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10 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Red Flags for Eye exam
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sudden onset of vision change is an emergency
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Viral conjunctivitis and herpetic keratitis
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Two distinctly different problems with different txs, but share a similar presentation. DO NOT use steroid eye preparations.
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Acute angle closure glaucoma
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permanent vision loss if not treated immediately
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Macular degeneration
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Leading cause of irreversible vision loss; increased incidence with age; dry atrophic is associated with ischemia and wet exudative is associ w leakage of fluid from blood vessels
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C/O patchy blurry spots or distortion in central visual fiels should be REFERRED ASAP
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Retinal Detachment
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"black curtain coming down over visual field", bright flashes of light (photopsia), floaters, decreased visual acuity
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Chemical burns to eye
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EMERGENCY: Alkali burns more common and worse (household cleaners, fertilizers, drain cleaners), acid ( industrial cleaners, batteries, vegetable preservatives.)
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Blepharitis
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Acute or chronic problem of eyelid margin, redness, crusting and scaling at base of lashes, produces eye irritation; symptoms worse upon awakening
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4 tests to assess ocular alighment
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EOMs 6 cardinal positions of gaze would detect paralytic strabismus; Corneal Light reflex (Hirschberg)
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Cover test, look at eye which has been covered for deviation to detect strabismus; Bruckner's test notes symmetry of red reflexes with ophthalmascope
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Strabismus postion terminology
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inward (esotropia or "crossed eyes")
outward (exotropia or "wall eyes") upward (hypertropia) downward (hypotropia) |
Called also squint. adj., adj strabis´mic. The various forms of strabismus are spoken of as tropias, their direction being indicated by the appropriate prefix, as cyclotropia, esotropia, exotropia, hypertropia, and hypotropia.
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Amblyopia
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"lazy eye"Children who get treated before age 5 will usually recover almost completely normal vision;a patch is placed on the normal eye
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