Ophthalmology - Abo/okap - Retina

Front 1

Tx for extramacular TRD?

Back 1

observation. Treat when threat of mac detach

Front 2

ICG pattern in EAMD most useful in directing laser Tx

Back 2

Hotspot

Front 3

3 signs of CNVM

Back 3

Pigment ring or mound
SR heme
oval or round grayish-white SR lesion

Front 4

Retinal changes in Louis-Bar

Back 4

none (aka ataxia-telangiectasia)

Front 5

Name findings in retinitis pigmentosa besides pigmentary changes

Back 5

attenuated arteries, waxy pallor of ON, cataract, vitritis, CME, ONH drusen

Front 6

Juxtapapillary CNVM
1. Which organism should you consider
2.Region of highest incidence?

Back 6

1. histoplasmosis (POHS)
2. Ohio-Mississipi River Valley

Front 7

In RP which cells are damaged?

Back 7

Rods

Front 8

Identify eight things that have CME without leakage

Back 8

JUNG & Restless use AT&T:
Juvenile XL retinoschesis, Usher's, Nicotinic acid, Goldman-Favre, RP, Abraxane, Taxotere, Taxol

Front 9

Psuedoxanthoma elasticum
1. Ocular findings
2. systemic findings

Back 9

1. angioid streaks, ONH drusen, peau-d-orange retina
2. plucked chicken skin, AVM's, gi bleeds

Front 10

Identify three disorders that will give heme pre, intra and subretinal

Back 10

macroaneurysms, shaken baby/trauma, sickle cell

Front 11

a patient with a short eye and thickened sclera results in recurrent effusions.
1. name this syndrome
2. why does it occur
3. Tx

Back 11

1. uveal effusion syndrome
2. thickened sclera causes a constriction on vortex veins
3. sclerotomies around the vortex veins

Front 12

Tx for RD associated with CMV

Back 12

VTx, sil oil, endolaser

Front 13

Pars plana cysts
1. how common?
2. contain
3. assoc Dz

Back 13

1. 16-18% of population
2. mucopolysaccharidoses
3. Multiple myloma (but not diagnostic)

Front 14

Retinoschisis layers:
1. juvenile X-linked
2. Reticular
3. involutional

Back 14

1. NFL
2. NFL
3. OPL

Front 15

Gyrate atrophy
1. deficient enzyme
2. increased molecule
3. chromosome

Back 15

1. Ornithine aminotransferase
2. ornithine
3. 10

Front 16

Are ERG amplitudes reduced in carriers of:
1. Juv Xlinked RP
2. Choroderemia

Back 16

1. yes
2. no

Front 17

Most common location of tears following PVD?

Back 17

between 10 & 2

Front 18

Pathophysiology of commotio

Back 18

disruption of photoreceptors

Front 19

Order of retinal tears following blunt trauma

Back 19

dialysis>Giant RT> flap tears > tears from lattice

Front 20

Prognosis of shaken baby syndrome?

Back 20

poor, due to macular scars

Front 21

signs of DIC

Back 21

Serous RD, RPE changes, fibrinoid necrosis of choriocapillaris

Front 22

FA findings of solar/photic retinopathy

Back 22

acute: hyperFL/staining, no leak
longterm: hyperFL/window

Front 23

Most common complication of MFC

Back 23

CNVM

Front 24

what physiologic factor predisposes to choroidal effusion following PRP?

Back 24

Short axial length (<23mm)

Front 25

What physiologic factor protects against PDR?

Back 25

Complete PVD

Front 26

Tx for ROP can have what kind of long tern effects?

Back 26

Decreased night vision (decreased rods), loss of K sensation or accomodation (involvement of long ciliary nerves)

Front 27

What is the % of spontaneous regression of ROP

Back 27

85%

Front 28

Uncommon causes of RAO

Back 28

fat emboli, cardiac myxoma, talc, mitral valve prolapse, vasculitides, connective tissue d/o's

Front 29

Most common cause of bull's eye maculopathy

Back 29

Cone dystrophy

Front 30

Up to which layer does the retinal vascularity provide O2/nutrients

Back 30

inner nuclear layer

Front 31

Paving stone degeneration represents what pathology?

