الرحيم الرحمن الله بسم
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}}}}
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
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
Scleromaletia imperfecta RA
Neonatal chlamydial conjunctivitis
Treatment
• most common cause of neonatal conjunctiv.
Mucopurulent papillary conjunctivitis
-no follicles- topical and oral antibiotics
Neuro fibromatosis
Lisch noduels in IRIS
Astrocytic hamurtoma in NF