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Station#01
Station#02
Perform:
1. Extraocular movements – 3 components
Station#03
Station#04:
Surgical(Corneal transplant)
5. Complications? chronic or recurrent viral infection open sores,corneal scarring
and swelling,temp or perm reduction in vision,blindness
Station#05:
1. Snellen’s Chart
2. Use? visual acuity
3. Angle that one letter makes? 5’ of an arc.
4. What does mean by visual acuity of 6/60?(patient could only see at 6m what a
normal sighted person should see at 60)
5. Usual distance between patient and chart? 6m or 20feet
Station#06
1. Explain figure? – swelling and redness at medial canthus of eye with pussy
discharge
2. Diagnosis? Acute Dacrocystitis
3. Most common etiology?staph aureus,strep pneumonia
4. Treatment? antibiotics(amoxicillin),topical eye drops,analgesics and anti
inflammatory to reduce pain,hot fomentation gives soothing effect
2. Mechanism of action? muscle relaxant that inhibits nerve responses and for
dilating the pupil of the eye. atropine mechanism of action is classified as an
antiparasympathetic(parasympatholytic), or anticholinergic drug.
3. Uses? Cycloplegic,to paralyze accommodation reflex,as a mydriatic,
4.Ocular complications. Elevated IOP. With prolonged administration, local
irritation,photobia,blurred vision, hyperemia, edema, exudate, follicular
conjunctivitis, dermatitis.
5. Half life of atropine: 2 hours
Station#11
CATARACT:
Station#14
PUPILLARY REFLEXES
a) it is on pic to diagnose :D
b) mc: eyelid tumour = BCC
c) ivg= skin biopsy and frozen sec study
d) rx = cryo, radiation,laser , chemo
e) DD =sebaceous hyperplasia, malignant melanoma, scc, scoliosis
Station#17
HYPHAEMIA
Station#19
Redeyedrops:Mydriatics/cycloplegics
Station#20
Station#21
Signs : lid marijin in-turned and lashes rubbing the cornea and conjunctiva
Treatment?
Entropion : surgical ;
senile type ( horizontal resection of orbicular is muscle and tarsus procedure
Weiss procedure , fox procedure , modified wheelers procedure.
Cicatrizing type ( mild cases tarsal hinge procedure ) , ( severe cases
replacement of contracted conjunctival tissue by mucous membrane graft )
Spastic type : taping the eyelid to the skin of cheek , eyelid everting sutures ,
denervation by alcohol injections and botulinum injections , remove a part of
orbicular is oculi surgically
STATION 24
-Chalazion
.Where located?upper eye lid ( more common jatoi ) but can occur in lower ( se
pic from jatoi)
.Identify: ptosis
-identify: Conjunctivitis
Identify:CATARACT
.Signs and symptoms : signs : white pupillary reflex ( leucocoria ) seen in mature
cataract , black coloured opacity seen against a red background ( on plane mirror
examinationdistance 1M ) , plane mirror examination distance 22cm shows
determine the exact position of opacity
Symptoms : cloudy blurred vision , faded colors , glare , halos , poor night vision ,
sunlight appear too bright , double vision or multiple vision seen In one eye ,
frequent change in eye glasses or contact lenses
STATION 30
Identify: RETINA:
-Diabetic Retinopathy
-Diabetic Maculopathy
STATION 31
.Slit Lamp (photo)
.Tonometer (Shiotz, applanation)
STATION 32
.Procedure :
(block the gap between patient's eyes for consensual light reflex, use high and low
power torches)
STATION 34
Corneal Ulcer. ( A 20 year old med student with h/o contact lens wear)
Approach? Thorough history ( contact lens wearing , blurred vissin , sever pain,
photophobia ) , examination ( diffuse punctate epitheliopathy , limbitis , ring
infiltrates , perineural infiltrates pathognomonic sign ) , diagnosis made on
corneal scrapings( non nutrient agar) culture ( visualizing the ameoba , ) , stain
used PAS and alcoflour white for ameobic cyst , and laminar corneal biopsy
Treatment?
STATION 35
Identify: Red capped and Green capped bottles. ( mydriatic and miotics
respectively ).
MOA?
Uses?
STATION 35
Identify?chalazion
Risk factors ( in elderly and young individuals separately )
Station 36
Identify:Hordeolum.
Signs and Symptoms? Pain , eyelid red swollen and edematous , tenderness over
the lid marjin ,
STATION 37
Identify? myopia
Definition? It is the form of refractive error in which parallel rays of light entering
the er are focused in front of retina with accommodation at rest
Complications? Posterior staphyloma , macular hemorrhage , retinal detachment
, glaucoma
Treatment? Non surgical concave lens ( in childrens -> full correction for
constant use Is advised ) , ( in adults -> under correction -> 1-2D less is prescribed
)
STATION 38
Concave lenses
STATION 39
Itiching ( allergy )
STATION 40
Rx? Topical antibiotics , analgesics and anti inflammatory drugs , hot fomentation
, insicion and drainage of abscess
Names of abx? Acute dacrocystitis with orbital cellulitis give I/V antibiotics (
Ampicillin-sulbactam , ceftrixone , moxifloxacin
STATION 41
identify: Pterygium
STATION 42
identify: Left eye convergent squint.
STATION 43
identify: Direct ophthalmoscope.
Uses? Makes small aneurysms and small hemorrhages stand out , use to estimate
C/D ration , to examine fundus with small pupil , can differentiate b/w retinal and
choroidal lesion
STATION 44
STATION 45
what is this? Aplanation tonometer
Principle on which this works? Based on imbert-fick principle which states that (
the pressure ‘p’ inside an ideal dry , thin walled sphere equals the force ‘f’
necessary to flatten its surface divided by the area of the flattening ‘A’ p=F/A
STATION 46
keicher Fleischer ring.
-In what layer of cornea is this ring deposited? Decement membrane of cornea
close to endothelial surface
-In what other diseases would you see this ring? False positive in hepatitis ,
cholestasis , primary biliary cirrhosis
STATION 47
Moa? Reduce the aqueous humor formation by blockage of beta receptor on the
ciliary epithelium
Ocular uses? Reduce high pressure inside the eye due to glaucoma ( open angle
type ) , ocular hypertension , decrese pressure to prevent blindness
STATION 48
Perform pupillary reflex.
STATION 49
STATION 50
Risk factors of this. Hot dry climate , exposure to UV radiation and dryness
STATION 51
What's the most likely organism? Heroes simplex virus type 1 and 2
STATION 53