most common opthalmology slides with anwers

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Most Commom Ophthalmology slides with answers:

Most Commom Ophthalmology slides with answers Maded by SMT team www.sciencesway.com

Slide 2:

What is the diagnosis? Complications ? Answers Diagnosis : Entropion of lower lid with trichiasis Complications: Chronic conjunctivitis, conjunctival scar, corneal ulcer & corneal opacity

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What is the diagnosis? Treatment ? Answers Diagnosis : Cicatricial ectropion Treatment : V to Y plasty or Z plasty

Slide 4:

- What is the diagnosis? - Surgical operation in the lid ? Answers Entropion in lower lid, trichiasis & corneal ulcer Surgical operation: Lateral canthotomy, lateral canthoplasty

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Diagnosis treatment Answers : -Stye ttt of P.F. “ staph. Aureus” -local antibiotics & eye drops -Hot fomentation

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Diagnosis Complications treatment Answers: -Diagnosis: Ophthalmia neonatorum -Complications: Corneal ulceration , iridocyclitis -ttt: -Prophylactic ttt. -Curative ttt: lotions, topical and systemic antibiotics and atropine ointment in case of corneal involvement.

Slide 7:

Diagnosis etiology Answer: Phlyctenular conjunctivitis (limbal phlycten) Etiology : Hypersensitivity reaction to endogenous antigens e.g. bacterial antigens as T.B & chlamydia.

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Diagnosis treatment Answers: -Bulbar spring catarrhal ttt :topical steroids, mast cell stabilizers, anti histaminic Dark glasses & cold compresses.

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Diagnosis 2 causes Answers: -phlycten -Causes: Hyper sensitivity to an endogenous antigen e.g. tuberculo-protein, Intestinal parasites, staphylococcal blepharoconjunctivitis.

Slide 10:

Comment on lashes complications Answers: -Ulcerative blepharitis -Complications: Chronic conjunctivitis, Madarosis, trichiasis, ptylosis, epiphora, Ectropion, corneal ulcer.

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What is this sign called? pathogenesis Answers: Sign: Marcus –Gunn phenomenon Pathogenesis: Faulty Innervation “motor fibers from 5 th nerve reach levator instead of the 3 rd nerve”

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Diagnosis treatment Answers: Diagnosis: mucopurulent conjunctivitis Ttt: -Eye lotions -Antibiotics ointments e.g. tobramycin at night -Antibiotic eye drops -Hot foments

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Comment on conjunctiva & cornea What are the indications of surgical treatment ? Answers: Diagnosis: Ptyregium Comment : Conjunctiva > conj. Epith. hyperplasia Cornea >covered by apex of Ptyregium. Indications of surgical ttt: - If encroaches the pupillary area - Progressive type - Cosmetically annoying the patient - Recurrent cases

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Cause of this appearance 2 eye drops Answers: Cause: post. Synechiae 2 eye drops: Atropine sulfate corticosteroids

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Diagnosis Name 2 causes Answer Diagnosis : rubeosis iridis – Peripheral iridectomy Causes : Diabetic Retinopathy and CRVO

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Diagnosis What is the visual complaint? Answers: Diagnosis: Irido-dialysis Visual complaint : Uniocular diplopia

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Diagnosis Factors affecting prognosis Answers: Diagnosis: Lt. congenital ptosis Factors affecting prognosis: Amount of ptosis Extent of levator function If 3 rd nerve palsy >> correct squint first If 5 th nerve palsy >> postpone the op. till 5 th n. regenerates .

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A 68y patient complaining of sudden diminution of vision . What is the Diagnosis? mention two systemic predisposing condition Answers: Diagnosis: CRVO 2 Systemic P.F.: Systemic hypertension & Diabetes mellitus

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Diagnosis Antiviral drugs for ttt Answers: Diagnosis: Herpetic corneal ulcer “Dendritic ulcer” Antiviral drugs: Acyclovir , vidarabine , T3F & IDU

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Diagnosis What is the suspected refraction of this patient? Answers: Diagnosis: Keratoconus “ Munson`s sign” Suspected refraction: axial myopia & Astigmatism.

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Diagnosis 2 posterior segment diseases cause it Answer Diagnosis: rubeosis iridis Causes: Diabetic Retinopathy and CRVO

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Diagnosis Deferential diagnosis Answers: Diagnosis : CRAO D.D.: “For cherry red spot” Commotio retinae Quinine poisoning Macular hole surr. By RD Amauratic family idiocy

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Diagnosis Expected field of vision Answers: Diagnosis: Glaucomatous cupping of optic nerve Expected field of vision: Tubular field.

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Diagnosis 2 syndromes associated with it mention effect on optic nerve Answers: Retinitis Pigmentosa 2 Syndromes : Bardet - biedl syndrome Refsum’s disease Effect on optic n.: Waxy disc pallor due to consecutive optic atrophy

Slide 25:

The optic disk of this patient show……. Name a cause for this condition Answers Comment : Papilleodema Cause: Elevated intracranial tension.

