-IOL formula
1st generation formula : SRK, Binkhost
2nd generation formula : SRK II
3rd generation formula: Hoffer Q, Holladay 1, SRK/T
4th generation formula: Haigis, Holladay 2, Olsen
-The Hoffer Q, Holladay I, and SRK/T formula are all commonly used.
-IOL formula
1st generation formula : SRK, Binkhost
2nd generation formula : SRK II
3rd generation formula: Hoffer Q, Holladay 1, SRK/T
4th generation formula: Haigis, Holladay 2, Olsen
-The Hoffer Q, Holladay I, and SRK/T formula are all commonly used.
Age Related Macular Degeneration- Update with Case Studiespresmedaustralia
Eyelea has being introduced in November 2012. It is expected to be the first choice treatment for Neovascular AMD (instead of Lucentis). This talk discusses the reasons for this change.
Age related macular degeneration - a glimpse into the future by Jaheed KhanJaheed Khan
This presentation on age related macular degeneration was given by Jaheed Khan on the 12th April 2016 as part of a series of talks given to optometrists and general practitioners at Clinica London, 140 Harley Street, London.
In this session we will cover Azure Resource Manager (ARM) and the new capabilities it brings to managing your resources in Azure. Discover some of the considerations when moving your resources from classic mode (ASM), the tooling options you have to assist with this and some of the pitfalls you may experience if you have an existing legacy in Azure.
Age-Related Macular Degeneration by\ Eman Salman
It was used for student presentation in ophthalmology course rotation
I Hope you find what is helpful for your knowledge ♥
Common Ocular Diseases (World Glaucoma Day)Ankit Punjabi
General public should know a little bit about diseases of the eyes and how to care for them. This presentation gives a overview of glaucoma (targeting World Glaucoma Day) and comom eye diseases.
Week 2 Respiratory Clinical CasePatient Setting65 year old C.docxcockekeshia
Week 2: Respiratory Clinical Case
Patient Setting:
65 year old Caucasian female that was discharged from the hospital 10 weeks ago after a motor vehicle accident presents to the clinic today. States she is having severe wheezing, shortness of breath and coughing at least once daily. She can barely get her words out without taking breaks to catch her breath and states she has taken albuterol once today.
HPI
Frequent asthma attacks for the past 2 months (more than 4 times per week average), serious MVA 10 weeks ago; post traumatic seizure 2 weeks after the accident; anticonvulsant phenytoin started – no seizure activity since initiation of therapy.
PMH
History of periodic asthma attacks since early 20s; mild congestive heart failure diagnosed 3 years ago; placed on sodium restrictive diet and hydrochlorothiazide; last year placed on enalapril due to worsening CHF; symptoms well controlled the last year.
Past Surgical History
None
Family/Social History
Family: Father died age 59 of kidney failure secondary to HTN; Mother died age 62 of CHF
Social: Nonsmoker; no alcohol intake; caffeine use: 4 cups of coffee and 4 diet colas per day.
Medication History
Theophylline SR Capsules 300 mg PO BID
Albuterol inhaler, PRN
Phenytoin SR capsules 300 mg PO QHS
HTCZ 50 mg PO BID
Enalapril 5 mg PO BID
Allergies
NKDA
ROS
Positive for shortness of breath, coughing, wheezing and exercise intolerance. Denies headache, swelling in the extremities and seizures.
Physical exam
BP 171/94, HR 122, RR 31, T 96.7 F, Wt 145, Ht 5’ 3”
VS after Albuterol breathing treatment - BP 134/79, HR 80, RR 18
Gen: Pale, well developed female appearing anxious. HEENT: PERRLA, oral cavity without lesions, TM without signs of inflammation, no nystagmus noted. Cardio: Regular rate and rhythm normal S1 and S2. Chest: Bilateral expiratory wheezes. Abd: soft, non-tender, non-distended no masses. GU: Unremarkable. Rectal: Guaiac negative. EXT: +1 ankle edema, on right, no bruising, normal pulses. NEURO: A&O X3, cranial nerves intact.
