بسم الله الرحمن الرحيم <br />
Review<br />
Acute dacriocystitis<br />There is redness and swelling 2ry to NLD obstruction <br />Tt: is by antibiotics <br />
90yr from Tihamah:  high IOP, type  of glaucoma is    <br /> shallow of ant chamber.<br />Ciliary injections .<br />Phacom...
Right eye anisiocoria(in day light )the diseased eye is the dilated eye “right eye”<br />Cuses :<br />*3rdcrainal nerve pa...
Left  eye anisiocoria(in dim light )the diseased eye is the consructedeye “left eye ”<br />Cuses :<br /><ul><li>Horner syn...
Endopthalmitis</li></li></ul><li>Prostaglandin anloges<br />Work through : blockage of uveio-scleral pathway <br />Side ef...
Congenital glaucoma <br />Mid dialated fixed pupil <br />Buphtahalmous<br />
Diagnostic DrugsMydriatics== dilate the pupil<br /><ul><li>Generics
Phenylephrine Hydrochloride (2.5 & 10% solutions</li></ul>Onset:     20 min	<br />Duration: lasts 2-3 hrs<br />Side effect...
Ptosis  & extropia3rd cranial nerve palsy <br />
RAPD of the left eye <br />
Right epiductiondefficite<br />6 th cranial nerve palsy <br />
Papillodema<br />“ lose of disc margins “<br />Bilateral <br />Review causes >>>>><br />
Review<br />DDX:<br />HTN: measure it<br />SOL   by neuroimaging<br />     CT , MRI<br />BIH:  benign  intraoculler<br />h...
Painless ,GCA:headache…….CRAO<br />Chary red spot<br />
Describe…<br />Dx<br />Do u<br />treat???<br />H-Trantos – dot<br />vkc<br />
Signs<br />Dx<br />RX<br />Giant papillae ”cobblestone “<br />vkc<br />
Herbit;s bit<br />Inactive chronic old trachoma<br />
Nevasculler retina <br />Cuses:<br />DM” systemic causes “ – CRVO ‘ocular causes”<br />
Fleshy,pink,gelatinous massFeeder vesselsSurgical excision+cryotherapy<br />Squamous cell carcinoma <br />
Black nodule,feeder blood vess(BV)<br />Melanoma <br />
     Growthpigmentation   Feeder BV Unusual site:    palpebral fornix<br />Nevus:<br />Mobile mass can be moved with cotto...
Subconjectival hemorrhage<br />2ry to viral or truma<br />
Trachiasis: miss directed lash <br />
Follicles<br />Review the causes}}}} <br />
Ptrygium<br />
Chronic glaucomahigh c:d”cup to disc “ ratio more than .8<br />
Symblepherone<br />2ry to : #chemical burn <br />#SJS<br />
Injectable Solutions<br />
No Alphagan for children under 4 years<br />
Glaucoma DrugsDrugs to Increase the Outflow<br /><ul><li>MIOTICS (2% Sol.)
Produce miosis (small pupil)
Generics
Pilocarpine </li></ul>   Hydrochloride<br /><ul><li>Usage:
3 – 4 </li></ul>times daily<br /><ul><li>Stim. Sphincter pupillae&C.B</li></li></ul><li>Anti-Inflammatory DrugsCorticoster...
Diagnostic DrugsDyes & Stains  ( fluresine dye )<br /><ul><li>Side effects:
1- Anaphylactic
2- allergy
3-cardiac arrest </li></ul>Allergy<br />Anaphylactic shock<br />Cardiac arrest<br />
Viual loss<br />Stationary: Ischemia <br />Progressive: compressive <br />Improving:  optic  neuritis <br />
The most likely diagnosis<br />Central retinal vein occlusion<br />Central retinal artery occlusion<br />Papilledema<br />...
High C:D ratio more than .8<br />
Peripheral iridictomyافضل شي تكون تحت upper lid <br />
CRVO<br />
IR ( the most muscle affected in thyroid disease ) , MR, SR, LR<br />
Opthalmianeonatum<br />
Keririts and corneal perforation and lost of corneal cleraty<br />
EPD ( efferent papillary defect )3rdcrainial  palsy <br />
EctopialentisHOMOCYCETEINURIA<br />
BACHET’S DISEASE <br />
EXOPHTHALMOUS <br />
Chemosis<br />
ScleromaletiaimperfectaRA <br />
VKH <br />
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Areashi pic-review-office2007

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A presentation edited by Fahd Alareashi -may god bless him- of Dr. AlAmri's last lectures for OSCE;

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Areashi pic-review-office2007

