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eyes
CM eyes
35
Medical
Post-Graduate
09/08/2009

Additional Medical Flashcards

 


 

Cards

Term
sudden SEVERE painless loss of vision
Definition
CRAO: Central Retinal Artery Occulsion
-damage irrev. after 90 min
causes: same as BRAO but also giant cell ARTERITIS
macula cherry red spot
Term
BRVO: branch retinal vein occulsion
Definition
blurry vision (retinal edema), superfi. hemmorrhages, cotton wool spots(nerve fiber layer infarts), usually at AV crossing
-hypertensive patients >50, m CVD
-can be caused by clots or artery pressing on vein
Term
CRVO: central retinal vein occulsion
Definition
-Worse than BRVO
-dilated and tort. ret veins
-swollen optic disc
-intraretinal hemorrhages
-retinal edema( blurry vision)
-caused by clots or art pressing
Term
iris neovascularization
Definition
blood on iris, painful, vision loss
when retina has occulsion and is deprived of O2, abnormal BV form to supply eye with O2
Term
CRVO: central retinal vein occulsion
Definition
-Worse than BRVO
-dilated and tort. ret veins
-swollen optic disc
-intraretinal hemorrhages
-retinal edema( blurry vision)
-caused by clots or art pressing
Term
iris neovascularization
Definition
blood on iris, painful, vision loss
when retina has occulsion and is deprived of O2, abnormal BV form to supply eye with O2
Term
what are the THREE main types of EMBOLI
Definition
cholesterol-hollenhurst plaques -platlet-fibrin emboli in arteriosclerosis -calcific-diseased cardiac valves all three are CAUSES of BRAO and CRAO
Term
CRAO
Definition
cherry red spot on macula; emboli& giant cell arteritis
Term
little blind spot
Definition
BRAO
Term
cherry red spot on macula
Definition
CRAO
Term
blurry vision?
Definition
think either BRVO or CRVO
Term
amaurosis fugax
Definition
transient (passing quickly) s-min ,painless,monocular,
cause: embolic phenom w/in cartoid distrubution
Term
Giant cell arteritis
Definition
-inflam of med/large art of neck, up body and arms
-a cause of CRAO
Term
Temporal Arteritis
Definition
inflam of head and neck BV
-very SEVERE
-assume, tx
symptoms: amaurosis fugax, jaw pain, headache esp in temporal region, fever, wt loss, sweating, fatigue, sometimes visible swollen temporal artery-pain
Term
leading cause of death in patients with RAO
Definition
CVD
Term
Diabetic Retinopathy
Definition
two stages: non-proliferative and prolif(produces BV)
-most common cause of blindness in US (20-64) world is tracheoma
-the longer they are diabetics, the higher the chance of having Diab. retinopathy
-possible cause: hyperglycemia-phys changes result in damage(not just eye)
Term
leading cause of blindness in working age americans
Definition
Diabetic Retinopathy
Term
Non proliferative Diabetic Retinopathy
Definition

first stage, bv leak fluid into retina-blurred vision -confined to retina vs. prolif

-vein turns bc kinks when art is compressing on it -sluge after edema is gone (ie: bathtub empties) -dot and blot intraretinal hemorrh. -dilation and beading of BV

Term
proliferative Diabetic retinopathy
Definition
more severe, advanced form of DR, bv start to grow in eye, fragile and can rupture-bleed in retina-
-extraretinal-forms new vessels (fibrous)
Term
Advanced Diabetic retinopathy
Definition
assoc. with Cardio risk factors
Term
patients with PDR
Definition
at an increased risk of heart attacks, stroke, diabetic neuropathy, amput, death
Term
Blurry vision
Definition
diabetic macular edema:retinal edema invol. macula
Term
diabetic retinopathy
Definition
diabetic macular edema
diabetic macular ischemia
Non-proliferative DR
proliferative DR
Term
diabetic macular ischemia
Definition
foveal avascular zone becomes enlarged bc of non-perfusion of caps
Term
glaucoma
Definition
progressive optic neuropathy with associated visual field loss
-beta blockers, laser
-assoc with intraocular pressure-not always cause
-OPTIC NERVE
-group of disorders that damage op. nv
Term
angle closure glaucoma
Definition
severe eye or head PAIN, sick(nausea, vomit) dec in vision of eye affected
cause: rapid sudden pressure increase
-considered the heart attack of opthalmology
Term
peripheral iridotomy
Definition
laser surgery used to create hole to relieve pressure
Term
age related macular degeneration AMD
Definition
leading cause of: loss of central acuity in >50 yr olds in US
Term
risk factors for AMD
Definition
-age
-+ fam history
-smoking
hyperopia
light iris color
hypertension, CVD
FEMALES!
Term
what are the two forms of AMD
Definition
1. dry (non-exudative)
2. wet (exudative)
Term
DRY AMD (non-exudative)
Definition
drusen (sm round yellow lesions)
-check one eye at a time-daily if at risk
-antioxidants
Term
Wet AMD (exudative)
Definition
presence of a choroidal neovascular membrane
-CNV(choroidal neovascularaztion) is ingrowth of new vessels from the choriocappillaris through a break in Bruch's membrane into the subpigment epithelial space
Term
DRY AMD
Definition
Dry macular degeneration occurs when the macula becomes thin and dries out. Small yellow deposits, called drusen, form under the macula. As these drusen increase in size and number, they create a blurred spot in the central vision of the eye. Almost all people with macular degeneration have the dry form.
Term
WET AMD
Definition
Wet macular degeneration occurs when abnormal blood vessels grow under the macula and retina (this is called choroidal neovascularization). These vessels can leak blood and fluid, damaging the macula. Vision loss in the central vision can occur very quickly. Only about 10 percent of people with macular degeneration have this form, but it causes most of the vision loss associated with the condition.
Term
retinoblastoma
Definition
most common intraocular malignancy in KIDS
1 in 20,000
90% diag by age 5
FATAL if 2-4 yrs untreated
30% bilateral, 30% multifocal
---presentation: NO RED reflex REFER,
leukocoria: white pupil -60%
-22% strabismus
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