Eye Disorders (Part 2)
Orbital Disorders
Retinal Disorders
Macular Degeneration
Wet vs Dry
**DRUSEN BODIES = DRY
CENTRAL vision loss
Retinopathy
Diabetic vs Hypertensive
**Pance Prep Pearls for best explanations and BUZZWORDS**
Traumatic Disorders
Corneal Abrasion
“I feel like something is in my eye”
Evaluate for any foreign bodies then STAIN the eye and exam with Woods lamp for corneal abrasion
Vascular Disorders
Retinal Artery Occulsion
The “eye stroke”
Acute sudden vision loss
**Cherry Red Macula**
(In the TV shows and movies when they jab their thumb into a patients eye this is what they are trying to treat)
Retinal Vein Occulsion
Acute sudden vision loss
**Blood and Thunder Appearance**
Vision abnormalities
Amaurosis fugax
“TIA of the eye”
Described as a curtain that comes down across the eye that spontaneously resolves
Strabismus
The magic numbers to remember are 2 months – 2 years
(Proper alignment is not present until 2 months and it should be treated before 2 years of age)
Cover the GOOD EYE to allow the misaligned eye to strengthen
Glaucoma
Increase in intra-ocular pressure (>21mmHg) due to decreased drainage
(Look for the patient walking out of a movie theater with acute unilateral eye pain)
**Fixed, dilated, non-reactive pupil with steamy cornea**
Avoid Antihistamines and Anticholinergics!!!
For additional questions and explanations click below!
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