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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Cornea

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Cornea

Cornea 4.1 SUPERFICIAL PUNCTATE KERATOPATHY Symptoms Pain, photophobia, red eye, foreign body sensation, mildly decreased vision. Signs (See Figure 4.1.1.) FIGURE 4.1.1. Superficial punctate keratopathy with fluorescein. Critical. Pinpoint corneal…

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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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Orbit

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Orbit

Orbit 7.1 ORBITAL DISEASE This section provides a framework to evaluate a variety of orbital diseases. Symptoms Eyelid swelling, bulging eye(s), and double vision are common. Pain and decreased vision…

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Conjunctiva/Sclera/Iris/External Disease

Oct 2, 2016 by in OPHTHALMOLOGY Comments Off on Conjunctiva/Sclera/Iris/External Disease

Conjunctiva/Sclera/Iris/External Disease 5.1 ACUTE CONJUNCTIVITIS Symptoms “Red eye” (conjunctival hyperemia), discharge, eyelids sticking or crusting (worse in the morning), foreign body sensation, <4-week duration of symptoms (otherwise, see 5.2, Chronic…

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