KMK Ocular Disease
Terms in this set (67)
Which systemic conditions are associated with keratoconus?
Which corneal stromal dystrophy is associated with Hyalin deposites? Amyloid? Mucopolysaccharide? Hyperlipidemia?
-> Macular = Mucopolysaccharide
-> Granular = Hyalin
-> Lattice = Amyloid
-> Schnider's dystrophy = Hyperlipidemia
Horizontal striae found in Congenitial Glaucoma
Haab's = Horizontal
Prominent iris strands in combination w/ posterior embryotoxin (anteriorly displaced TM)
->glaucoma in 60%
"Peter's central corneal anomoly"
Central corneal opacities + potential for glaucoma
"Reiger's displaced pupil anomaly"
Displaced pupil + potential for glaucoma + mental retardation + facial anomalies
Which four bacteriums can invade an intact corneal epithelium?
Canadian National Hockey League
by definition it is a peripheral ulcer not associated with any systemic condition
Staphylococcus Marginal keratitis
Marginal = periphery
peripheral SEIs w/o epithelial defects + red eye + blepharitis
Terrian's marginal degeneration
Bilateral males over 50 w/ thinning in superior cornea w/ irregular astigmatism
Salzmann's nodular degenration
blue-gray stromal opacities, caused by dry eye or trachoma
Farinata = Flour
Flour dust deposits in deep corneal stroma
Stromal corneal graft rejection has what sign?
Endothelial corneal graft rejection has what sign?
StRomal = KRachmer's spots
EnDothelial = KhoDadoust line
type 4 hypersensitivity reaction
->make holes/incisions in
Systemic conditions that cause presenile cataracts:
Patients get MAD
Young male w/ unilateral vessel disease + hard exudates = ??
What are the four risk factors to make dry ARMD into wet ARMD?
Posterior seg conditions associated w/ high myopia
Oblique insertion of ONH
What are some systemic diseases that can cause granulomatous chronic uveitis?
What are some systemic diseases that can cause acute non-granulomatous uveitis?
Spondyloarthropathy conditions: CRAP
Congenital syphilis triad
hutchinson's teeth(small, widely spaced)
Interstitial keratitis is indicative of what?
What are causes of lens subluxation?
1. Marfan's syndrome
4. Ehlers-Danlos Syndrome
5. Weili-Marhesani Syndrome (tiny lens)
What are A scans used for?
A-scan: Axial Length
B-Scan: Blocked Fundus
What is mucormycosis?
Life-threatening fungal infection that can form in diabetics and immuno-comprimised individuals with orbital cellulitis
What is the most common primary pediatric orbital malignancy?
Rhabdomyosarcoma(rapid bone destructing tumor)
What is the most common benign orbital tumor in children?
What is the most common benign orbital tumor in adults?
What is the most common malignant secondary(metastatic) pediatric tumor?
What is conjunctival chemosis indicative of?
Name three conditions that have mucous membrane damage
Steven Johnson's syndrome
Where are ankyloblepharon and symblepharon found?
External hordeolums are?
External hordeolums are infections of zeis or moll glands.
Internal hordeolums are infections of meibomian glands.
Which glands provide the lipid layer of tear film?
1. Meibomian glands
2. Glands of Zeis
3. Glands of Moll
Which lid lesion is often mistaken for recurrent chalazion?
Sabaceous Cell Carcinoma
What lesion is the most common precursor for a conjunctival melanoma?
Primary acquired melanosis(PAM);
can be benign or pre-malignant
Conjunctival Intraepithelial Neoplasia(CIN) leads to what?
Conjunctival squamous cell carcinoma; CIN presents as a gelatinous mass with neovascularization
What is the most common precursor for squamous cell carcinoma?
What is Dennie's line?
Horizontal line underneath lower eyelid, characteristic of atopic dermatitis
What clinical scenarios do you expect to find follicles?
Toxic Viral Chlamydia(Trachoma, inclusion conjunctivitis)
Classic signs of trachoma?
1. Large follicular reaction inferiorly
2. Arlt's line
3. Herbert's pits
Phylectenulosis is most commonly associated with what condition?
Blepharitis from staphylococcus causing type 4 delayed hypersensitivity response;
What is the most common cause of parinaud's oculoglandular syndrome?
What eyelid condition is associated with lice?
Name three medications that can cause subconj hemes
Three findings with granulomatous uveitis
Koeppe nodules - pupil margin
Busacca nodules - anywhere else on iris
What lab testing would you do for active syphillis? Latent?
VDRL and RPR for active
FTA-ABS for latent
What are signs of sarcoidosis?
Vitritis (Cotton ball opacities)
Vasculitis (Candle-wax drippings)
Telangiectasia presents in which conditions?
2. Basal Cell Carcinoma
What is ferrys line?
It is the leading edge of a filtering bleb
What is stockers line?
It is the leading edge of a pterygium
What is Fleischer's ring?
Base of the cone in kerataconus
What is kayser-fleischer ring?
Patients with liver disease wilson's copper disease!
What is the hudson stahli line?
Iron deposition in lower third of cornea on corneal epithelium
What is irvine gass syndrome?
CME after cataract surgery
What types of patients classically develop neurotrophic keratopathy?
Herpes, diabetes, stroke, CL overwear. Anything that can lead to CN5 impairment.
Red eye with several peripheral SEIs and meibomian stasis is indicative of what condition?
Staphylococcal Marginal Keratitis
Irregular astigmatism with peripheral superior thinning of corneas with yellow-white stromal infiltrates with no overlying epithelial defects is indicative of what condition?
Terrien's marginal degeneration
Blue-gray stromal opacities are indicative of what condition?
Salzmann's nodular degeneration
What condition presents in young males with unilateral vessel disease with strabismus, leukocoria, telangiectatic vessels and marked hard exudates?
Coats disease; characterized most notably by HARD EXUDATES!
What is the key difference between leukemia and lymphoma?
Reed-Sternberg cell is characteristic of what disease?
Most common type of anemia?
Iron deficiency anemia
Aplastic anemia is caused by what ?
Diamox and Chloramphenicol
Sickle cell anemia is caused by what substitution?
AA substition; Valine substituted for Glutamine
What causes pernicious anemia?
What type of headaches are found in smokers and alcoholics?
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