Shared Flashcard Set

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Ophthalmology
Ophtho exam
29
Medical
Post-Graduate
07/14/2011

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Cards

Term
Images focus in front of retina
Definition
Myopia (nearsightedness)
Term
Images focus behind retina
Definition
Hyperopia (farsightedness)
Term
Term describing a loss of accommodation; manifests in early 40s
Definition
Presbyopia
Term
Medicines contraindicated for LASIK
Definition
Accutane, Imitrex, Amiodarone
Term
Used to measure the corneal thickness
Definition
Pachymetry
Term
Measures the properties of light entering and exiting the eye to map the patient's individual refractive properties and aberrations
Definition
Wavefront analysis
Term
Used in determining the needed refractive power of intraocular lenses
Definition
Ultrasound and interferometry
Term
Laser procedure for refractive correction that does not involve corneal flap construction; can be performed on a thin cornea; long-term stability; requires a longer healing period before vision returns; slightly higher risk of infection
Definition
Photorefractive keratectomy (PRK)
Term
Laser procedure for refractive correction that involves loosening the epithelium with alcohol, carefully rolling it back, treating the underlying surface with the laser, then replacing the sheet of epithelium back over the cornea
Definition
LASEK (laser subepithelial keratomileusis)
Term
Laser procedure for refractive errors in which a flap is reflected back and the laser energy is delivered to reshape the cornea; fast visual recovery; thin corneas not good candidates; diffuse lamellar keratitis (deposits underneath the flap)
Definition
LASIK (laser in situ keratomileusis)
Term
Corrective procedure for refractive errors (low hyperopia & astigmatism) that uses a fine conducting needle to deliver radiofrequency energy into the peripheral cornea in set patterns. This shrinks corneal collagen fibers, thereby reshaping the cornea.
Definition
Conductive keratoplasty
Term
Corrective procedure for pts with refractive errors who are not candidates for corneal surgery (cornea too thin, too flat, too steep)
Definition
Natural lens replacement
Term
Monocular, painless, transient loss of vision; DDx: CRAO, ocular migraine, hyperviscosity syndromes
Definition
Amaurosis Fugax "Fleeting Blindness"
Term
Most common type of intraocular malignancy in adults? MC site?
Definition
Metastatic carcinoma (breast & lung); choroid mets are MC bc of rich vascular supply
Term
Characteristic triad of late ocular complications in this autoimmune dz includes iritis, cataract, and band keratopathy
Definition
Juvenile Rheumatoid Arthritis
Term
Components of uvea
Definition
iris, ciliary body, choroid
Term
Form of cellulitis that involves anterior lid structures and periorbital tissues. The eye is normal. Examination will reveal lid swelling and erythema, but visual acuity, motility, and ocular structures will be normal.
Definition
Preseptal cellulitis
Term
Term used to describe hardening of the lens as a result of age; contributes to presbyopia
Definition
Nuclear sclerosis
Term
MCC of new cases of legal blindness in Americans older than 65
Definition
Age-related macular degeneration
Term
Risk factors of this disease process include increased age, black race, fam hx, myopia, decreased corneal thickness
Definition
Primary Open-Angle Glaucoma
Term
Give MOA and drug class for this group of drugs: epinephrine, dipivefrin (propine), apraclonidine, brimonidine
Definition
Adrenergic agonists that treat glaucoma by lowering resistance to aqueous outflow
Term
Give MOA and drug class for this group of drugs: pilocarpine, carbachol, and echothiphate iodide
Definition
Cholinergic agonists (parasympathomimetics) work by increasing aqueous outflow
Term
Treatment of this eye disorder is with cyclosporine drops; important to treat bc of increased risk of corneal ulceration
Definition
Dry Eyes
Term
Strongest layer of the cornea, on which grows endothelium, a single cell layer which maintains corneal clarity
Definition
Descemet's membrane
Term
What is the treatment of corneal abrasion?
Definition
Cyclopentolate (to relieve pain caused by ciliary body spasm), topical antibiotic drops, oral analgesics
Term
Corneal involvement in this condition has characteristic epithelial dendrites detected by staining with fluorescein. Pt should be immediately referred to an opthalmologist.
Definition
Herpes simplex virus involvement of the cornea
Term
What are the most common severe ocular manifestations of SLE?
Definition
Retinopathy and optic neuropathy
Term
What is the most common ocular presentation of sarcoidosis?
Definition
granulomatous uveitis
which is characterized in part by large clumps of cellular deposits on the endothelial layer of the cornea; may have choroiditis with "candlewax drippings"
Term
Most common presentation of temporal arteritis
Definition
ischemic optic neuropathy
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