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35 Cards in this Set

  • Front
  • Back
Classify possible complications of cataract surgery
Anesthetic complications; surgical complications
What r d possible anesthetic complications ff cataract surgery
Failure of anesthesia; needle can penetrate d globe; brainstem anesthesia n death; retrobulbar hemorrhage;
What r d surgical intraop complications of cataract surgery
Hyphaema; injury to iris; injury to cornea; posterior capsule tear; vitreous loss;
What r d immediate post-op complications of cataract surgery
Iris prolapse; striate keratopathy; corneal edema (hazy); hyphema; iritis; elevated IOP; endophthalmitis
What r d late post-op complications of cataract surgery
Cystoid macular edema; glaucoma; retinal detachment
What do u do in examination of d eye
visual acuity; examine lids, lashes, eyeball, conjuctiva, cornea, anterior chamber depth etc
What r eye ball causes of proptosis
retinoblastoma; melanoma
What r vascular causes of proptosis
capillary hemangioma; cavernous hemangioma; lymphangioma; orbital varices
What r soft tissue causes of proptosis
inflamm conditions eg thyroid eye dx, orbital myositis, pseudotumor, tolosa hunt tumour; tumors eg optic nn glioma; cysts eg dermoid; infiltrative conditions eg lymphoma
What is enucleation
removal of d whole eye; rectus mzs r transacted; optic nerve severed
What is evisceration
involves removing d contents of d eye 2ru an incision in d sclera coat leaving extraocular mzs n optic nn attached to sclera
What investigations shd be done in proptosis
Baseline eg FBC; skull Xray – water’s view, caldwell’s view, Rahase view; CT scan; MRI
What does Caldwell’s view show
orbit
What does Waters view show
maxillary sinuses
What does Rahase view show
optic canal
What r d causes of corneal opacity
injuries due to chemical burns/trauma; exposure keratopathy; infx eg keratitis; trachoma; leprosy
What r d uses of viscoelastic in ophthalmology
lubricate corneal epithelium; protect corneal endothelium; deep anterior chamber; arrest bleeding; lubricate post capsule
What r d qualities of viscoelastic
clear/colourless; inert; gelatinous; sterile;
What r d problems of viscoelastic
increased IOP -> glaucoma
What r d uses of N/S in ophthalmology
dilate pupil; prevent bleeding; moisten cornea; inflate eye; remove debris
Why do u wash gloved hands with NS b4 Sx
to prevent talcophthalmitis
What r d parts of a PCIOL
optic part; haptic part
Introduce viscoelastic
a material used to substitute for aqueous humor lost n to protect d corneal epithelium
What r d things to look out for on Fundoscopy
Color of disc; cup disc ratio; vessels; margins; macula
What r d risk factors of open angle glaucoma
incr age; genetics; black race;
Classify causes of 2ry open angle glaucoma
pre-trabecular; trabecular; post-trabecular
What r d pre-trabecular causes of 2ry open angle glaucoma
epithelial ingrowth ff cataract sx; fibrovvlar prolif in front of trabecular meshwork; membranes over meshwork
What r d trabecular causes of 2ry open angle glaucoma
What r d causes of 2ry angle closure glaucoma
complicated cataract, intumescent cataract; intraocular tumor; trauma
What r d risk factors for pterygium
UV radiation; chronic irritation
How can pterygium present
innocuous; irritation; itching; blurring of vision;
What r d indications for pterygium excision
visual affectation; cosmetic indications; inflammation with pain n all
Classify blindness n visual impairment
VA < 3/60 = blind; VA 3/60 -6/18 = low vision; VA 6/18 n better = normal
What r d 5 common causes of blindness in Ngr
cataract; glaucoma; trachoma; onchocerciasis; corneal opacity (most of dem r avoidable)
What r d possible complications of pterygium excision
corneal perforation; scleral perforation; sclera necrosis; infx eg endopht; inadvertent disinsertion of medial rectus; cataract; retinal necrosis