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Showing posts with label Ophthalmology. Show all posts
Showing posts with label Ophthalmology. Show all posts

Fungal corneal ulcer


Mode of infection
Mc vegetative mat. Crop leaf thorn

         Agent
        Mc  aspergillus fumigatus
        Candia albicans

CF
Symptom.     less marked
Signs.            Very prominent

           Sign.    Trick.    non greyish feathery ring 
           Greyish white. 
           Margins  Feathery hyphyate
           Immune rings. wessely
           Non sterile

Tt
Doc for aspergillus  nataymcin
Doc for candida.       Ampho B

          Contraindications
          Topical   steroids

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Trachoma

BOILED SAGO GRAIN FOLLICLES 

Def
Keratoconjunctivitis
Also k/a Egyptian opthalmia
         Causative agent
         Chamydia trachomatis
         Serotype A,B,Ba,C

CF
conjuctival signs
Pathognomonic -follicles(boiled sagograin) on bulbar conjuctiva
Papillary hyperplasia
Scarring (conjuctival) k/a ARLT's line
ARLT'S LINE 


            Corneal sign 
TRICK HARBAR PAN SE ULCER AUR OPACITY HOTTI

HARBAR.  HERBERT PITS ND FOLLICLES
PAN.           PANNUS
ULCER.      CORNEAL ULCER .
OPACITY.   CORNEAL OPACITY

            Complication
            Dryness nd blindness
            ENTROPION

Classification
Trick
TRACHOMA CALL ME BY MAC PHONE

1 Mccallan classification

             2 WHO classification (fisto)
             Folliular Intense Sarring Trichiasis Opacity

Spring Catarrh

COBBLE STONE APPEARANCE 

Def
Allergic inflammation of conjunctiva

                   Also k/a
VERNAL OR WARM WEATHER keratoconjunctivitis

                 Season
                 Spring nd summer
Type
Type 1 hypersensitivity Rx (immediate type)
                 Age
                 4 to 20
CF
Marked itching
STRINGY ROPY DISCHARGE

                Clinical  TYPES
1 Palpebral. MC TYPE
   √ COBBLE STONE APPEARANCE
2 BULBAR FORM
    √ TRANTA'S. SPOT
TRANTA'S SPOT AROUND LIMBUS 

                CORNEAL SIGN
TRICK  SPRING ME PSEUDO BOW AUR SHIELD USE KRO
Pseudo      PSEUDOXANTRON
Shield.        SHIELD ULCER
BOW.          CUPID BOW
PSEUDOXANTRON (CUPID BOW) around LIMBUS 

                 T/t
Trick spring me mast ola cab me steroid le jaao
Mast.          Mast cell stabilizer
Ola.             Olapatadine
Steroid.      Steroids

Hypopyon corneal ulcer


Causative organism
Staph. Strepto.
Gonococcal fungi
Puesdomonas Pneumococcal

         Special term
         Ulcer serpens  k/a ulcer caused by   Pneumococcus 

Nature of hypopyon
Bacterial         Sterile
Fungus.          Non sterile

          New
Reverse hypopyon k/a :silicon oil in ant.chamber

Overwear syndrome


Causative organism
MC pseudomonas  40% cases
2nd MC acanthamoeba

      Pathogenesis
      Oxygen availablity     -         Restricted
      Glucose utilisation      -        Reduced

CF
Watering
Photophobia

           Treatment
            Discontinuation of lens
            TopicalAntibiotics

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