Term
Wet age related macular degeneration is a sudden or gradual pathologic process? |
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Definition
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Term
What is the most common cause of blindness among working people in developed countries? |
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Definition
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Term
What is the prevalence of DR in the diabetic population? |
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Definition
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Term
At what stage do we see neovascularization in the retina during DR? |
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Definition
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Term
At what stage of DR does the eye start to get ischemic? |
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Definition
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Term
Vascular tortuosity and cotton-wool spots are found during what stage of DR? |
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Definition
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Term
What is tractional retinal detachment? |
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Definition
occurs when fibrous or fibrovascular tissue, caused by an injury, inflammation or neovascularization, pulls the sensory retina from the retinal pigment epithelium. |
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Term
What is end-stage diabetic eye disease known as? |
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Definition
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Term
After what age should we start having annual eye exams? |
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Definition
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Term
What is the most common type of cataracts in diabetics? |
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Definition
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Term
When is the earliest that glaucoma in a patient is usually detected? |
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Definition
unfortunately not very soon/ until 90% loss of VF or very high IOP leading to pain |
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Term
What is the age group in which you commonly find Giant Cell arteritis? |
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Definition
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Term
Transient mononuclear visual loss in GCA (when everything goes black) is also known as what? |
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Definition
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Term
When do we do a biopsy of the temporal artery for patients with suspected GCA? |
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Definition
Within a week of starting steroid therapy |
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Term
Since skip lesions in GCA mean a particular segment of the temporal artery may not have giant cells, what else do we look for to confirm it's GCA? |
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Definition
disruption of the internal elastic lamina |
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Term
What is the gender breakdown of thyroid-related eye disease cases? |
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Definition
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Term
Characterize the pathology of Thyroid Eye Disease? |
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Definition
activated T cells infiltrate orbital contents, producing infiltrates that cause fibroblastic changes--> lead to enlargement of EOM and deposition of fat and connective tissue in the orbit |
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Term
What do the fibroblasts produce that cause EOM enlargment? |
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Definition
glycosylaminoglycans (GAG's) |
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Term
In the quiescent stage of Thyroid Eye Disease, what is the appearance of the eye? |
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Definition
It is white (normal-looking), but it is abnormally tethered and does not move properly |
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Term
What are the five main clinical manifestations of thyroid eye disease? |
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Definition
SPOFE
Soft tissue involvement
Proptosis
Optic neuropathy
Fibrosed muscles
Eyelid Retraction |
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Term
When we refer to soft tissue involvement in Thyroid eye disease, what are some examples? |
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Definition
lacrimation (watery eyes), photophobia, and chemosis (edema of the conjunctiva) |
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Term
When do we do surgery to fix eyelid retraction in Thyroid eye disease patient? |
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Definition
when both the eyelid retraction and thyroid are stable |
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Term
What is the most common cause of unilateral and bilateral of proptosis in adults? |
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Definition
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Term
What is the potential sequelae of failing to deal with retracted eyelid? |
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Definition
severe exposure keratopathy and corneal ulceration |
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Term
What percentage of eye patients have optic neuropathy? |
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Definition
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Term
What are two early signs of optic neuropathy? |
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Definition
visual field defects (scotomas) and loss of colour vision |
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Term
What is the most common eye movement defect in TED patients? |
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Definition
defect in elevation due to fibrosis of inferior rectus tethering eye |
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Term
What percentage of TED patients develop eye movement problems? |
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Definition
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Term
Is retinal vein occlusion painful or painless, and what are the two signs? |
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Definition
painless/ VF loss and loss of vision |
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Term
What is the most common thing you see in a patient with central retinal artery occlusion? |
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Definition
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Term
What is the most common untreatable cause of visual loss in the elderly? |
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Definition
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Term
What is the most common type of macular degeneration, and what feature is very indicative of that type? |
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Definition
Dry type/ look for drusens |
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