Laboratory and Diagnostic Testing
Na - 134
K - 4.9
Cl - 100
BUN - 21
Cr - 1.2
Glu – 110
ALT – 24
AST - 27
Total Chol – 190
CBC - WNL
Theophylline - 6.2
Phenytoin - 17
Chest Xray – Blunting of the right and left costophrenic angles
Peak Flow – 75/min; after albuterol – 102/min
FEV1 – 1.8 L; FVC 3.0 L, FEV1/FVC 60%
Week
2
:
Respiratory
Clinical Case
Patient Setting:
65
year old
Caucasian female
that was
discharged from the
hospital
10 weeks ago
after
a
motor vehicle
accident presents to the clinic today.
States she is having severe wheezing, shortness of breath and
coughing at least once daily. She can barely get her words out
without taking breaks to catch her breath
and states she has taken albuterol once today.
HPI
Frequent asthma attacks for the past 2 months
(more than 4 times per week
average
)
, serious MVA 10
weeks ago; post traumatic seizure 2 w
eeks after the accident; anticonvulsant phenytoin started
–
no
seizure activ.
Anti-Phospholipid Syndrome Grand Round Presentation Dhaka Medical College Hos...Mohammed Shadman Shakib
A case of 20 year female presenting with fever, respiratory distress and joint pain.This case was presented in grand round session of Department of Medicine , Dhaka Medical College Hospital on 6th July, 2019.
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docxbartholomeocoombs
Clinical Scenario:
REASON FOR CONSULTATION:
Desaturation to 64% on room air 1 hours ago with associated shortness of breath.
HISTORY OF PRESENT ILLNESS:
Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 22, blood pressure 138/38. O2 sat was 64% on room air. The general surgeon was notified by the nursing staff of the hypoxia, an order for a chest x-ray and oxygen therapy were given to the RN. The O2 sat is maintaining at 91% on 4L NC. The patient was seen and examined at 10:10 a.m. She reports that she has been having mild dyspnea for 2 days that has progressively gotten worse. She does not use oxygen at home. Her respiratory rate at the time of visit was 22 and she feels short of breath. She has felt this way in the past when she had pneumonia. She is currently undergoing radiation treatment for laryngeal cancer and her last treatment was 1 to 2 weeks ago. She reports that she has 2 to 3 treatments left. She denies any chest pain at this time and denies any previous history of CHF. Review of her vital signs show that she has been having intermittent fevers since yesterday morning. Of note, she was admitted to the hospital 3 weeks ago for an atrial fibrillation with RVR for which she was cardioverted and has not had any further problems. The cardiologist at that time said that she did not need any anticoagulation unless she reverted back into A-fib.
REVIEW OF SYSTEMS:
Constitutional:
Negative for diaphoresis and chills.
Positive for fever and fatigue.
HEENT:
Negative for hearing loss, ear pain, nose bleeds, tinnitus.
Positive for throat pain secondary to her laryngeal cancer.
Eyes:
Negative for blurred vision, double vision, photophobia, discharge or redness.
Respiratory:
Positive for cough and shortness of breath
. Negative for hemoptysis and wheezing.
Cardiovascular:
Negative for chest pain, palpitations, orthopnea, leg swelling or PND.
Gastrointestinal:
Negative for heartburn, nausea, vomiting, abdominal pain, diarrhea, constipation, blood in stool or melena.
Genitourinary:
Negative for dysuria, urgency, frequency, hematuria and flank pain.
Musculoskeletal:
Negative for myalgias, back pain and falls.
Skin:
Negative for itching and rash.
Neurological:
Negative for dizziness, tingling, tremors, sensory changes, speech changes.
Endocrine/hematologic/allergies:
Negative for environmental allergies or polydipsia. Does not bruise or bleed easily.
Psychiatric:
Negative for depression, hallucinations and memory loss.
PAST MEDICAL HISTORY:
Diabetes mellitus that was diagnosed 12 years ago with neuropathy. This resolved after gastric.
Lecture on SexEd for Grade 7 female students
Instead of the usually awkward sex ed lecture, I included self-care in all aspects of health: physical, mental, emotional, social, and spiritual.
List of vaccines available in the market
This list includes trade name, manufacturer, common abbreviation, type and route of administration, and primary and booster doses for pediatric population. It also includes link to the vaccines' product information.
This is helpful especially for starting pediatricians
Presentation on Prevention and Management of Infants With Suspected or Proven Neonatal Sepsis
References:
American Academy of Pediatrics. Prevention and Management of Infants With Suspected or Proven Neonatal Sepsis, 2013.
American Academy of Pediatrics. Management of Neonates With Suspected or Proven Early-Onset Bacterial Sepsis, 2012.
