4. In pleomorphic lacrimal gland
adenoma , it is wise to avoid prior
biopsy, to avoid tumour seeding into
adjacent orbital tissue, with
recurrences which may later turn
malignant
6. In cogan syndrome , vestibulo-auditory
symptoms require immediate treatment with
systemic steroids to prevent hearing loss.
Management in conjunction with
otolaryngologist is essential;
immunosuppression may also be required
7. Unilateral arcus senilis is rare
entity that may be associated
with carotid disease or ocular
hypotony
8. Incidence of glaucoma:
1- primary open angle 1:100
2- primary closed angle 1:1000
3- congenital glaucoma 1:10000
9. The lens is the only ocular structure
which continues to increase in size
throughout life
10. Progressive enlargement of the corneal
diameter is as important sign of uncontrolled
congenital glaucoma as progressive visual
field loss is in adult glaucoma
11. 10% of infants with congenital rubella
syndrome also have congenital glaucoma due to
angle anomaly similar to that in PCG. This
maybe missed because the eye may not
appear significantly enlarged, due to pre-
existing microphthalmos
12. Syphilis must be suspected in any
case of intraocular inflammation
resistant to conventional therapy
15. In racemose hemangioma, some patients have
similar ipsilateral lesions involving the midbrain,
baso-frontal region and posterior fossa
Ocacasionally, malformations may involve the
maxilla and mandible, predisposing the patient
to haemorrhage after dental treatment
16. Superior eye muscles (superior rectus &
superior oblique) are supplied by
conralateral nucleus
17. Evisceration does NOT seem to protect
against sympathetic ophthalmitis , It’s
Enucleation
18. In Sturge-Weber syndrome , Ipsilateral parietal
or occipital leptomeningeal haemangioma may
cause contralateral or generalized focal or
generalized seizers, hemiparesis or hemianopia
19. White Eyes with Increased IOP and
mild uveitis:
1-Prodroma of PCAG
2-Disciform Keratitis
3-Posner Schlossman syndrome
20. Pred Forte is a suspension eye drops ;
the patient must be instructed to shake
the bottle vigorously before use since
the active component of the preparation
will settle at the bottom of the bottle
and exert no effect
21. Steroid Responders:
1-Primary open angle glaucoma
patients
2-offspring of glaucoma patients
3-Myopia
4-Diabetics
5-Pigment dispersion syndrome
22. Beta blockers are
contraindicated with
digitalis or calcium channel
blockers
Alphagan is contraindicated
with MAO inhibitors and
children
23. In JIA associated uveitis , the eye
is uninjected even in the presence
of sever uveitis ; regular follow up
is very important
24. It is important always to consider
that exudative RD is caused by
intraocular tumour until proved
otherwise
25. In acoustic neuroma, the first symptom
is hearing loss and the first sign is
diminished corneal sensitivity
26. It is important to consider
retinoblastoma in the D.D of unusual
chronic uveitis in children
27. Malignancies with calcifications related to
the eye:
1-lacrimal gland carcinoma
2-retinoblastoma
3-optic nerve sheath meningioma
4-osseous choristoma
28. In Proptosis &
Ptosis ; Exclude
Psuedo presentation
first
In Glaucoma ,
Primary types is
diagnosed after
exclusion of
secondary causes
29. Myasthenia should be considered in the
differential diagnosis of any ocular
motility disorder that does not fit with
a recognized diagnosis