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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Episclera and sclera

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Episclera and sclera

Episcleritis Simple episcleritis Diagnosis • Presentation: acute onset of redness and mild discomfort. • Signs: hyperaemia may be sectoral (typically interpalpebral; Fig. 8.1 ) or diffuse. Fig 8.1 • Course:…

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Corneal and refractive surgery

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Corneal and refractive surgery

Keratoplasty Introduction • Classification: (a) partial (anterior or posterior lamellar) or (b) full-thickness (penetrating [PKP]). • Indications: (a) optical, (b) tectonic, (c) therapeutic, and (d) cosmetic. • Donor tissue: should…

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Orbit

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Orbit

Thyroid eye disease Pathogenesis: organ-specific autoimmune reaction in which a humoral agent (IgG antibody) produces inflammation and swelling of orbital tissue, especially extraocular muscles. It consists of an active inflammatory…

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Lacrimal drainage system

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Lacrimal drainage system

Acquired obstruction Primary punctal stenosis Causes: (a) idiopathic, (b) chronic marginal blepharitis, (c) herpetic (simplex, zoster) lid infection, and (d) conjunctival cicatrization. Diagnosis: narrow inferior punctum in the absence of…

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Dry eye

Jul 11, 2019 by in OPHTHALMOLOGY Comments Off on Dry eye

Definitions • Keratoconjunctivitis sicca (KCS): eye with some degree of dryness. • Xerophthalmia: dry eye associated with vitamin A deficiency. • Xerosis: extreme dryness with keratinization occurring secondary to severe…

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