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62 Cards in this Set

  • Front
  • Back
What is step 1 of the 8 part exam?
visual acuity
What is OD?
right eye
What is OS?
left eye
When is visual acuity abnormal?
< 20/20
T or F: "Normal vision" implies absence of ocular pathology?
FALSE
What is the pinhole test for?
assess if poor visual acuity is due to refractive error
What is refractive error?
i need glasses to see better
what is hyperopic?
farsighted
what is presbyopia?
deficient near vision (in 100% of non-myopes > 40yo)
What happens in myopia?
when the eye is longer than normal, so the image falls in front of the retina
What lens corrects myopia?
concave (diverging)
eye is shorter than normal --> image falls behind the eye --> __
hyperopia
convex lens corrects __
hyperopia
In PRK, you flatten cornea for __
myopia
in PRK, you steepen cornea for __
hyperopia
What are some complications of LASIK?
flap complications
dry eye
permenant loss of best-corrected visual acuity
undesirable glare
loss of night vision quality
What is step 2 of the 8 step exam?
visual fields
What do you check the blind spot with?
a small red object
What does FTCF mean?
visual fields all ok
What are hemianiopias?
visual field loss that is bitemporal or binasal
pituitary tumors will cause what?
bi-temporal hemianopia
bitemporal hemianopia and diminished libido -->
pituitary tumor
Meyer's loop injury -->
opposite upper quadrantanopia
What are the 3 signs of glaucoma?
visual field loss
pressure in the eye
optic nerve damage
T or F: Glaucoma is an optic neuritis
TRUE
damaged optic nerve w/ cupping -->
glaucoma
What does the Amsler grid do?
assesses the central 10 degrees of visual field which is useful for evaluating early macular pathology
What does a person w/ MD see when looking at an Amsler Grid?
some distortion (metamorphopsia) of the grid
What is the macula?
center of the retina responsible for fine central vision (20/8 - 20/20)
What is are-related macular degeneration?
mild to severe loss of central vision
macular tissue deteriorates
not total blindness
Why should ever-smokers avoid ARMD drugs w/ beta-carotene?
b/c they increase their risk of developing lung cancer
Atrophic MD --> (wet/dry)?
dry
Exudative MD --> (wet/dry)?
wet
Which MD is more common, wet or dry?
dry (90%)
What is the treatment for wet MD?
injectible anti-VEGF meds to stop leaking blood vessels
What is step 3 of the 8 part eye exam?
Pupil exam
How do you pick up RAPD?
swinging flashlight test
how can you tell which eye has the RAPD?
the eye that dilates when the light is shone into it (is shone a word)?
What drug causes dilation and loss of accomodation?
Scopolamine (common anti-nausea patch)
What is step 4 of the 8 step exam?
motility
What is orthphoric?
normal alignment
What is the hirschberg test?
rough measure of deviation. look at location of corneal light reflex
What are tropias?
eye that is constantly deviated
how do you pick up a tropia?
cover/uncover test
What is a phoria?
eye that is sometimes deviated
How do you pick up phorias?
cross-cover test
What is strabismus?
a misalignment of the two eyes --> tropias
in adults, strabismus causes...
binocular diplopia
in kids < 10, strabismus leads to...
amblyopia (lazy eye)
How do you treat amblyopia in a kid?
patch the good eye
loss of visual acuity not correctable by glasses in an o/w healthy eye -->
amblyopia
what is step 5 of the 8 step exam?
external exam
What is blepharitis?
chronic inflammation of the lid margin
What is meibomitis?
inspissated meibomian glands (rosacea)
How do you treat meibomitis?
hot compresses, eyelid massage
PO doxycycline
Stye -->
acute hordeola
staph abscess of lash follicle -->
external hordolum
staph abscess of meibomia gland w/ swelling in tarsal plate -->
internal hordeolum
meibomian cyst that is a painless, roundish firm lesion w/in tarsal plate that is chronic granulomatous reaction -->
chalazion
what is blepharoptosis?
upper lid margin rests at a lower position than normal
Horner's -->
ptosis (2mm), miosis, anhidrosis
pancoast's tumor -->
tumor at base of lung that causes Horner's