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Retinal Vascular Disease
Ocular Disease III Exam 2
42
Medical
Graduate
03/09/2013

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Term
2 types of vitreal hemorrhages
Definition
Retrovitreous
Intravitreous
Term
Another term for Pre-Retinal Hemorrhages, based on their shape
Definition
Boat hemorrhages
Term
Color changes with resolution of a pre-retinal heme
Definition
red > yellow > white
Term
FANG appearance of a pre-retinal heme
Definition
Black area due to blockage of choroidal fluorescein
Term
Dot/Blot hemes/Deep Retinal Hemes are found in which layers? (3)
Definition
INL
OPL
ONL
Term
Pre-retinal hemes are usually caused by ______________ (vessel)based disease
Definition
Artery based disease
Term
Deep Retinal hemes are usually associated with ________________- (vessel) based disease
Definition
Venous based congestive disease
Term
Subretinal hemes are between which layers
Definition
RPE and sensory retina
Term
Differentiate color appearance in a subretinal heme vs. Sub-RPE
Definition
Subretinal=bright red
Sub-RPE=gray, green
Term
Common cause of subretinal hemorrhages
Definition
Ruptured CNV
Term
Name 4 possible substances thought to be the white in the center of a Roth spot
Definition
WBCs
CWS
Leukemic cell foci
Fibrin
Term
Name 4 conditions associated with Roth Spots
Definition
DM
Pernicious Anemia
Bacterial Endocarditis
Leukemia
Term
How do microaneurysms affect vision
Definition
No impact on vision unless near the macula
Term
What may occur secondary to a retinal macroaneurysm
Definition
edema, exudate and heme
Term
Appearance of Macroaneurysm on FA
Definition
Fills in the arterial phase, then late stage leakage
Term
Macroaneurysm follow up time if asymptomatic and there are no exudates or hemorrhages
Definition
6 month f/u
Term
Macroaneurysm follow-up time if asymptomatic but there is exudate/hemorrhage
Definition
1-3 mo f/u
Term
Macroaneurysm follow up if symptomatic and it threatens the macula
Definition
Retinal consult
Term
Clinical term for lipid deposits associated with deep retinal edema
Definition
Hard Exudates
Term
Hard exudates are associated with these 3 conditions
Definition
1-CNVM
Intra-retinal EDEMA
Retinal Vascular tumors (Coat's)
Term
At what point do hard exudates warrant a retinal consult and FA
Definition
if within 1/3DD from the macula
Term
How do Cotton wool spots appear on FA
Definition
Non-distinct black shape on FA
Term
Assuming the cause is under control, approx how long will it take for a CWS to resolve
Definition
5-7 weeks
Term
What does IRMA stand for
Definition
Intra-retinal Microvascular Anomalies
Term
___________________tends to leak and bleed whereas IRMA does not
Definition
Neovascularization
Term
Which vascular 'condition' represents and intraretinal shunting system in an attempt to drain fluid
Definition
IRMA
Term
What areas may IRMA develop in
Definition
Areas with severe capillary non-perfusion
Term
Follow-up for IRMA
Definition
retinal consult and FANG
Term
A _________________ is a new BV between either 2 arteries or between 2 veins
Definition
Collateral
Term
A _________________ is a new BV between an artery and a vein
Definition
Shunt
Term
Which is more fragile, neo vascularization or shunts/collaterals
Definition
Neo is more fragile
Term
A main differential between congenital and acquired tortuosity
Definition
Congenital=all quadrants
Acquired=sectoral
Term
Term for bulges in the wall of a vein that indicates ischemia
Definition
Venous beading
Term
In fluorescein angiography, the sodium binds to what substance in the blood
Definition
Serum Albumin
Term
Name 5 potential side effects of FANG
Definition
Discolored urine/skin
nausea/vomiting
fainting
shock
hives/itching
Term
Why does the macula hypofluoresce compared to the rest of the retina in FA
Definition
The RPE is more dense at the macula
Term
If the cilioretinal artery is present, in what FANG phase will it fill?
Definition
Choroidal flush
Term
How soon before retinal filling does the choroidal flush occur in FANG
Definition
1-3 seconds
Term
Vessels empty but leaked fluid remains visible during this phase of the FANG
Definition
during the late phase, 10 min post-injection
Term
Which phase of FANG is best to view FAZ
Definition
Venous phase
Term
Name 5 medications that create risk for NAAION
Definition
ED meds
Amiodarone
Nasal decongestants
Interferon
Antihypertensives
Term
NAAION is a ___________sized vessel disease whereas AAION affects ___________________
and _____________________sized arteries
Definition
NAAION=small
AAION=medium and large
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