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