  1. 1. بسم الله الرحمن الرحيم <br />
  2. 2. Review<br />
  3. 3. Acute dacriocystitis<br />There is redness and swelling 2ry to NLD obstruction <br />Tt: is by antibiotics <br />
  4. 4. 90yr from Tihamah: high IOP, type of glaucoma is <br /> shallow of ant chamber.<br />Ciliary injections .<br />Phacomorphicglucoma<br />
  5. 5. Right eye anisiocoria(in day light )the diseased eye is the dilated eye “right eye”<br />Cuses :<br />*3rdcrainal nerve palsy <br /><ul><li>Truma</li></li></ul><li> This slide is showing :<br />Corneal scar<br />Cataract<br />Rubeosisiridis<br />Glaucoma<br />Red eye<br />Ttt: by laser photocoagulations <br />
  6. 6. Left eye anisiocoria(in dim light )the diseased eye is the consructedeye “left eye ”<br />Cuses :<br /><ul><li>Horner syndrome
  7. 7. Endopthalmitis</li></li></ul><li>Prostaglandin anloges<br />Work through : blockage of uveio-scleral pathway <br />Side effect :1- macular edema 2- heterochromia3- iritis<br />
  8. 8. Congenital glaucoma <br />Mid dialated fixed pupil <br />Buphtahalmous<br />
  9. 9. Diagnostic DrugsMydriatics== dilate the pupil<br /><ul><li>Generics
  10. 10. Phenylephrine Hydrochloride (2.5 & 10% solutions</li></ul>Onset: 20 min <br />Duration: lasts 2-3 hrs<br />Side effect :hypertention<br />Other drugs :<br />Tropicmide<br />
  11. 11.
  12. 12. Ptosis & extropia3rd cranial nerve palsy <br />
  13. 13. RAPD of the left eye <br />
  14. 14. Right epiductiondefficite<br />6 th cranial nerve palsy <br />
  15. 15. Papillodema<br />“ lose of disc margins “<br />Bilateral <br />Review causes >>>>><br />
  16. 16. Review<br />DDX:<br />HTN: measure it<br />SOL by neuroimaging<br /> CT , MRI<br />BIH: benign intraoculler<br />hypertention<br />
  17. 17. Painless ,GCA:headache…….CRAO<br />Chary red spot<br />
  18. 18. Describe…<br />Dx<br />Do u<br />treat???<br />H-Trantos – dot<br />vkc<br />
  19. 19. Signs<br />Dx<br />RX<br />Giant papillae ”cobblestone “<br />vkc<br />
  20. 20. Herbit;s bit<br />Inactive chronic old trachoma<br />
  21. 21. Nevasculler retina <br />Cuses:<br />DM” systemic causes “ – CRVO ‘ocular causes”<br />
  22. 22. Fleshy,pink,gelatinous massFeeder vesselsSurgical excision+cryotherapy<br />Squamous cell carcinoma <br />
  23. 23. Black nodule,feeder blood vess(BV)<br />Melanoma <br />
  24. 24. Growthpigmentation Feeder BV Unusual site: palpebral fornix<br />Nevus:<br />Mobile mass can be moved with cotton <br />
  25. 25. Subconjectival hemorrhage<br />2ry to viral or truma<br />
  26. 26. Trachiasis: miss directed lash <br />
  27. 27. Follicles<br />Review the causes}}}} <br />
  28. 28. Ptrygium<br />
  29. 29. Chronic glaucomahigh c:d”cup to disc “ ratio more than .8<br />
  30. 30. Symblepherone<br />2ry to : #chemical burn <br />#SJS<br />
  31. 31. Injectable Solutions<br />
  32. 32. No Alphagan for children under 4 years<br />
  33. 33.
  34. 34. Glaucoma DrugsDrugs to Increase the Outflow<br /><ul><li>MIOTICS (2% Sol.)
  35. 35. Produce miosis (small pupil)
  36. 36. Generics
  37. 37. Pilocarpine </li></ul> Hydrochloride<br /><ul><li>Usage:
  38. 38. 3 – 4 </li></ul>times daily<br /><ul><li>Stim. Sphincter pupillae&C.B</li></li></ul><li>Anti-Inflammatory DrugsCorticosteroid<br />Generics<br />Prednisolone Acetate (1% Susp.)<br />Brands<br />Pred Forte, Optipred<br />
  39. 39. Diagnostic DrugsDyes & Stains ( fluresine dye )<br /><ul><li>Side effects:
  40. 40. 1- Anaphylactic
  41. 41. 2- allergy
  42. 42. 3-cardiac arrest </li></ul>Allergy<br />Anaphylactic shock<br />Cardiac arrest<br />
  43. 43. Viual loss<br />Stationary: Ischemia <br />Progressive: compressive <br />Improving: optic neuritis <br />
  44. 44. The most likely diagnosis<br />Central retinal vein occlusion<br />Central retinal artery occlusion<br />Papilledema<br />Vitreous hemorrhage<br />
  45. 45. High C:D ratio more than .8<br />
  46. 46. Peripheral iridictomyافضل شي تكون تحت upper lid <br />
  47. 47. CRVO<br />
  48. 48. IR ( the most muscle affected in thyroid disease ) , MR, SR, LR<br />
  49. 49. Opthalmianeonatum<br />
  50. 50. Keririts and corneal perforation and lost of corneal cleraty<br />
  51. 51. EPD ( efferent papillary defect )3rdcrainial palsy <br />
  52. 52. EctopialentisHOMOCYCETEINURIA<br />
  53. 53. BACHET’S DISEASE <br />
  54. 54.
  55. 55.
  56. 56. EXOPHTHALMOUS <br />
  57. 57. Chemosis<br />
  58. 58. ScleromaletiaimperfectaRA <br />
  59. 59. VKH <br />
  60. 60. Neonatal chlamydial conjunctivitis<br /><ul><li> most common cause of neonatal conjunctiv.</li></ul>Mucopurulent papillary conjunctivitis<br />-no follicles<br />Treatment<br />- topical and oral antibiotics<br />
  61. 61. CHLAZION <br />
  62. 62. Neurofibromatosis<br />
  63. 63. Lischnoduels in IRIS <br />
  64. 64. Astrocytichamurtoma in NF<br />

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