilage and other connective tissues
ocular ochronosis: patches or particles of pigment in sclera conj andlimbic cornea
sclerosis of cardiac valves
degen. arthritis

Front 46

Wilson's dz

Back 46

copper
liver, kidney, brain
descemet's membrane of periph. cornea leading to kayser-fleischer ring

Front 47

mngmt of wilson's dz

Back 47

d-penicillamine (cuprimine): mobilizes copper from tissues

Front 48

leprosy cornea

Back 48

thick, prominent corneal nerves with beading

Front 49

when does epithelial regen begin and do peripheral or central defects heal faster?

Back 49

w/in one hour
peripheral heal faster b/c closer to limbal vascular supply

Front 50

scar with Bowman's

Back 50

no scar if Bowman's is intact

Front 51

when to resume CL wear after corneal abrasion?

Back 51

no sooner than 2 days after resolution

Front 52

corneal laceration

Back 52

r/o foreign body
r/o thickness laceration: ant chamber flattening, prolapse of IO contents, seidel's sign

Front 53

burns: better prognosis with white or red conj?

Back 53

red: the whiter the worse the prognosis

Front 54

radiation burns: UV radiation
wavelength?

Back 54

rarely results in ant segment damage b/c of imediagte discomfort caused by heat
lag of 6 hrs b/w exposure and s/s
shorter the wavelength, greater the tendency for keratoconj.
severe keratoconj may result in mucin deficiency

Front 55

thermal burns

Back 55

debride, remove FB, cycloplege, abx, patch, reexamine in 24 hrs
can result in: ant uveitis, corneal scars, corneal pannus, 2ndary infection, cictricial conj changes, cictricial dermal changes, ocular penetration

Front 56

chemical burns

Back 56

copius irrigation
may result in: ant uveitis, ischemic necrosis of conj, corneal scrring and pannus, etc etc