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19 Cards in this Set
- Front
- Back
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Nuclear sclerotic cataracts affected _____ vision more than _____ vision
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distance
near |
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Nuclear sclerotic cataracts result in a "second sight phenomenon" in which the refractive power _____ leading to a myopic shift
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increases
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Posterior subcapsular cataracts affect _____ vision more than ____ vision
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near
distance |
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General sxs of cataract include
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glare
halos starbursts monocular diplopia |
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Do cataracts have RAPD?
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no
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Two indications for tx of cataracts
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1. Reduced vision interferes with daily life
2. Cataract obscures the view in the retina or optic nerve cannot be examined properly |
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Two surgical tx for cataract include
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Phacoemulsifications with intraocular lens implant
Extracapsular cataract extraction with intraocular lens implant |
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____ is a cause of irreversible blindness and the most common cause of blindness in what pt population?
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glaucoma
AAmerican |
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_____ is the most common form of glaucoma
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chronic/primary open angle glaucoma (COAG)
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Risk factors of COAG include
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Age
AAmerican Elevated IOP Increased cup:disc Family Hx |
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SXS of COAG include ...
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None until advanced
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What is the sequence of aqueous humor outflow?
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Produced by Cilitary body -> through pupil into AC -> drains through trabecular meshwork into the Schlemm canal -> venous system
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Main patho basis of glaucoma
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Increased aqueous outflow resistance => increased IOP
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A pts should be referred to optho in an glaucoma eval if the exam shows ...
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Cup:disc > 0.5
Cup:disc asymmetry of more than 0.1 |
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Most common cause of irreversible central vision loss in people 50+
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macular degeneration
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Pts with macular degeneration should be referred if ...
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Recent onset decreased vision
Recent onset metamorphopsia Recent onset scotoma |
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Tx of "Dry" AMD includes ..
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Stop smoking!
Green and yellow veggies in diet; lutein AREDS' formulation: vitamin C, vitamine E, beta carotene, zinc, cupric oxide |
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Tx of "wet" AMD includes...
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Laser photocoagulation
Intravitreal injections of macugen or lucentis |