Back 31

Occlusion of the choroid

Front 32

Which Dz (VKH or SO) involves the choroid?

Back 32

VKH

Front 33

Describe the Purkinje shift

Back 33

a shift in peak spectral sensitivity from 555nm to 505nm with dark adaptation

Front 34

What is an abnormal Arden ratio?

Back 34

<1.75

Front 35

1. ataxia, pigmentary retinopathy, deaf, cardiac myopathy - name Dz?
2. age range
3. abnormal lab
4. Tx

Back 35

1. Refsum's Dz
2. infantile and adult forms
3. Elevated phytanic acid
4. dietary restriction

Front 36

Abnormal EOG in what medications?

Back 36

chloroquine & hydroxychloroquine (late finding, not good for screening)

Front 37

What is the minimum frequency to isolate cones in ERG?

Back 37

20-25Hz

Front 38

Normalization of scotopic ERG after 4-8 hrs of dark adaptation is a hallmark of what? Why?

Back 38

fundus albipunctatus
prolonged rhodopsin regeneration rate

Front 39

Prevalence of cobblestoning in adults?

Back 39

22%

Front 40

Prevalence of lattice in adults?

Back 40

10%

Front 41

Portion of symptomatic PVD's with hole/tear?

Back 41

10%

Front 42

Percentage of patients with nonischemic CRVO that will progress to NV?

Back 42

5%

Front 43

Prevalence of AMD in Americans >55 y/o

Back 43

1 in 10,000

Front 44

Most important aspect of pneumatic retinopexy

Back 44

surface tension

Front 45

annual incidence of CNV of fellow eye in POHS and unilateral CNV

Back 45

2%

Front 46

Percentage of patients that have progressive POHS over 5-15yrs

Back 46

15-20%

Front 47

describe the clinical differnces of fundus albipuncatas, retinitis punctata albescens, and familial drusen

Back 47

all have multiple white/cream appearing lesions in the midperiphery. RPA has attenuated vessels, FD has non-uniform lesions that form grapelike clusters

Front 48

What fatal condition can be associated with AMPE?

Back 48

cerebral vasculitis

Front 49

phacomatoses with seizures?

Back 49

The ones with a capital S
Sturge-Weber
Tuberous Sclerosis (Bourneville's)

Front 50

Phacomatoses that are sporadic?

Back 50

Those with a capital W in the name:
Sturge-Weber
Wyburn Mason

Front 51

Key aspects in color deficit naming

Back 51

Pro = red
Deu = green
Tri = blue

Front 52

describe pigmented retinal lesion seen in a Gardner's syndrome

Back 52

increased central pigment with lighter halo and a tail pointing to the ONH

Front 53

Difference in RF's for BRVO vs CRVO

Back 53

DM is a RF for CRVO but NOT BRVO

Front 54

Radiation retinopathy.
1. When does it occur?
2. Tx?

Back 54

1. ~18mo after rad Tx
2. similar to DM

Front 55

Vitreo retinal tufts
1. name the different types
2. what are the associated RD risks

Back 55

noncystic: no RD risk
Cystic: <1% risk of RD
Zonular traction: 2-10% risk of RD

Front 56

Choroideremia
1. inheritance
2. onset

Back 56

1. Xlinked recessive
2. late childhood

Front 57

Annual w/u for patients with VHL?

Back 57

imaging of the head, abd, and urinalysis

Front 58

Stary Sky DDx

Back 58

LSU Cheerleaders Hate Playing Volleyball on Mondays
Lupus
SO
Uveal effusion syndrome
CSCR
Hypotony maculopathy
Posterior scleritis
VKH
MCP and malignant hypertension

Front 59

Peripheral NV DDx

Back 59

Fires of Thor
FEVR
Incontinentia pigmenti
ROP
Eales Dz
Sickle Cell
Talc
hyperviscosity
OIS
Retinoschisis

Front 60

FA findings in ocular ischemic syndrome?

Back 60

leaking veins in late FA

Front 61

Stargardt's
1. inheritance
2. early appearance

Back 61

1. AR>>AD
2. beaten metal