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

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Areashi pic-review-office2007