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19 Cards in this Set

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k
k
Nuclear sclerotic cataracts affected _____ vision more than _____ vision
distance

near
Nuclear sclerotic cataracts result in a "second sight phenomenon" in which the refractive power _____ leading to a myopic shift
increases
Posterior subcapsular cataracts affect _____ vision more than ____ vision
near

distance
General sxs of cataract include
glare
halos
starbursts
monocular diplopia
Do cataracts have RAPD?
no
Two indications for tx of cataracts
1. Reduced vision interferes with daily life

2. Cataract obscures the view in the retina or optic nerve cannot be examined properly
Two surgical tx for cataract include
Phacoemulsifications with intraocular lens implant

Extracapsular cataract extraction with intraocular lens implant
____ is a cause of irreversible blindness and the most common cause of blindness in what pt population?
glaucoma

AAmerican
_____ is the most common form of glaucoma
chronic/primary open angle glaucoma (COAG)
Risk factors of COAG include
Age
AAmerican
Elevated IOP
Increased cup:disc
Family Hx
SXS of COAG include ...
None until advanced
What is the sequence of aqueous humor outflow?
Produced by Cilitary body -> through pupil into AC -> drains through trabecular meshwork into the Schlemm canal -> venous system
Main patho basis of glaucoma
Increased aqueous outflow resistance => increased IOP
A pts should be referred to optho in an glaucoma eval if the exam shows ...
Cup:disc > 0.5

Cup:disc asymmetry of more than 0.1
Most common cause of irreversible central vision loss in people 50+
macular degeneration
Pts with macular degeneration should be referred if ...
Recent onset decreased vision

Recent onset metamorphopsia

Recent onset scotoma
Tx of "Dry" AMD includes ..
Stop smoking!

Green and yellow veggies in diet; lutein

AREDS' formulation: vitamin C, vitamine E, beta carotene, zinc, cupric oxide
Tx of "wet" AMD includes...
Laser photocoagulation
Intravitreal injections of macugen or lucentis