Term
| What is Fuch's Endothelial Dystrophy? |
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Definition
| Guttata like dots under the endothelial layer of the cornea, in descemet's. |
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Term
| What is CCT for Fuch's Endothelial Dystrophy? |
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Definition
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Term
| What is the mechanism of Fuch's Dystrophy? |
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Definition
| As the endothelial cells are stretched over the guttata the endothelial pumps are disrupted causing stromal edema and ultimately epithelium |
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Term
| What are the SE's of Fuch's Dystrophy? |
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Definition
VA's drop
glare/photophobia
Edema
RCE |
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Term
| What is the tx for Fuch's Dystrophy? |
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Definition
hypertonic sol'n
hot air (hair dryer)
SCL
Dilation to open pupil around central clouding |
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Term
| What kind of dilating drops induces cycloplegia? |
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Definition
| parasympatholytic. Sympathomimetic only dilate pupil |
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Term
| What is Congenital Hereditary Endothelial Dystrophy? |
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Definition
Similar to Fuch's, but has 2 forms: Recessive w/ nystagmus and Dominant w/o nystagmus.
Diffuse ground glass edema in stroma and epithelium |
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Term
| What is Posterior Polymorphous Dystrophy? |
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Definition
| Endothelial layer undergoes polymorphous change leading to multiple cell thickness of endothelium |
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Term
| What are the SE's of Posterior Polymorhous Dystrophy? |
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Definition
| generally none. May have photophobia or decreased VA's |
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Term
| What is the tx for Posterior Polymorphous Dystrophy? |
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Definition
lubrication
hypertonic sol'n
bandage SCL
rarely surgical
RCE |
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Term
|
Definition
| asymptomatic neovascularization of fibrous tissue bed. Result of chronic inflammatory response |
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Term
| What is the tx for corneal pannus? |
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Definition
reduce/discontinue CL wear
treat underlying cause
monitor size/extent
vasoconstrictors |
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Term
|
Definition
| wing shaped fibrovascular tissue fold over cornea from limbus |
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Term
| What are the SE of pterygium? |
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Definition
| May induce astigmatism/corneal distortion |
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Term
| What are DDX of pterygium? |
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Definition
limbal dermoid
pannus
neoplasm
papilloma or melanoma |
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Term
| What is the tx for pterygium? |
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Definition
Protect eye from UV
lubrication
NSAID
Vasoconstrictors
mild steriod to reduce inflammation (fluoromethalone) |
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Term
| What is Interstitial Keratitis? |
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Definition
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Term
| What is the cause of Interstitial Keratitis? |
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Definition
| 90% syphillis. May be Lyme dz, TB or Herpes simplex. Some are congental. |
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Term
| What are the triad of finings in interstitial keratitis? |
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Definition
stromal infiltration
stromal thinning
neovascularization |
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Term
| What are the s/sx of Leutic or congenital syphillis? |
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Definition
| saddle nose bridge, notched incisor teeth |
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