Acquired macular disorders

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Acquired macular disorders

Age-related macular degeneration Introduction • Definition: degeneration affecting the macula; characterized by drusen and RPE changes, and sometimes CNV. • Classification: non-exudative (‘dry’)—most common, and exudative (‘wet’); the latter is…

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Trauma

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Trauma

Eyelid trauma Periocular haematoma • A ‘black eye,’ consisting of a haematoma (focal collection of blood) and/or periocular ecchymosis (diffuse bruising) and oedema, is a very common result of blunt…

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Glaucoma

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Glaucoma

Ocular hypertension Diagnosis • Normal IOP: mean IOP in the general population is 16 mm Hg; two standard deviations to either side of this gives a ‘normal’ IOP range of 11–21 mm…

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Hereditary fundus dystrophies

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Hereditary fundus dystrophies

Generalized photoreceptor dystrophies Retinitis pigmentosa Genetics: Typical retinitis pigmentosa (RP) is a group of retinal dystrophies initially mainly affecting the rod photoreceptor cells and subsequently cones (rod–cone dystrophy). It can…

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Retinal detachment

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Retinal detachment

Definitions • Retinal detachment (RD): separation of the neurosensory retina (NSR) from the RPE, with the accumulation of subretinal fluid (SRF). • Rhegmatogenous RD: occurs when a full-thickness defect in…

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Strabismus

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Strabismus

Amblyopia Definition: unilateral, or rarely bilateral, subnormal best corrected VA caused by form vision deprivation and/or abnormal binocular interaction, for which there is no identifiable pathology of the eye or…

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Ocular side effects of systemic medication

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Ocular side effects of systemic medication

Cornea Vortex keratopathy (cornea verticillata) • Signs: (a) fine greyish or golden-brown opacities in the inferior corneal epithelium, (b) progressing to a whorl-like pattern that originates from a point below…

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Lens

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Lens

Acquired cataract Age-related cataract • Subcapsular ( Fig. 9.1 ): (a) anterior lies directly under the lens capsule, and (b) posterior lies just in front of the posterior capsule and…

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Conjunctiva

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Conjunctiva

Bacterial conjunctivitis Acute bacterial conjunctivitis Pathogenesis: direct eye contact with infected secretions; most common isolates are S. pneumoniae , S. aureus , H. influenza , and Moraxella catarrhalis ; uncommon…

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Vitreous opacities

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Vitreous opacities

Muscae volitantes Muscae volitantes are extremely common minute fly- or worm-like physiological opacities best seen by the patient against a pale background. They are thought to be predominantly composed of…

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