Most common opthalmology slides with anwers in uhs ospe
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Most common opthalmology slides with anwers in uhs ospe Presentation Transcript

  • 1. Most Commom UHSOphthalmology slides with answersBy Muhammad Aizaz Afzal Lodhi (MBBS)
  • 2. ?What is the diagnosis  ?Complications   Answers Diagnosis : Entropion of lower lid with trichiasis Complications: Chronic conjunctivitis, conjunctival scar, corneal ulcer & corneal opacity
  • 3. ?What is the diagnosis  ?Treatment   Answers Diagnosis : Cicatricial ectropion Treatment : V to Y plasty or Z plasty
  • 4. ?What is the diagnosis-  - Surgical operation in the lid ?  Answers  Entropion in lower lid, trichiasis & corneal ulcer Surgical operation:  Lateral canthotomy, lateral canthoplasty
  • 5. Diagnosis  treatment   Answers :-Styettt of P.F. “ staph. Aureus”-local antibiotics & eye drops-Hot fomentation
  • 6. Diagnosis  Complications  treatment   Answers:-Diagnosis: Ophthalmia neonatorum-Complications:Corneal ulceration , iridocyclitis-ttt:-Prophylactic ttt.-Curative ttt: lotions, topical and systemic antibiotics and atropine ointment in case of corneal involvement.
  • 7. Diagnosis  etiology   Answer:Phlyctenular conjunctivitis (limbal phlycten)Etiology :Hypersensitivity reaction to endogenous antigens e.g. bacterial antigens as T.B & chlamydia.
  • 8. Diagnosis  treatment   Answers:-Bulbar spring catarrhalttt :topical steroids, mast cell stabilizers, anti histaminic Dark glasses & cold compresses.
  • 9. Diagnosis  causes 2   Answers:-phlycten-Causes:Hyper sensitivity to an endogenous antigen e.g. tuberculo-protein, Intestinal parasites, staphylococcal blepharoconjunctivitis.
  • 10.  Comment on lashes  complications  Answers:-Ulcerative blepharitis-Complications:Chronic conjunctivitis, Madarosis,trichiasis, ptylosis, epiphora,Ectropion, corneal ulcer.
  • 11.  What is this sign called?  pathogenesis  Answers:Sign:Marcus –Gunn phenomenonPathogenesis:Faulty Innervation“motor fibers from 5th nerve reach levator instead of the 3rd nerve”
  • 12.  Diagnosis  treatment  Answers:Diagnosis:mucopurulent conjunctivitisTtt:-Eye lotions-Antibiotics ointments e.g. tobramycin at night-Antibiotic eye drops-Hot foments
  • 13.  Comment on conjunctiva & cornea  What are the indications of surgical treatment ?  Answers:Diagnosis: PtyregiumComment :Conjunctiva > conj. Epith. hyperplasiaCornea >covered by apex of Ptyregium.Indications of surgical ttt:- If encroaches the pupillary area- Progressive type- Cosmetically annoying the patient- Recurrent cases
  • 14.  Cause of this appearance  2 eye drops  Answers:Cause: post. Synechiae2 eye drops: Atropine sulfate corticosteroids
  • 15. Diagnosis  Name 2 causes   AnswerDiagnosis :rubeosis iridis – Peripheral iridectomyCauses :Diabetic Retinopathy and CRVO
  • 16. Diagnosis What is the visual  ?complaint  Answers: Diagnosis: Irido-dialysisVisual complaint :Uniocular diplopia
  • 17. Diagnosis Factors affecting prognosis  Answers: Diagnosis: Lt. congenital ptosis Factors affecting prognosis: - Amount of ptosis - Extent of levator function - If 3rd nerve palsy >> correct squint first - If 5th nerve palsy >> postpone the op. till 5th n. regenerates .
  • 18. A 68y patient complaining of  .sudden diminution of vision ?What is the Diagnosis  mention two systemic  predisposing condition  Answers:Diagnosis: CRVO2 Systemic P.F.:Systemic hypertension & Diabetes mellitus
  • 19.  Diagnosis  Antiviral drugs for ttt  Answers:Diagnosis:Herpetic corneal ulcer “Dendritic ulcer”Antiviral drugs:Acyclovir , vidarabine , T3F & IDU
  • 20.  Diagnosis  What is the suspected refraction of this patient?  Answers:Diagnosis:Keratoconus “ Munson`s sign”Suspected refraction:axial myopia & Astigmatism.
  • 21.  Diagnosis  2 posterior segment diseases cause it  AnswerDiagnosis: rubeosis iridisCauses: Diabetic Retinopathy and CRVO
  • 22. Diagnosis  Deferential diagnosis   Answers:Diagnosis : CRAOD.D.: “For cherry red spot”- Commotio retinae- Quinine poisoning- Macular hole surr. By RD- Amauratic family idiocy
  • 23.  Diagnosis  Expected field of vision  Answers:Diagnosis:Glaucomatous cupping of optic nerve- Expected field of vision:- Tubular field.
