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30 Cards in this Set

  • Front
  • Back
What are some possible causes of transient monocular vision loss?
Ischema to the retina, optic nerve
What are some local causes of transient monocular vision loss? Remote?
Local:
Papilledema
Impending occlusion

Remote:
Cervical carotic artery stenosis
Systemic hypotension
What is a hellenhorst plaque? Where does it come from? What does it look like?
What is a hellenhorst plaque?  Where does it come from?  What does it look like?
It's just a plaque in the retinal artery

It most likely is coming from the cervical carotid artery
What are some causes of transient binocular vision loss?
1. Migraine
2. TIA
3. Seizures
An infarction of what arteries could cause visual symptoms?
Basilar artery
Posterior cerebral artery
MIddle cerebral artery
What are some possible causes of acute persistent visual loss?
Vitreous hemorrhage
Retinal detachment
Retinal hemorrhage
Retinal infection
Retinal artery occlusion
Ischemic optic neuropathy
Optic neuritis
Optic nerve/chiasm compression or infiltration by a tumor
Occipital lobe infarction
FAKING
What does the retina look like in vitreous hemorrhage?
What does the retina look like in vitreous hemorrhage?
What are some causes of vitreous hemorrhage?
DM
Trauma
HTN
Sudden increase in ICP
What does the retina look like if it's detached?
What does the retina look like if it's detached?
All blurry/fuzzy
What does the eye look like if you've got macular hemorrhage?
What does the eye look like if you've got macular hemorrhage?
Different kinds of hemorrhage in the eye
What is the difference between surface and submacular hemorrhage?
Surface: splotchy
Submacular: more demarcated borders
What does the eye look like in macular infection?
What does the eye look like in macular infection?
Blurry
What does the eye look like in a retinal artery occlusion?
What does the eye look like in a retinal artery occlusion?
Whitening of the retina: ischemia

Center of the fovea is very red: cherry red spot
What does the eye look like if there's a retinal vein occlusion?
What does the eye look like if there's a retinal vein occlusion?
Wavy red lines all across the surface of the retina
What is the cause of a retinal vein occlusion?
Thrombus
What's the most common cause of retinal vein occlusion?
A slowing of flow through the blood through the retinal artery-->stasis-->clotting
What are causes of monocular flashes?
Vitreoretinal traction

Impending retinal vascular occlusion
What are causes of binocular flashes?
Migraine
Occipital lobe ischemia
Occipital lobe seizure
What are causes of floaters?
THE VITREOUS:

Aging or myopia
Detachment
Hemorrhage
INflammation
Are myopes or hyperopes more prone to floaters?
Floaters
What are causes of abnormal tearing?
Poor drainage
Inflamed anterior ocular segment
What is anisocoria?
Aniso: unequal

Coria: pupil
What are causes of isolated anisocoria with normal constriction?
It's physiologic
What do you think if there's isolated anisocoria and one pupil doesn't constrict normally?
Iris trauma
Inflammation or ciliary ganglion/nerve lesion
If there's ptosis on the side of a smaller pupil and both constrict normally, what do you think?
Horner's
If there's ptosis on the side of a larger pupil and that pupil doesn't constrict normally, what do you think?
3rd CN palsy
What two muscles are responsible fro elevating the superior palabra? What is the innervation?
Levator palabrae superior: PNS

Mueller's muscle: SNS
What are some causes of ptosis?
Wearing out of the levator tendon
Trauma
Mass/inflamation
Myasthenia gravis
Horner's
CNIII palsy
What is proptosis?
The bulging of the eye from the orbit
What are some possible causes of hallucinations and illusions?
Ocular
Occipital
Medicinal
Encephalopathic
Psychotic