This is Cristal Laquindanum’s 20 yr marketing plan, project submitted to her Marketing subject. She is currently a Year Level 8 (clinical clerk) in Ateneo School of Medicine and Public Health taking up double degree in Medicine and Masters in Business Administration.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Introduction to AI for Nonprofits with Tapp Network
Neovascular glaucoma
1. Ophtha Case Presentation By: Cristal Ann G. Laquindanum Year Level 8 Ateneo School of Medicine and Public Health
2. Identifying data VR, 59 yr old male Blurring of vision, OU Informant reliability: 80% OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
22. Given Acetazolamide250 mg 2 tabs then TID for 3 daysOphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
23. Review of Systems VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS No history of trauma No weight loss No cough and cold No rashes No changes in hair/nails No changes in color No tinnitus No nosebleeds No hemoptysis No chest pain No syncope No changes in bowel habits OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
24. Past Medical History VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma No known history of asthma and/or COPD No known history of diabetes No known history of urinary stones OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
25. Past Medical History VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Medications: Losartan and Betahistine Acetazolamide 250 mg 2 tab, then 3x/day for 3 days OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
26. Family History VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Paternal history of Pulmonary tuberculosis Maternal history of Diabetes mellitus Maternal history of Hypertension No known family history of the following: - cancer - stroke - asthma - allergies OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
27. Personal and Social History VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Inactive carpenter 43 pack year smoker Non-alcohol beverage drinker Lives with his wife Has four children with families of their own Poor health-seeking behavior Financial constraints OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
28. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Awake, ambulatory, not in cardiorespiratory distress BP: 160/80 (hypertensive) HR: 75(normal) RR: 20 (normal) OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
29. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive HENNT No TPC, No CLAD Neck veins not dilated Intact tympanic membrane Midline septum, no discharge No neck rigidity Dry lips, moist buccal mucosa Nonhyperemic pharynx OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
30. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Chest/Lungs Symmetrical chest expansion Resonant on percussion Equal tactile and vocal fremiti No retractions No rales No wheezes OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
31. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Heart Adynamicprecordium No heaves or thrills Apex beat is at 5th ICS MCL Normal rate, regular rhythm No murmurs OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
32. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Abdomen Flat, soft abdomen No tenderness No organomegaly No masses Normoactive bowel sounds OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
33. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Extremities Full pulses No edema, no cyanosis Good turgor No rashes, no lesions Equally distributed hair No clubbing CRT <2sec OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
34. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Neuro Awake, cooperative, coherent Motor: 5/5 on all extremities Sensory: 100% on all extremities Gait: normal, very slow GCS 15 Cranial Nerves: intact OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
35. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Ophthalmologic Visual Acuity OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
36. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS Ophthalmologic Gross Examination OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
37. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS mid-dilated, poorly reactive, OS Ophthalmologic Gross Examination OS OD OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
38. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS mid-dilated, poorly reactive, OS Ophthalmologic Extra-ocular Movements OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
39. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS mid-dilated, poorly reactive, OS Ophthalmologic Tonometry OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
40. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS Mid-dilated, poorly reactive, OS Increased IOP, OS Ophthalmologic Fundoscopy OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
41. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS Mid-dilated, poorly reactive, OS Increased IOP, OS Ophthalmologic Neovascularization, OS OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
42. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS Mid-dilated, poorly reactive, OS Increased IOP, OS Iris neovascularization, OS Ophthalmologic Optic nerve OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
43. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS Mid-dilated, poorly reactive, OS Increased IOP, OS Iris neovascularization, OS Ophthalmologic Peripheral anterior synechiae with trabecular meshwork seen OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
44. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS Mid-dilated, poorly reactive, OS Increased IOP, OS Iris neovascularization, OS Ophthalmologic Closed angle OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
45. Physical Examination VR, 59 yr male CC: blurring of vision, OU Eye pain, OS Diagnosed with cataract, OU T/C ARMD, OD T/C Narrow angle glaucoma, OS Unknown history of hypertension 2 months PTC, patient had right sided weakness No history of ocular trauma Family history of PTB, DM, hypertension Hypertensive Light perception, OS Mid-dilated, poorly reactive, OS Increased IOP, OS Iris neovascularization, OS Ophthalmologic OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
69. Iris neovascularization, OS OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
70. Differential Diagnosis OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
71. At the OPD Brimonidinetartrate Possible valve implant, OS Anti-VEGF injection, OS CP clearance Hypertension work-up (IM referral) HPN Stage II BP Monitoring for two weeks Captopril 25 mg ½ tab OD OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
72.
