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Glaucoma and Red Eye Lecture
Exam 1 Material
26
Medical
Graduate
01/16/2011

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Cards

Term
How is glaucoma clinically defined?
Definition
optic neuropathy that causes a characteristic change in the optic nerve head cup and rim with associated visual field abnormalities
Term
How many people worldwide suffer from glaucoma?
Definition
67 million
Term
What is the composition of aqueous humor?
Definition
high in ascorbate, low in protein
Term
What is the turnover rate of aqueous humor?
Definition
90-120 minutes
Term
Describe the pathway of uveo-scleral outflow.
Definition
Flow through root of iris, beneath the ciliary body, and through scleral channels to the episcleral veins
Term
What's Goldman's equation of IOP?
Definition
P = F (inflow)/ C (outflow) + evp (episcleral venous pressure)
Term
How does the thickness of the cornea relate to the risk of damage?
Definition
The thinner the cornea, the greater the risk of damage from glaucoma
Term
How do muscarine alkaloids and prostaglandin analogs treat open angle glaucoma?
Definition
They increase outflow
Term
What are the key side effects of prostaglanding analogs?
Definition
skin pigmentation, lash growth, and change in iris pigment
Term
What are the two main side effects of alpha 2 agonists?
Definition
insomnia and dry eye (contra-indicated in infants)
Term
What are the three main risk factors for closed angle glaucoma?
Definition
hyperopia (far-sightedness), advancing cataract,  and being Asian or Native American
Term
Are scleritis and iritis non-threatening or vision-threatening?
Definition
vision-threatening
Term
Halo vision is likely due to which possible causes?
Definition
corneal edema due acute glaucoma or contact lens overwear
Term
What is the recommended treatment for a hordeolum/chalazion?
Definition
warm compresses several times a day
Term
What are the  potential consequences for preseptal/periorbital cellulitis?
Definition
no systemic illness association,  no double vision or painful eye movements, and no pupil abnormality
Term
What is orbital cellulitis commonly associated with?
Definition
sinus disease
Term
What effect does orbital cellulitis have on the motility of the eye?
Definition
impaired, painful with or without proptosis
Term
What is congenital nasolacrimal duct obstruction commonly due to?
Definition
stricture of valve in the nasolacrimal duct under the inferior turbinate of the nose
Term
Stringy, white or yellow mucus discharge in conjunctivitis indicates what etiology?
Definition
allergy
Term
In viral conjunctivitis, what other sign is usually present?
Definition
preauricular lymphadenopathy
Term
What is the recommended treatment for gram (+) bacterial conjunctivitis? gram (-) ?
Definition
erythromycin/ tobramycin
Term
What was the old treatment for chlamydia conjunctivitis, and what is recommended now?
Definition
silver nitrate/ erythromycin
Term
What three major eye issues should be dealt with immediately?
Definition
hyphema, iritis, and glaucoma
Term
What are some of the key signs for some with acute closed-angle glaucoma?
Definition
eyes fixed mid-sized and dilated, hazy or steamy cornea, halo vision eye pain, and nausea/vomiting
Term
What is the recommended treatment for a chemical injury to the eye?
Definition
prompt irrigation
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