My Talk In National Eye Center , Cairo Egypt On 16th August , 2017

1. N.B II !N.B II !
By
Dr.Ahmed Alsherbiny
MSc. Ophth , FICO , FRCS Ophth (Glasg(

2. It is often wise to postpone intraocular surgery
till lacrimal infection has been treated, owing to
the grave risk of endophthalmitis

3. Hamartoma:
normal tissue
in normal place
with abnormal
configuration
Choristoma:
normal tissue
in abnormal
place

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

5. Keratinazation of the curuncle is a
common early sign of mucous membrane
pemphigoid

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

13. Metastatic tumours to the choroid are
more common than primary malignancies

14. In atypical CHRPE , you must exclude
Familial adenomatous polyposis

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

30. Posterior Segment diseases cause
photophobia:
1-Albinism
2-Progressive cone dystrophy

31. Mitochondrial Inheritence in
ophthalmology:
1-Kerns-Sayer syndrome
2-Leber hereditary optic
atrophy

32. Glaucoma with deep A.C:
1-Plateau iris syndrome
2-pigment dispersion syndrome
3-Buphthalmos

33. Lumbar Puncture in
ophthalmology:
1-M.S leucocytosis , igG > 15%
2-Refsum disease elevated CSF
proteins , no pleocutosis
3-Retinoblastoma increased pressure in
trilateral retinoblatoma & detection of metastasis
4-Vogt Koyanagi Harada
Disease pleocytosis with small lymphocytes
5-Idiopathic intracranial
hypertension increased pressure
6-Kearns Sayer syndrome
increased CSF proteins >1g/l

34. Thank You