73. historically, it has been referred to as hemorrhagic glaucoma, thrombotic glaucoma, congestive glaucoma, rubeotic glaucoma, and diabetic hemorrhagic glaucoma
74. secondary ocular and systemic diseases that share one common element, retinal ischemia/hypoxia and subsequent release of an angiogenesis factorOphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
81. treating the underlying disease that led to the ischemic insult OphthaCase Presentation By: Cristal Ann G. Laquindanum Year Level 8, Ateneo School of Medicine and Public Health
90. Ophtha Case Presentation By: Cristal Ann G. Laquindanum Year Level 8 Ateneo School of Medicine and Public Health
Editor's Notes
CHANGE TITLE
Sudden blurring of vision of both eyes… the exact date not known. Basta the patient noted that he can still see properly during the barangay elections which was last week of October Worse at nightEye pain OSNo medications were taken No consult was done
Symptoms persisted which prompted consult in another institution where he was diagnosed to have mature cataract of both eyeHe was being worked up for hypertension and lab tests were requested but due to financial constraints, he was not able to do them
Few days after that consult the patient’s left eye became red and very painful. He can only perceive light. This prompted him to consult our institution for the first time
Few days after that consult the patient’s left eye became red and very painful. He can only perceive light. This prompted him to consult our institution for the first time
Asthma and/or COPD – limit the use of topical beta blockersSystemic hpn – systemic beta blocers may mask elevated IOPDiabetes – increasingly prevalent and associate with open angle and neovascular glaucomaUrinary stones – limit systemic carbonic anhydrase inhibitors
Asthma and/or COPD – limit the use of topical beta blockersSystemic hpn – systemic beta blocers may mask elevated IOPDiabetes – increasingly prevalent and associate with open angle and neovascular glaucomaUrinary stones – limit systemic carbonic anhydrase inhibitors
Asthma and/or COPD – limit the use of topical beta blockersSystemic hpn – systemic beta blocers may mask elevated IOPDiabetes – increasingly prevalent and associate with open angle and neovascular glaucomaUrinary stones – limit systemic carbonic anhydrase inhibitors
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Aqueous humour is secreted into the posterior chamber by the ciliary body, specifically the non-pigmented epithelium of the ciliary body(pars plicata). It flows through the narrow cleft between the front of the lens and the back of the iris, to escape through the pupil into the anterior chamber, and then to drain out of the eye via the trabecular meshwork. From here, it drains into Schlemm's canal by one of two ways: directly, via aqueous vein to the episcleral vein, or indirectly, via collector channels to the episcleral vein by intrascleral plexus and eventually into the veins of the orbit.[edit]
almost always ischemic in nature. Under hypoxic conditions, diffusible angiogenic factors, including vascular endothelial growth factor, have been detected in the human and animal retina and vitreous, promoting new vessel growth. Clinically, the three most common conditions responsible for NVG are diabetic retinopathy, central retinal vein occlusion and carotid artery obstructive disease.Anterior segment neovascularization involving the iris, the angle or both is accompanied by the formation of a fibrovascular membrane that is seen histologically.
This membrane initially obstructs the aqueous outflow through the trabecular meshwork and results in open-angle glaucoma, which may be amenable to pharmacological management of the elevated IOP as the disease progresses, the proliferating myofibroblasts of the fibrovascular membrane contract, leading to ectropionuveae, peripheral anterior synechiae and, ultimately, total synechial angle closure. This stage is not reversible by PRP. The resultant secondary glaucoma is often refractory to pharmacological management and requires surgical intervention.
three most common conditions responsible for NVG are diabetic retinopathy, central retinal vein occlusion and carotid artery obstructive disease.
Intravenous fluorescein angiogram and electroretinography (ERG) to assess retinal ischemiaB-scan ultrasoundOptical coherence tomography2- Images observed per grade of neovascular glaucomaGrade 1: No modificationGrade 2: A slightly hyper-reflective linear iris secondary to neovascularizationGrade 3: A thickened hyper-reflective iridocorneal angle with possible iridocorneal synechiaeGrade 4: Closed iridocorneal angle associated with iris contraction and uveae ectropion