  • 24.  Diagnosis 2 syndromes associated with it mention effect on optic nerve  Answers:Retinitis Pigmentosa2 Syndromes :Bardet - biedl syndromeRefsum’s diseaseEffect on optic n.:Waxy disc pallor due to consecutive optic atrophy
  • 25.  The optic disk of this patient show…….  Name a cause for this condition  AnswersComment :PapilleodemaCause:Elevated intracranial tension.
  • 26. A 57y patient with sudden painful drop of vision IOP is stony hardName 2 medication for emergency  treatment of this case  Answer Diagnosis: Acute congestive glaucoma 2 Medications for emergency : hyper-osmotic agent, topical miotics, topical steroids Ttt: ttt essentially surgical recent….surgical iridectomy late….their is PAS ,an external fistulizing operation .
  • 27.  Nerve& muscle affected ? Direction of gaze which diagnose this case ? The main complaint of the patient  Answer Nerve& muscle affected: Rt Abducent nerve-RT. Lateral rectus Direction of gaze: To the right Main complaint: Binocular Diplopia
  • 28.  Diagnosis  Component of it  Answers:Diagnosis:hypermetropiaComponents:Total , Latent , Manifesthyperopia
  • 29.  Type of squint & its angle  Confirmatory test  Answers:Type of squint :exotropiaangle:30Confirmatory test:Cover test
  • 30.  Diagnosis  treatment  Answers:Diagnosis:After cataractTTT:- No interference if vision is not affected- If thick : surgical intervention
  • 31.  Diagnosis  treatment  Answers:Diagnosis:myopiaTTT:- eye glasses with concave minus lenses- contact lenses- refractive surgery if indicated
  • 32. What s this inustrument  called ……..Used for   Answers:Instrument:Applanation tonometry (gold mann)usage:IOP measurement
  • 33.  What is the upper lid abnormality?  What are the complications?  Answers:Comment :Left upper lid ptosisComplications:Amblyopia & Squintscoliosis and ocular torticollis.
  • 34. Comment on lens  This is an association  of………..syndrome  AnswerComment :lens subluxationSyndrome:Marfan’s syndrome
  • 35. A 68y old woman with cataract  extraction . Complaining of drop of vision which was managedWhat was the cause of drop of  ?vision ?What was the management   AnswerCause:posterior capsular opacification (after cataract)Management:YAG laser capsulotomy
  • 36. Comment on the lower lid  Name 2 possible  complications of this conditions  Answers:Comment:Senile ectropion2 possible complications:xerosiscorneal ulcer
  • 37.  Diagnosis  Name 2 surgical procedures for ttt of this condition  Answers:Diagnosis :Buphthalmos2 Surgical procedures:-goniotomy-trabeculotomy
  • 38.  What are these field defect called?  Name the cause  AnswerField defect:Bitemporal hemianopiaCause:Optic chiasma lesions (nasal fibers damage)e.g. Pituitary gland tumor
  • 39.  Whats the error of refraction in this patient ? Whatre the complications of this case ?  AnswerError of refraction :High myopiaComplications:Chorio-retinal degenerationsretinal tearsretinal detachment
  • 40. Diagnosis  causes 3   AnswersDiagnosis:Symblepharon Causes:- Post-trachomatous- Post-operative ( Pterygium excision)- Ocular cicatricial pemphigoid
  • 41.  The eye lid & Conjunctiva show  possible findings in the crystalline lens  AnswersComment :Ecchymosis & subconjunctival hemorrhage"Possible findings:(Concussion cataract " Rosette-shaped" - Lens subluxation or dislocation)
  • 42.  Diagnosis  2 causes  Answers:Diagnosis :Lens subluxationCauses:Marfans syndromeHomocystenuria & Trauma
  • 43. ?Whats the sign called  possible causes 3   AnswersSign : LeukocoriaCauses :Retinoblastomacongenital cataractRetinpathy of prematurity
  • 44. What is the error of  ?refraction ?How to correct   AnswersError of refraction:HypermetropiaCorrection :Spherical Convex "plus" Lens
  • 45. Diagnosis  mention caustive  organism  Answers:Diagnosis :Hypopyon corneal ulcerCausative organism:pneumococci
  • 46.  Diagnosis Mention disease cause this  Answers:Diagnosis: exophthalmos Disease : Hyperthyrodism
  • 47. Diagnosis  treatment   Answers:Diagnosis: Corneal foreign bodyTTT: Surgical removal
  • 48. Diagnosis  mention muscle  affected and its nerve supply  Answers:Diagnosis: Left upper lid ptosisMuscle affected :levator palpebrae sup.innervation:oculomotor n.
  • 49. Diagnosis  Mention 2 complications   Answers:Diagnosis:sublaxated &cataractous lensComplications:lens dislocation2ry GlaucomaIridocyclitis
  • 50. Diagnosis  Mention 2 complications   Answers:Diagnosis: Blood staining of the cornea “total hyphema or 8-ball hyphema”2Complications:Elevation of IOPCorneal staining
  • 51. Diagnosis  Mention 2 ttt   Answers:keartic precipitatesttt :Topical : Atropine sulfate & corticosteroids.Systemic: systemic steroids (in severe cases)& Antibiotics (in infective cases)
  • 52. sederosis bulbi  Patient with foreign body in his eye  from one yearIn picture you will see one eye normal  )&other eye(black iris