Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Arthritis & Uveitis |
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Sarcoid |
Stills |
IBD |
RhA |
Ank spond |
Vasculitides |
DIPLOPIA |
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Cover abnormal eye = lose outer image |
Max separation = direction of action of paralysed muscle |
ACUTE IRITIS |
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Wounds |
Corneal ulcers |
TB |
Syphilis |
Brucellosis |
Gonorrhoea |
Toxoplasmosis |
Sarcoid |
Ank. Spond. |
May = glaucoma/cataract |
Mx steroid drops, Atropine + eye pad |
Diabetic Retinopathy |
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Background microaneurysms, dot/blot haemorrhage, hard exudates |
pre-proliferative & cotton-wool spots |
Proliferative & new vessels |
Cataracts |
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Steroids |
Chlorpromazine |
Chloroquine |
Vitamin D |
Gold |
Amiodarone |
Busulphan |
Retinopathy |
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Quinine |
Vincistine |
Ethambutol |
Phenothiazines |
BRANCH RETINAL VEIN OBSTRUCTION (BRVO) |
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HTN |
DM |
Hyperviscosity |
Beckets |
Sarcoid |
Thrombophilia (occluded artery = pale disc usually due to emboli) |
ACUTE PAINFUL OPHTHALMOPLEGIA |
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Orbital fissure synd (3, 4, 6, V1) |
Orbital apex synd (3, 4, 6, V1 and opthalmic vein and optic nerve and optic artery) |
Orbital cellulitis |
CHRONIC PAINFUL OPHTHALMOPLEGIA |
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Granulomatous dis |
ICA aneurysm |
Ophthalmic migraine |
DRY Eyes |
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Sjogren's |
Scleroderma |
SLE |
Sarcoid |
MCTD |
Anticholinergics |
Rubeosis Iridis |
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SC |
DM |
CRVO |
Pterygium |
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Increased in elderly |
Tropics (due to UV light) |
Red Eye |
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Conjunctivitis |
injection from limbus |
Episcleritis |
inflamed red sclera |
Scleritis |
as above, but sore (RhA, IBD, Ank spond, Vasulitides, HSV, gout) |
Uveitis/iritis |
sore; hypopyon |
Glaucoma |
Toxic Shock Syndrome/gram Neg sepsis |
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Subconjunctival haemorrhage |
Rash |
Corneal oedema |
Afro-Caribbean |
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Sarcoid |
SLE |
SC |
HIV |
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CMV retinitis |
Choroidal TB |
Candida end ophthalmitis (vitreous tumour ) |
Retinitis Pigmentosa |
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FRAT |
Abetalipoproteinemia |
Refsum |
Kearns-Sayers |
Usher's |
Alport's |
Lawrence-Moon-Biedel |
Familial |
Chorioretinitis (scars) |
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CMV |
Brucella |
Toxocara |
Sarcoid |
Toxoplasma |
Cherry Red Spot |
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Tay Sachs |
Neiman-Pick |
Sialaditosis |
Herpes Simplex |
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Primary infection usually self-limiting (periocular vesicles) |
Recurrence = keratitis |
Geographic, dendritic ulcers |
Roth Spots |
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SBE |
SLE |
Severe anaemia |
Vasculitides |
Leukaemia |
DM |
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Cataract |
Pterygium |
Rubeosis iridis |
ANGIOD STREAKS |
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Pseudoxanthoma elasticum |
Ehlers-Danlos |
High phos |
Paget's |
Sickle cell |
Miscellaneous |
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CYTOID bodies = Retinal infarcts in SLE |
Retro-orbital pain seen in HIV seroconversion |
12 + 6 o'clock = corneal arcus |
3 + 9 o'clock = high calcium |
Haemorrhage 2 fluid level |
subhyaloid = (SAH) |
Pinguecula (perilimbal raised lesions) = usu normal unless Gaucher's (young Jewish with splenomeg) |
Leukocoria + convergent squint = retinoblastoma (assoc ? Wilm's) |
Retro-orbital pain seen in HIV seroconversion |
CMV retinitis = IV Ganciclovir (? withhold HAART till remission) |
Toxoplasma retinitis = Pyrimethamine + sulfadiazine |
Toxocara canis: Macular lesion well demarcated |
3 causes blind both eyes over few days: Methanol tox, Leber's, Psychological |
Oculocutaneous Albinism = Pale retina; pendular nystagmus |