Systemic Emergencies

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on Systemic Emergencies

14 SYSTEMIC EMERGENCIES Systemic Emergencies in an Office-Based Practice Nicky R. Holdeman Most of the problems encountered by an eye care provider are not life threatening, but many conditions can…

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Other Infectious Diseases

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on Other Infectious Diseases

9 OTHER INFECTIOUS DISEASES Acanthamoeba Keratitis Nicky R. Holdeman      THE DISEASE Pathophysiology Acanthamoeba keratitis (AK) is a rare, sight-threatening disease, which results from colonization of the cornea with the free-living,…

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Fungal Infectious Diseases

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on Fungal Infectious Diseases

8 FUNGAL INFECTIOUS DISEASE Fungal Keratitis Nicky R. Holdeman ICD-9: 370.05      THE DISEASE Pathophysiology Fungal keratitis results from invasion of the cornea by a fungal organism. While fungi are ubiquitous,…

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Retina

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Retina

Retina 11.1 Posterior Vitreous Detachment Symptoms Floaters (“cobwebs,” “bugs,” or “spots” that change position with eye movement), blurred vision, flashes of light, which are more common in dim illumination and…

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Neuro-Ophthalmology

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Neuro-Ophthalmology

Neuro-Ophthalmology 10.1 ANISOCORIA Eyelid position and extraocular motility MUST be evaluated when anisocoria is present (see Figure 10.1.1). FIGURE 10.1.1. Flow diagram for the work-up of anisocoria. (Modified from Thompson…

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Uveitis

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Uveitis

Uveitis 12.1 ANTERIOR UVEITIS (IRITIS/IRIDOCYCLITIS) Symptoms Acute: Pain, redness, photophobia, consensual photophobia (pain in the affected eye when a light is shone in the fellow eye), excessive tearing, decreased vision….

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Glaucoma

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Glaucoma

Glaucoma 9.1 PRIMARY OPEN-ANGLE GLAUCOMA Symptoms Usually asymptomatic until the later stages. Early symptoms may include parts of a page missing. Tunnel vision and loss of central fixation typically do…

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Pediatrics

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Pediatrics

Pediatrics 8.1 LEUKOCORIA Definition A white pupillary reflex (see Figure 8.1.1). FIGURE 8.1.1. Leukocoria. Etiology Retinoblastoma: A malignant tumor of the retina that appears as a white, nodular mass that…

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Trauma

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Trauma

Trauma 3.1 CHEMICAL BURN Treatment should be instituted IMMEDIATELY, even before testing vision, unless an open globe is suspected. NOTE: This includes alkali (e.g., lye, cements, plasters, airbag powder, bleach,…

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Eyelid

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Eyelid

Eyelid 6.1 PTOSIS Symptoms Drooping upper eyelid, visual loss often worse with reading and at night. Signs (See Figure 6.1.1.) FIGURE 6.1.1. Ptosis. Critical. Drooping upper eyelid. Other. Concerning associated…

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