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Hereditary eye dysfunction
Hereditary eye dysfunction
 The four most common eye conditions leading to loss of vision or
blindness are:
 Cataracts.
 Diabetic retinopathy.
 Glaucoma.
 Age-related macular degeneration.
An ocular opacity, partial or complete, of one or both eyes, on or in the lens
or capsule, especially an opacity impairing vision or causing blindness. The
subsequent cloudy appearance of the eye resulted in the origin of the name
cataract SURES - IN HOUSE CLINIC
Signs and symptoms of cataracts include
• Clouded, blurred or dim vision
• Increasing difficulty with vision at night
• Sensitivity to light and glare
• Need for brighter light for reading and other activities
• Seeing "halos" around lights
• Frequent changes in eye glass or contact lens prescription
• Fading or yellowing of colors
• Double vision in a single eye
Causes
 Most cataracts develop when aging or injury changes the
tissue that makes up your eye's lens.
 Some inherited genetic disorders that cause other health
problems can increase your risk of cataracts.
 Cataracts can also be caused by other eye conditions, past eye
surgery or medical conditions such as diabetes.
 Long-term use of steroid medications, too, can cause
cataracts to develop.
Management
 Vision may be improved by: Using different eyeglasses ------
Magnifying lenses
 Cataract Surgery
Draw back: High pressure in the eye • Blood collection
inside the eye • Infection inside the eye
 Intake of dietary antioxidants prevent cataract formation by
blocking the oxidative modification of the lens Vitamins A, C
and E
 Phacoemulsification: The most common method of
removal. Phaco involves a small incision on the side of the
cornea
DIABETIC RETINOPATHY
RISK FACTORS
1. Duration of diabetes
2. Poor control of Diabetes
3. Hypertension
4. Nephropathy
6. Obesity and hyperlipidemia
7. Smoking
8. Pregnancy
Pathogenesis
 Microangiopathy which has features of both microvascular leakage and
occlusion
 Larger vessels may also be involved
 Loss of pericytes results in distention of weak capillary wall producing
microaneurysms which leak.
 Blood-retinal barrier breaks down causing plasma constituents to leak
into the retina – retinal oedema, hard exudates
 Basement membrane thickening, endothelial cell damage, deformed
RBCs, platelet stickiness and aggregation
 Vascular Endothelial Growth Factor (VEGF) is produced by hypoxic
retina
 VEGF stimulates the growth of shunt and new vessels
Classification of DIABETIC RETINOPATHY
(DR)
I Non-proliferative DR (NPDR)
 Mild
 Moderate
 Severe
 Very severe
II. Proliferative DR (PDR)
III. Clinically significant macular oedema (CSME)
- May exist by itself or along with NPDR and PDR
Refractive Errors
Hyperopia (Far Sightedness)
 Object focuses behind the
retina
 Able to see only far objects
Signs and symptoms:
 blurred vision, Squinting,
Eye rubbing, Headaches
Treatment: Convex lens
Myopia (Near Sightedness)
 Object focuses in front of the
retina
 Able to see only close objects
Symptoms and Signs: Blurred
vision, squinting, eye rubbing,
headaches
Treatment
 Concave lens and Radical
keratotomy
Refractive Errors Cont…..
Astigmatism
 Abnormal shaped cornea (egg
shape instead of spherical)
 Object is partially clear & other
blurred
 Symptoms and Signs: blurred
vision, squinting, eye rubbing,
headaches
Treatment
 Concave lens and Radical
keratotomy
Presbyopia
 Mechanism
Rigidity of the lens (old
age)
unable to focus
 Symptoms and Signs:
Blurred vision, squinting,
eye rubbing, headaches
 Treatment: Lens transplant

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SBC_450_Hereditary eye dysfunction.pptx 1.ppt

  • 2. Hereditary eye dysfunction  The four most common eye conditions leading to loss of vision or blindness are:  Cataracts.  Diabetic retinopathy.  Glaucoma.  Age-related macular degeneration.
  • 3. An ocular opacity, partial or complete, of one or both eyes, on or in the lens or capsule, especially an opacity impairing vision or causing blindness. The subsequent cloudy appearance of the eye resulted in the origin of the name cataract SURES - IN HOUSE CLINIC
  • 4. Signs and symptoms of cataracts include • Clouded, blurred or dim vision • Increasing difficulty with vision at night • Sensitivity to light and glare • Need for brighter light for reading and other activities • Seeing "halos" around lights • Frequent changes in eye glass or contact lens prescription • Fading or yellowing of colors • Double vision in a single eye
  • 5. Causes  Most cataracts develop when aging or injury changes the tissue that makes up your eye's lens.  Some inherited genetic disorders that cause other health problems can increase your risk of cataracts.  Cataracts can also be caused by other eye conditions, past eye surgery or medical conditions such as diabetes.  Long-term use of steroid medications, too, can cause cataracts to develop.
  • 6. Management  Vision may be improved by: Using different eyeglasses ------ Magnifying lenses  Cataract Surgery Draw back: High pressure in the eye • Blood collection inside the eye • Infection inside the eye  Intake of dietary antioxidants prevent cataract formation by blocking the oxidative modification of the lens Vitamins A, C and E  Phacoemulsification: The most common method of removal. Phaco involves a small incision on the side of the cornea
  • 7. DIABETIC RETINOPATHY RISK FACTORS 1. Duration of diabetes 2. Poor control of Diabetes 3. Hypertension 4. Nephropathy 6. Obesity and hyperlipidemia 7. Smoking 8. Pregnancy
  • 8. Pathogenesis  Microangiopathy which has features of both microvascular leakage and occlusion  Larger vessels may also be involved  Loss of pericytes results in distention of weak capillary wall producing microaneurysms which leak.  Blood-retinal barrier breaks down causing plasma constituents to leak into the retina – retinal oedema, hard exudates  Basement membrane thickening, endothelial cell damage, deformed RBCs, platelet stickiness and aggregation  Vascular Endothelial Growth Factor (VEGF) is produced by hypoxic retina  VEGF stimulates the growth of shunt and new vessels
  • 9. Classification of DIABETIC RETINOPATHY (DR) I Non-proliferative DR (NPDR)  Mild  Moderate  Severe  Very severe II. Proliferative DR (PDR) III. Clinically significant macular oedema (CSME) - May exist by itself or along with NPDR and PDR
  • 10. Refractive Errors Hyperopia (Far Sightedness)  Object focuses behind the retina  Able to see only far objects Signs and symptoms:  blurred vision, Squinting, Eye rubbing, Headaches Treatment: Convex lens Myopia (Near Sightedness)  Object focuses in front of the retina  Able to see only close objects Symptoms and Signs: Blurred vision, squinting, eye rubbing, headaches Treatment  Concave lens and Radical keratotomy
  • 11. Refractive Errors Cont….. Astigmatism  Abnormal shaped cornea (egg shape instead of spherical)  Object is partially clear & other blurred  Symptoms and Signs: blurred vision, squinting, eye rubbing, headaches Treatment  Concave lens and Radical keratotomy Presbyopia  Mechanism Rigidity of the lens (old age) unable to focus  Symptoms and Signs: Blurred vision, squinting, eye rubbing, headaches  Treatment: Lens transplant