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inablility to close eyelids (abnormal condition in which an eye cannot close completely) |
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impairment of tactile sensitivity, decrease of sensitivity |
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an excess of blood in the vessels supplying an organ or other part of the body |
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an infection of the nasolacrimal sac, frequently caused by nasolacrimal duct obstruction |
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superior eyelid (skin) overhang |
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fat buildup under skin, older adults with high blood lipids |
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superficial reddening of the skin |
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dilation of the superficial blood vessels |
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a partial or complete adhesion of the palpebral conjunctiva of the eyelid to the bulbar conjunctiva of the eyeball |
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small, hard yellow-whitish deposits commonly seen in the palpebral conjunctiva |
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water flows out of the cornea |
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Keratoconjunctivitis sicca |
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hyposecretion of tears, vitamin A deficiency |
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without anesthetic, measures total tears (basal + reflex), >15 mm in 5 min normal, <5mm diagnostic of aqueous-deficient dry eye |
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with anestheic, measures basal tears only, >10mm in 5 min normal, <3mm diagnostic for dry eye |
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tear clearance rate, based on the intensity of staining on the strip, <96 = dry eye, < 34 = sjogren’s syndrome |
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tear function index, value of Schirmers/TCR |
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[staining] inferior band pattern (3) |
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poor lid closure, incomplete blink, exposure |
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[staining] diffuse pattern (3) |
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general ocular conditions, allergic, toxic |
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[staining] four and eight o’clock (2) |
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staph or seborrheic blepharitis |
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[staining] interpalpebral conjunctival staining (1) |
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aqueous deficient dry eye |
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damage or loss from lid lesions, previous trauma, corneal epithelial disorders or damage |
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ultrasound that measures corneal thickness |
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11.5mm dia, .5-.6 CT, .6-.8 peripheral thickness |
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Fe+ deposition deep epithelium with cobalt blue filter, lower 1/3rd of cornea, aging |
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Fe+ deposition on leading edge of pterygium |
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Fe+ deposition associated wit filtering bleb |
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Fe deposition on base of cone in keratoconus |
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prominent schwalbe’s line, anterior segment dysgenesis, axenfeld’s anomaly, reiger’s syndrome, peter’s anomaly |
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thinning of cornea due to dehyration |
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late stage trachoma (originate from limbal follicles) |
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Corneal opacities [density] |
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superficial punctate keratitis, caused by hypoxia, uv, solutions, mechanical |
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[punctate staining] diffuse (2) |
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toxic, contact lens over-weartoxic, contact lens over-wear |
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[punctate staining] central |
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[punctate staining] upper third |
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SLK (superior limbic keratoconjunctivitis), vernal, inclusive conjunctivitis, trachoma |
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[punctate staining] lower (4) |
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staph blepharitis, lagophthalmos, entropion, acne rosacea |
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[punctate staining] linear streak |
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[punctate staining] negative staining (3) |
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dystrophy/degeneration, keratokonus, map-dot-fingerprint dystrophy |
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map-dot-fingerprint dystrophy |
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epithelial basement membrane dystrophy |
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accumulation of WBCs within cornea, inflammation or infection (viral stains NaFl |
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CNV affected, herpes simplex, CNV palsy, DM, medication toxicity |
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between endothelium and Descements membrane (PLL), wart-like, anvil-shaped or mushroom-shaped excrescences (distinct outgrowth) |
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keratic precipitates (KP), leukocytes deposited on the endothelium which occur as a result of inflammation of the iris or ciliary body. |
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dilatation, expansion, or distention |
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corneal dystrophy of bowman’s lawyer, ring-shaped gray-white opacifications, “ground-glass” appearance |
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most common stromal dystrophy – autosomal dominant |
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women, late-onset, guttata, haze |
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subepitheial interpalpebral calcium deoposits, juvenile rheumatoid arthritis, gout, hypercalcemia, severe dry eye |
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conical deformity at posterior pole - Lowe’s syndrome – X-linked disease of aminoaciduria, acidosis, mental retardation with congenital cataracts and glaucoma |
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Alport’s syndrome, associated with renal failure and neuronal deafness |
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short radius of curvature and usually small, marchesani syndrome – short stature, stubby fingers and toes, myopia 10-20D |
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downward subluxed lens, autosomal recessive, methionine metabolism disorder, mental retardation, chest deformitites, myopia |
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upward subluxed lens, autosomal dominant, fibrillin deficiency, effects eye skeleton and heart |
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remnant of tunic vasculosa |
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located in the cortex, down’s syndrome |
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a coronary cataract characterized by the presence of tiny dot-like or flake like opacities, organized in concentric layers with some central radially arranged lesions contributing to crown configuration |
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coral-like sutural cataract |
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Spear or Christmas tree cataract |
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powder like “pulverized” appearance of cataract, any location |
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Nuclear Sclerotic cataract (NS) |
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“yellowing” or brunescence, opacification |
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Posterior subcapsular cataract (PSC) |
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