23 - eye

Question 1

Sx of orbital fracture

Answer 1

• infraorbital most common
• subcutaneous crepitus
• loss of sensation under eye
• diplopia on upward gaze

Question 2

3 lacerations that should be referred

Answer 2

1. through tarsal plate
2. lacrima apparatus
3. involving lid margin

Question 3

Tx of cornael abraision

Answer 3

• topical ABx
• nsaid drops
• antipseudomonal if contact wearer
  NO anesthetic drops

Question 4

mgmt of hyphema

Answer 4

• eye sheild and refer to optho

- bed at 30 degrees

Question 5

3 clues to less obvious globe rupture

Answer 5

1. flat/shallow anterior chamber
2. uveal prolapse
3. positive seidel test - flouroscine washed away

Question 6

signs of lens dislocation

Answer 6

• decreased vision
• pain
• can be seen

Question 7

Sx of post traumatic glaucoma

Answer 7

• eye pain
• HA
• N/v
• fisxed mid-dilated pupil
• injected cornea
• cloudy cornea

Question 8

Tx of post trauma glaucoma

Answer 8

• topical pilocarpine
• timolol
• IV acetedzolamide

Question 9

Sx of post trauma iritis

Answer 9

• pain
• photophobia - intense
• decreased vision
• small pupil
• ## cells and flare

Question 10

Tx of iritis

Answer 10

• cycloplegic and vasodilator drops

- predforte by optho

Question 11

Sx of retinal detachment

Answer 11

• new floaters and flashes
• curtain falling
• see optho

Question 12

def. retrobulbar hemmorage

Answer 12

compartment syndrmoe of the eye

Question 13

Sx of retrobulbar

Answer 13

• pain
• decreased vision
• proptosis
• reduced eye movement

Question 14

• 5 Tx of AAC glaucoma

Answer 14

1. pilocarpine
2. timolol
3. IV acetazolamide
4. IV mannitol
5. laser iridotomy

Question 15

4 other causes of painful vision loss

Answer 15

1. optic neuritis
2. temp arteritis
3. endopthamitis
4. keratitis

Question 16

Sx of optic neuritits

Answer 16

• female 20-40
• 50% have swollen disc
• high association with MS

Question 17

invest and Tx for temp artersiits

Answer 17

• ESR and CRP

- steroids

Question 18

sx and Tx for endopthalmitis

Answer 18

• pain , photophobe, decreased vision

- IV aBx and optho

Question 19

5 causes of painless vision loss

Answer 19

1. retinal detachment
2. CRA occlusion
3. CRV occ
4. amarosis fugax
5. occipital stroke