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A 57y patient with sudden painful drop of vision IOP is stony hard Name 2 medication for emergency treatment of this case Answer Diagnosis: Acute congestive glaucoma 2 Medications for emergency : hyper-osmotic agent, topical miotics, topical steroids Ttt: ttt essentially surgical recent….surgical iridectomy late….their is PAS ,an external fistulizing operation .

Slide 27:

Nerve& muscle affected ? Direction of gaze which diagnose this case ? The main complaint of the patient Answer Nerve& muscle affected: Rt Abducent nerve-RT. Lateral rectus Direction of gaze: To the right Main complaint: Binocular Diplopia

Slide 28:

Diagnosis Component of it Answers: Diagnosis: hypermetropia Components : Total , Latent , Manifest hyperopia

Slide 29:

Type of squint & its angle Confirmatory test Answers: Type of squint : exotropia angle: 30 Confirmatory test: Cover test

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Diagnosis treatment Answers: Diagnosis: After cataract TTT: - No interference if vision is not affected - If thick : surgical intervention

Slide 31:

Diagnosis treatment Answers: Diagnosis: myopia TTT: - eye glasses with concave minus lenses - contact lenses - refractive surgery if indicated

Slide 32:

What s this inustrument called Used for…….. Answers: Instrument: Applanation tonometry (gold mann) usage: IOP measurement

Slide 33:

What is the upper lid abnormality? What are the complications? Answers: Comment : Left upper lid ptosis Complications: Amblyopia & Squint scoliosis and ocular torticollis.

Slide 34:

Comment on lens This is an association of………..syndrome Answer Comment : lens subluxation Syndrome: Marfan’s syndrome

Slide 35:

A 68y old woman with cataract extraction . Complaining of drop of vision which was managed What was the cause of drop of vision? What was the management? Answer Cause: posterior capsular opacification (after cataract) Management: YAG laser capsulotomy

Slide 36:

Comment on the lower lid Name 2 possible complications of this conditions Answers: Comment: Senile ectropion 2 possible complications: xerosis corneal ulcer

Slide 37:

Diagnosis Name 2 surgical procedures for ttt of this condition Answers: Diagnosis : Buphthalmos 2 Surgical procedures: -goniotomy -trabeculotomy

Slide 38:

What are these field defect called? Name the cause Answer Field defect: Bitemporal hemianopia Cause: Optic chiasma lesions (nasal fibers damage) e.g. Pituitary gland tumor

Slide 39:

What's the error of refraction in this patient ? What're the complications of this case ? Answer Error of refraction : High myopia Complications: Chorio-retinal degenerations retinal tears retinal detachment

Slide 40:

Diagnosis 3 causes Answers Diagnosis: Symblepharon Causes: - Post-trachomatous - Post-operative ( Pterygium excision) - Ocular cicatricial pemphigoid

Slide 41:

The eye lid & Conjunctiva show possible findings in the crystalline lens Answers Comment : Ecchymosis & subconjunctival hemorrhage" Possible findings: (Concussion cataract " Rosette-shaped" - Lens subluxation or dislocation )

Slide 42:

Diagnosis 2 causes Answers: Diagnosis : Lens subluxation Causes: Marfan's syndrome Homocystenuria & Trauma

Slide 43:

What's the sign called ? 3 possible causes Answers Sign : Leukocoria Causes : Retinoblastoma congenital cataract Retinpathy of prematurity

Slide 44:

What is the error of refraction ? How to correct ? Answers Error of refraction: Hypermetropia Correction : Spherical Convex "plus" Lens

Slide 45:

Diagnosis mention caustive organism Answers: Diagnosis : Hypopyon corneal ulcer Causative organism: pneumococci

Slide 46:

Diagnosis Mention disease cause this Answers: Diagnosis: exophthalmos Disease : Hyperthyrodism

Slide 47:

Diagnosis treatment Answers: Diagnosis: Corneal foreign body TTT: Surgical removal

Slide 48:

Diagnosis mention muscle affected and its nerve supply Answers: Diagnosis: Left upper lid ptosis Muscle affected : levator palpebrae sup. innervation: oculomotor n.

Slide 49:

Diagnosis Mention 2 complications Answers: Diagnosis : sublaxated &cataractous lens Complications : lens dislocation 2ry Glaucoma Iridocyclitis

Slide 50:

Diagnosis Mention 2 complications Answers: Diagnosis: Blood staining of the cornea “total hyphema or 8-ball hyphema” 2Complications: Elevation of IOP Corneal staining

Slide 51:

Diagnosis Mention 2 ttt Answers: keartic precipitates ttt : Topical : Atropine sulfate & corticosteroids. Systemic: systemic steroids (in severe cases) & Antibiotics (in infective cases)

Slide 52:

sederosis bulbi Patient with foreign body in his eye from one year In picture you will see one eye normal &other eye(black iris)