الرحيم الرحمن الله بسم

Review

Acute dacriocystitis

There is redness and swelling 2ry to NLD obstruction Tt: is by antibiotics

90yr from Tihamah: high IOP, type of glaucoma is

shallow of ant chamber.Ciliary injections .

Phacomorphic glucoma

Right eye anisiocoria (in day light )

the diseased eye is the dilated eye “right eye”

Cuses :*3rd crainal nerve palsy

•Truma

This slide is showing :

1. Corneal scar2. Cataract

3. Rubeosis iridis4. Glaucoma5. Red eye

Ttt: by laser photocoagulations

Left eye anisiocoria (in dim light )

the diseased eye is the consructed eye “left eye ”

Cuses :•Horner syndrome •Endopthalmitis

Side effect :1- macular edema 2- heterochromia

3- iritis

Prostaglandin anloges

Work through : blockage of uveio-scleral pathway

Congenital glaucoma

Mid dialated fixed pupil Buphtahalmous

Generics– Phenylephrine

Hydrochloride (2.5 & 10% solutions

Diagnostic Drugs

Mydriatics== dilate the pupil

Onset: 20 min

Duration: lasts 2-3 hrs

Other drugs :Tropicmide

Side effect :hypertention

Ptosis & extropia 3rd cranial nerve palsy

RAPD of the left eye

Right epiduction defficite 6 th cranial nerve palsy

Papillodema“ lose of disc margins “

Bilateral

Review causes >>>>>

ReviewDDX:• HTN: measure it• SOL by neuroimaging CT , MRI• BIH: benign

intraoculler hypertention

Painless ,GCA:headache…….

CRAO

Chary red spot

• Describe…• Dx• Do utreat???

H-Trantos – dotvkc

• Signs• Dx• RX

Giant papillae ”cobblestone “ vkc

Herbit;s bitInactive chronic old trachoma

Nevasculler retina Cuses:

DM” systemic causes “ – CRVO ‘ocular causes”

Fleshy,pink,gelatinous massFeeder vessels

Surgical excision+cryotherapy

Squamous cell carcinoma

Black nodule,feeder blood vess(BV)

Melanoma

Growthpigmentation Feeder BV Unusual site: palpebral fornix

Nevus:Mobile mass can be moved with cotton

Subconjectival hemorrhage

2ry to viral or truma

Trachiasis: miss directed lash

FolliclesReview the causes}}}}

Ptrygium

Chronic glaucomahigh c:d”cup to disc “ ratio more than .8

Symblepherone

2ry to : #chemical burn #SJS

Injectable Solutions

No Alphagan for children under 4

years

MIOTICS (2% Sol.)– Produce miosis (small pupil)

Generics– Pilocarpine Hydrochloride

Usage:– 3 – 4 times daily

Stim. Sphincter pupillae&C.B

Glaucoma Drugs

Drugs to Increase the Outflow

Anti-Inflammatory Drugs

Corticosteroid• Generics

– Prednisolone Acetate (1% Susp.)

• Brands

– Pred Forte, Optipred

Diagnostic Drugs

Dyes & Stains ( fluresine dye )

• Side effects: • 1- Anaphylactic • 2- allergy • 3-cardiac arrest – Allergy– Anaphylactic shock– Cardiac arrest

Viual loss

Stationary: Ischemia Progressive: compressive Improving: optic neuritis

The most likely diagnosis

• Central retinal vein occlusion

• Central retinal artery occlusion

• Papilledema • Vitreous hemorrhage

High C:D ratio more than .8

Peripheral iridictomyتحت تكون شي upper lid افضل

CRVO

IR ( the most muscle affected in thyroid disease ) , MR, SR, LR

Opthalmia neonatum

Keririts and corneal perforation and lost of corneal cleraty

EPD ( efferent papillary defect )3rd crainial palsy

Ectopia lentis HOMOCYCETEINURIA

BACHET’S DISEASE

EXOPHTHALMOUS

Chemosis

Scleromaletia imperfecta RA

VKH

Neonatal chlamydial conjunctivitis

Treatment

• most common cause of neonatal conjunctiv.

Mucopurulent papillary conjunctivitis

-no follicles- topical and oral antibiotics

CHLAZION

Neuro fibromatosis

Lisch noduels in IRIS

Astrocytic hamurtoma in NF