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11 Cards in this Set

  • Front
  • Back

What is diabetic retinopathy the leading cause of in the U.S.?



What are the two types?

Blindness among the working age.



Nonproliferative and proliferative.

What are the clinical manifestations of non-proliferative diabetic retinopathy?

- Microaneurysms


- Intraretinal hemorhages


- Hard exudate (lipid deposits)


- Cotton-wool spots


- Macular edema

What do you commonly see in proliferative diabetic retinopathy?



How is diabetic macular edema (swelling in center of retina) treated?

Retinal neovascularization.



VGEF injections.

What are the acute and chronic efects of hypertensive retinopathy?

Vasospasm to autoregulate perfusion.



Arteriosclerosis


Predisposes eyes to vision loss from vascular occlusions or macroaneurysms.

What are the clinical findings in hypertensive retinopathy?


- Intraretinal hemorhages


- Hard exudate (lipid deposits)


- Cotton-wool spots


- Ateriovenous nicking


- Copper wire arterioles


- Macroaneurysms


- Optic disc swelling

What condition can lead to blurry vision in pregnancy and how can it be managed?

Preeclampsia - hypertension and protein in urine.



Control blood pressure. Deliver early if severe.

What can be ocular effects of sickle cell anemia?



How are they managed?

- Branch or central retinal artery occlusion.


- Microaneurysms


- Salmon patch hemorrhages


- Black sunburst


- Retinal neovascularization (Sea Fan)



Laser photocoagulation if neovascularization present


What are the ocular effects of sarcoidosis?



How is it managed?

- Anterior uveitis (most common)


- Posterior uveitis


- Enlargement of lacrimal gland


- Granulomatous nodules in conjunctiva



Immune supression locally (i.e. topical steroid eyedrops) and systemically.


Discuss the most common causes of ocular tumors.

The most common cause of intraocular tumors are uveal metastases. Men - lung cancer, women - breast cancer



The most common primary intraocular tumor is melanoma.

What causes syphilis and what ocular symptoms are seen?

Spirochete Treponema pallidum - treated with IV penicillin


"the great imitator"



Causes:


  • Conjunctivitis scleritis
  • interstitial keratitis
  • granulomatous uveitis
  • large keratic precipitates
  • iris nodules

What is endogenous endophthalmitis?



What are the clinical findings?



How is it managed?

Infection in body that spreads to the eye.



Decreased vision, red eye, AC and vitreous inflammation



IV and intraocular antibiotics.