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Mnemonics of Ophthalmology

  1. 1. Mnemonics ofMnemonics of OphthalmologyOphthalmology By Dr.Ahmed Alsherbiny MSc. Ophth
  2. 2. Nerves passing through superior orbital fissure   Live Free To See No Insult At All Lacrimal nerve Frontal nerve Trochlear nerve Superior division of 3rd nerve Nasociliary nerve Inferior division of 3rd nerve Abducens nerve
  3. 3. Angle structures I Can See Till Schwalbe's Line • Iris root • Cilliary Body • Scleral spur • Trabecular Meshwork • Schwalbe's Line
  4. 4. Keratoconus CONES Central scarring & Fleischer ring Oil drop reflex / Oedema (hydrops) Nerves prominent Excessive bulging of lower lid on downgaze (Munson’s sign) Striae (Vogt’s)
  5. 5. Systemic associations of keratoconus  ABCDEF Atopy Bones (osteogenesis imperfecta) Crouzon’s syndrome Down’s syndrome Ehler’s Danlos syndrome Fingers (Marfan’s)
  6. 6. Organisms invade healthy corneal epithelium NDLH Nisseria Diphtheria Listeria Haemophilus
  7. 7. Stromal dystrophies Marilyn Monroe Always Gets Her Man in LA City Macular dystrophy Mucopolysaccharide Alcian blue Granular Dystrophy Hyaline material Masson's Trichrome Lattice Dystrophy Amyloid Congo Red
  8. 8. Congenital cloudy cornea " STUMPED " Sclerocornea Tears in Descmet's membrane Uterine infections Metabolic conditions Peter’s anomaly Endothelial dystrophy Dermoid
  9. 9. Interstitial keratitis causes  TIC TAC’S Tuberculosis Inherited syphilis (Congenital syphilis) Trypanosomiasis Acquired syphilis Cogan's syndrome Sarcoidosis
  10. 10. Iridocorneal Endothelial Syndrome ICE ICE Iris Naevus Chandler Syndrome Essential Iris Atrophy
  11. 11. causes of trabecular pigmentation PIGMENT Pseudoexfoliation & Pigment dispersion syndrome Iritis Glaucoma (Post angle closure Glaucoma) Melanosis of angle (oculodermal melanosis) Endocrine (Diabetes & Addison’s Syndrome) Naevus (Cogan-reese syndrome) Trauma
  12. 12. Vortex Keratopathy associations  ABCDEF Arthritis (diclofenac) Breast Cancer (Tamoxifen) Cardiac (amiodarone) Dementia / Depression (Chlorpromazine) Enzyme deficiency (see F) Fabry's Disease “deficiency of the enzyme alpha galactosidase A” 
  13. 13. Etiology of Neovascular Glaucoma RUBEOTIC Retinopathy and Retinal vein occlusion (PDR, CRVO) Retinal detachment Uveitis BRVO Eale's Disease Ocular Ischemic Syndrome Trauma Intraocular tumours (choroidal melanoma) Carotid Cavernous Fistula
  14. 14. Neovascular Glaucoma ttt ABCD Atropine B- blockers Cidamex Dexamethason
  15. 15. Argyll Robertson pupil (ARP) ARP Accomodation Reflex Present PRA Pupillary Reflex Absent
  16. 16. drugs causing cataract ABCD Amiodarone Busulfan Chlorpromazine Dexamethasone
  17. 17. Features Retinal detachment 4 F's Floaters Flashes Field loss Falling visual acuity
  18. 18. Causes Cherry red spot on Retina Cherry Trees Never Grow Tall Central retinal artery occlusion Tay-Sachs disease Niemann-Pick disease Gaucher's disease Trauma (Berlin's edema)
  19. 19. Indications of Vitrectomy VITRECTOM- Y V – Vitreous hge due to BRVO, PDR , Vasculitis I – Infection – Endophthalmitis T – Traction R – Retinal detachment E – Epiretinal Membrane C – Cataract related complication - nucleous drop , IOL drop T – Trauma causing vit hge , IOFB, O – Opacity of Vitreous cavity due to severe inflammation not resolved with medical therapy M – Macular disease - macular hole , submacular membrane
  20. 20. causes of Choroidal neovascular membrane HAMMAR Histoplasmosis ARMD Multifocal Choroiditis Myopia Angiod Rupture of the choroid
  21. 21. Actions of Superior oblique muscle SOLID • Superior Oblique • Lateral rotation • Intorsion • Depression
  22. 22. Uniocular diplopia ABCD Astigmatism Behavioral: psychogenic Cataract Dislocated lens / iridoDialysis
  23. 23. Nerve Palsy VITAMIN Vascular Idiopathic Traumatic Aneurysm Miscellaneous Inflammatory Neoplasm
  24. 24. microtropia 3 A's Anisometropia Angle small Absent central field (Central suppression scotoma)
  25. 25. Posterior scleritis   POST SCLER Proptosis Ophthalmoplegia Swelling of disc Thickening of sclera (US/CT) & T sign (fluid in sub-Tenon’s space) Subretinal exudates Choroidal foLds Exudative RD Ring choroidal detachment
  26. 26. Blue sclera  HOPES Belief High myopia Osteogenesis imperfecta Pseudoxanthoma elasticum Ehlers-danlos syndrome Scleritis Bupthalmos
  27. 27. systemic features of Marfan syndrome MARFANS • Mitral prolapse • Aortic dissection • Regurgitant aortic valve • Fingers long (arachnodactyly) • Arm span>height • Nasal voice (high arched palate) • Sternal excavation
  28. 28. Weill-Marchesani syndrome features  6 S's Short Stubby fingers Stupid Spherophakia Subluxed lens Shallow AC
  29. 29. Thank You