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21 Cards in this Set

  • Front
  • Back
Give the eye disease effect of:
heat and sun
catarct, pterygium, solar keratopathy, BCC
Give the eye disease effect of:
insect vectors:
onchocerciasis
Give the eye disease effect of:
warm, humid climate
fungal and bacterial keratitis
Give the eye disease effect of:
malnutrition
xerophthalmia
poor hygiene
trachoma, epidemic conjunctivitis
Which are the easily preventable causes of blindness in the tropics?
1. trachoma
2. xerophthalmia
3. onchocerciasis
Which are the easily treatable causes of blindness in the tropics?
cataract
uncorrective refractive errors
Which are less easy to prevent?
1. glaucoma
2. corneal scar
3. uveitis
4. injury
5. diabetic retinopathy
What are childhood causes of blindness?
1. xerophthalmia
2. measles, congenital rubella (vaccine)
3. retinopathy of prematurity
4. congenital cataract
what is the leading cause of blindness in africa?
cataracts because of UV light and metabolic disorders (but surgery is fast, cheap and safe)
What is the treatment for trachoma? SAFE
1. Surgery: trachiasis
2. Antibiotics: tetracycline, zithromax (single dose)
3. Facial cleanliness
4. Enviromental
What is onchocerciasis and what causes it?
river blindness, caused by nematode worm onchoncerca vovulus...it is the world's second leading cause of infective blindness
How is onchocerciasis transmitted?
black fly that lives near rivers transmits the onchoncerca worm to people.
what are features of onchocerciasis infection?
1. snowflake corneal opacities
2. sclerosing keratitis
3. pupil irregularity
4. iris atrophy
5. skin nodules (these can be snipped and investigated with DNA probe or Mazotti test)
What is the treatment for the onchocerciasis infection?
ivermectin-kills the microfilaria and sterilises the female worm, but doesn't restore blindess
What causes xerophthalmia?
vit A deficiency from fruits, veg
What are sings of vitamin A def?
1. dryness
2. creamy white debris on cornea
3. pigmented changes on the white of the eye with foamy deposit
4. thickening of conjunctiva
What are signs/symptoms of vit. A toxicity?
headaches, vomiting, nausea
How does HIV contribute to blindness?
1. CMV retinits and HSV infections are facilitated (because of low CD4)
How is CMV treated?
How is CMV diagnosed?
gancyclovir
fully dilated fundus
How does CMV retinitis appear on fundoscopy?
1. dense retinal whitening ranging from: fluffy to dry and granular
2. it spreads centrifugally (like brush-fire)
3. characteristic small white satellite lesions