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disp III LAST TEST
| Question | Answer |
|---|---|
| about __% of child blindness is caused by ocular injuries? | 5 |
| should check ___ before removing foreign bodies to protect person removing foreign body and check it after too! | Visual aquity |
| try to locate the source of foreign body , if we know the source it may help with ______ and rate of healing | removal |
| ______ velocity foreign bodies in bed deeper. | higher |
| usually use _____anesthetic because fbs can be very painful, especially in cornea. | local |
| ______is used to examine the eye for very small fbs and may need to use ___ to stain. | slit lamp; fluorescein |
| superficial fbs can often be removed by irrigation with _____ & _________? | saline; cotton swab |
| tightly lodged fbs must be lifted away with a _______ or _____? | corneal spud/burr |
| a metallic fb can cause a ______ ? | rust ring |
| a rust ring can form after ____ to ___ hours? | 6-8 |
| rust rings can be removed with a ______? | burr |
| after removal eye is ___to keep rubbing and blinking from irritating? | patched |
| most fb defects heal in _____ hours? | 24 |
| if fb is organic(fingernail,wood,etc) it can take up to ___ or ____ days to heal? | 3/4 |
| _____ are applied before patching? | Antibiotics |
| FBs should be treated when? | immediately |
| if FB is removed by tears and blinking there can still have the sensation that something is still in there, which is also known as what? | Foreign Body sensation |
| ____ foreign bodies usually dont have pain associated with them? | conjunctival |
| _______conjunctival foreign bodys usually easily seen against white background? | bulbar |
| if there is blood around the FB it means the eye has prob been ______? | penetrated |
| these are superficial scratches or erosions of cornea , not seen with naked eye, so fluorescein is used? | corneal abrasion |
| treatment for corneal abrasions is? | patch for 24 hours |
| with intraocular foriegn bodies constitute a _____ emergency? | surgical |
| severity of intraocular foriegn bodies just _____? | depends |
| try to find out the ____ of the intraocular foreign bodies? | source |
| contusions of eyelids are also known as a ______ eye? | black |
| need to examine quickly bc after _____ to ____ hours lids can swell? | 1-2 |
| ______ compress to immediately reduce swelling ? | cold |
| usually after ______to_____ days swelling goes down and ____ starts clearing up | 5/7 ; hematoma |
| contusion of globe is _____ or blow to the ____ of the eye? | explosive force/ orbit |
| some possible early complications of contusions of the globe? | subconjunctival hemmorage, hyphema,iris problems, glaucoma, dislocation of lens, vitreous hemmorage, retinal tears,detachements,bleeding,choridal rupture, sclearal, avulsion of optic nerve. |
| possible late complications of contrusion of globe? | glaucoma, sympathetic opthalmia, phthisis bulbi, cataract,keratitis. |
| this is a cut on eyelid , should be seen immediatly ? | lacerations |
| a delay in seeing a lacerations of lids could result in _____? | infections |
| ______ surgery allows Dr. to align the tissues to their original postition? | early |
| ___ & ______ shot should be given to patient after laceration of lids? | antibiotics/tetanus |
| if upperlid gets laceration it could damage the levator palpebral superioris ( raises upper lid) if that happens it could lead to ___? | ptosis |
| permanent tearing could result from damage to the ____? | lacrimal apparatus |
| entropian = | eye lids turn in |
| ectropian= | eye lids turn out |
| with lacerations you should patch eye so it doesnt get more irritated then send to the ____? | DR |
| how many orbital bones are there ? | 7 |
| direct blow to eye can cause a __________ fracture of the orbital bones surrounding the globe? | blowout |
| the bottom of the ordit is _____? | thin |
| if patient has black eye you should check for fractures with an ____? | xray |
| extrinsic muscles can get caught in cracked bones so eye may not be able to ____? which could cause diplopia | turn |
| with chemical burns the degrees of burns depends on the concentration of chemical and the ______ of contact? | duration |
| ____&_____ out chemical as soon as possible with lots of water? | dilute & rinse |
| irrigation for ____-_____mins and make arrangement to get to ophalmologist? | 20-30 |
| second stages of emergency care? (7) | 1.check VA 2.topical anesthetic 3.continued irrigation if necessary 4.obtain info on type of chemical 5.examine eyelid under magnification remove any particles 6.lids held open using cotton cloth 7.keep patient calm |
| never place a miotic or mydriatic drop in ______eye? | injured |
| never place an ______ in eye before Dr sees patient? | ointment |
| conditions causing double vision?(4) | 1.brain tumors 2.aneurysms 3.myasthenia 4.strokes |
| sinusitis,tooth abcess, migranes,hypertension,brain tumor,anxiety,ocular motorproblems . can cause what? | headaches |
| prosthisis are _____ body part like plastic eyes? | artifical |
| three different ways the eyes can be removed ? | 1.enucleation 2.eviserations 3.exenteration |
| this is where the whole eye is removed ... most popular wat with about 75 % of eye removals done like this? | enucleation |
| this is the removal of conntents of eyeball? | eviseration |
| this is the removal of enitire contents of the orbit - sometimes even lids , usually done with cancer patients? | exenteration |
| this is inserted at the time of surgery , shaped like the back of globe and muscles are attached to it? usually has kind of flat front surface and replaces about half the volume of the globe | implant |
| this is done at the time of surgery shaped like front of eye , gets eye socket in shape to recieve prosthesis? | conformer |
| oculartist is someone who does what? | fits fake eyes |