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Ocular Diseases #3
Questions and IMAGES in TARGET GAME Ocular Surf Disorders/Corneal Dysts/Red Eye
| Question | Answer |
|---|---|
| What do dry eye symptoms include? | Tearing, Heavy puffy lids, tired eyes, and Worse in windy conditions |
| What do goblet cells produce? | Mucin |
| What do meibomian glands produce? | Lipid |
| What occurs with Vitamin A deficiency? | Bitot spots, Nyctalopia may occur |
| What six systemic disorders may have dry eye as symptoms? | Graves' Disease / Rheumetoid Arthritis (also Juvenile R.A. and Reactive Arthritis-can't see, can't pee, can't bend knee)/ Sjogren's, Rosacea, AIDS, Sarcoidosis |
| What is the approximate normal endothelial count in young adults? | 3000/4000 cells mm2 |
| The normal basic Schirmer should be at least _________. | 15mm of the strip should be wet after 5 minutes |
| What seven common medications make dry eye worse? | Hormone Replacement Therapy (HRT), Birth control pills and oral contraceptives, Diuretics (Diamox, Lasix), Retinoid type (Accutane for acne), Antihistamines (Allegra), Decongestants (Allegra-D), HBP meds |
| What is the first line of treatment for dry eye? | Artificial tears |
| What topical medication is used in advanced dry eye Rx? | Cyclosporine (Restasis) |
| Name the nutritional supplement very useful in Rx dry eyes. | Omega 3-6 |
| What are the three signs of Vitamin A deficiency? | Nyctalopia, Dry eye, Bitot spots |
| Name six systemic disorders which may cause dry eyes. | Rheumatoid arthritis, SLE, Grave's disorder, Rosacea, Sjogrens, Bell's palsy, Sarcoid |
| What is deposited in the cornea in band keratopathy? | Calcium |
| Define corneal ectasia. | Thinning of cornea |
| What are two devices used to measure corneal thickness. | Pachymeter and OCT |
| The _________ gland produces an oily layer of tears. | Meibomian |
| Name a preservative which may frequently cause epithelial keratitis. | BAK |
| What is Scleritis usually treated with topically? | Stronger topical steroids - Pred Acetate, Durezol |
| What are Herpes Dendritic Ulcers treated with? | Anti-Viral- Zirgan |
| What is Stromal Herpes treated wtih? | Anti Viral - Zirgan and Topical Steroids - Durezol |
| Blepharitis is common with _____________. | Rosacea |
| What is true of EKC infection? | Adenovirus, Tender pre-auricular nodes, contagious in keratitits phase, Sub epithelial infiltrates diagnotic |