common eye conditions every primary care clinician should know€¦ · common eye conditions every...
TRANSCRIPT
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Common Eye Conditions
Every Primary Care
Clinician Should Know
Cynthia S. Chiu, MD, FACS
Associate Professor
UCSF Department of Ophthalmology
UCSF Family Medicine Board Review
March 9, 2016
http://www.timandjeni.com/images/cookiemonster.jpg
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Disclosure
I have no financial interest in any of the
products mentioned in this presentation
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The Eye Exam
Eye Vital Sign
Near Vision Card
Held at 14 inches
Glasses as needed
http://www.drbanker.com/images/Nearvision.gif
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Pupils
Look for afferent pupillary defect
Swinging flashlight test
+APD indicates optic nerve or large retinal lesion
http://img.tfd.com/ElMill/thumb/F0P-24-S2958.jpg
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Motility
Six extraocular muscles
Test cardinal fields of gaze
http://www.opsweb.org/OpPhoto/Extern/Motility/muscle.jpg
http://www.opsweb.org/OpPhoto/Extern/Motility/9gazedwg.jpg
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Confrontational Visual Fields
Cover eyes on same side
Hold fingers midway between
Normal per eye:
60-60-60-90
http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=cm&part=A3460&rendertype=figure&id=A3464
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Penlight Exam
http://cache.heraldinteractive.com/blogs/sports/rap_sheet/wp-content/uploads/2009/11/bionic-eye.jpg
Lids
Lashes
Conjunctiva/Sclera
Cornea
Iris/Pupil
Lens Puncta
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Anterior Chamber Depth
Deep chamber: illumination of nasal iris
Shallow chamber: shadow on nasal iris
Dilation: Phenylephrine 2.5%, Tropicamide 1%
http://www.ophthobook.com/wp-content/uploads/2007/12/video-glaucoma-shallowpenlight.jpg
http://iei.ico.edu/images/anatomy.jpg
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Fundoscopy
PanOptic or Direct Ophthalmoscope
Evaluate optic nerve, retinal vessels, macula
http://www.welchallyn.com/images/corporate/0509_wa_bmurf/011810xx1PanOpticRedHe.jpg
http://webvision.med.utah.edu/imageswv/retina.jpeg
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Primary Care Ophthalmology
http://www.factzoo.com/sites/all/img/reptiles/chameleon-eyes.jpg
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The Red Eye
http://i.zdnet.com/blogs/lord-of-the-rings-ii-eye-of-sauron-4900244.jpg
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Viral Conjunctivitis
URI
Clear or mucous discharge
Lymphadenopathy
Contagious!
Treat for comfort
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Bacterial Conjunctivitis
Purulent discharge
Culture
Staph, Strep, Hflu
– Polymixin/Trimethoprim
– Fluoroquinolones
– NOT Tobra or Gent
GC, chlamydia
– Systemic Rx
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Allergic Conjunctivitis
History of atopy
Conjunctival edema
Itchy!
Topical antihistamines
– Elestat
– Zaditor
– Patanol
Visine tachyphylaxis
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Blepharitis
Redness, itching, “grit”, dry eyes
Rosacea, Staph, Demadex
Warm compresses, baby shampoo, artificial tears
Doxycycline, Azithromycin
http://www.stop-rosacea.com/
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Herpes Simplex
When to refer:
V1, V2
red eye
eye pain
change in vision
Acyclovir
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Herpes Zoster
Hutchinson’s sign: nasociliary nerve
Treat Post-Herpetic Neuralgia:
Lyrica, Neurontin, TCA’s
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Uveitis
Inflammation of vascular tissue
Auto-immune
Infectious
Toxic
Masquerade
May require immunosuppression
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Angle Closure Glaucoma
Headache
Loss of vision
Firm eye
IV Diamox, Mannitol
Glaucoma gtt’s
Surgical treatment
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Subconjunctival Hemorrhage
Valsalva, HTN, anticoagulants, eye rubbing, spontaneous
In the setting of trauma: refer
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Corneal Abrasion
Pain!
Loss of epithelium
Not infected
Erythromycin ung
Artificial Tears
Patching
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Corneal Foreign Body
Iron is toxic
Surgical treatment
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Hyphema
Severe eye trauma
Risk of rebleed
Risk of glaucoma
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Ruptured Globe
Peaked pupil
Brown tissue outside the eye
CT scan NOT MRI
Fox shield, NPO
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Common Diseases of Aging
http://www.jaredyellin.com/wp-content/uploads/2009/12/old-man-winking1.jpg
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Cataract
Painless progressive loss of vision with age
Also caused by DM, XRT, trauma, medications
Difficulty reading, driving, glare
Outpatient surgery
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Glaucoma
Chronic progressive optic neuropathy
Loss of visual field
Risk factors: age, tobacco, race, family hx
Medications may have systemic interactions http://img.medscape.com/fullsize/migrated/569/545/569545.fig2.gif
http://cdn.shopmedvet.com/images/uploads/2640_7780_thumb.jpg
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Macular Degeneration
Risk factors: age, UV, tobacco, Family Hx
Loss of central vision
Dry form: AREDS vitamins, stop smoking
Wet form: anti-VEGF injections
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Disorders of the
Eyelid and Orbit
http://greatpiercingshop.com/blog/wp-content/uploads/2009/12/eyelid-piercing-method-and-aftercare_49.jpg
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Chalazion
Blocked oil gland
Inflammation
Warm compresses
Incision/curettage
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Cellulitis
Preseptal vs Orbital
Preseptal: full EOM,
no proptosis, quiet eye
Treat PO Abx
Orbital: proptosis, strabismus, inflamed eye
Treat IV ABx
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Thyroid Orbitopathy
Proptosis
Strabismus/Diplopia
Corneal exposure
Optic nerve compression
131-I may aggravate
Surgical treatment
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Disorders of the Retina
http://webphysics.davidson.edu/faculty/dmb/EdibleOpticalMaterials/index_files/cyclops.jpg
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Retinal Detachment
Flashes/Floaters
Loss of vision/field
Sudden, painless
Surgical treatment
http://www.rameshshahmd.com/pictures/retinal%20detach.%201.jpg?nxg_versionuid=published
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Diabetic Retinopathy
Microvascular disease
Bleeding
Macular edema
Neovascularization
Glucose/BP control
Laser ablation
Anti-VEGF
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Hypertensive Retinopathy
Mild: arteriolar narrowing
Mod: cotton wool spots, hemorrhages
Severe: disc edema, vessel leakage, infarcts
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HIV/CMV Retinopathy
Microvascular disease
Annual exam if CD4>200
CMV retinitis
http://depts.washington.edu/hivaids/images/oit/oit_c7_d06.jpg
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Retinal Artery Occlusion
Embolic: cardiac echo, carotid doppler
Vasculitic (GCA)
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Retinal Vein Occlusion
Hypertension
Glaucoma
Young patients: hypercoagulable
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Neuro-Ophthalmology
http://www.capitalgainsmedia.com/images/Development%20News%20Photos/Dev-Ino-Issues%2002/Dev-Ino%20Issue%200244/DSC01869.jpg
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Stroke
Homonymous field defect
Location of lesion is contralateral + upside-down
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Pituitary Adenoma
Compression of nasal fibers at optic chiasm
Bitemporal hemianopia
http://www.lfhk.cuni.cz/patfyz/intranet/Figures/58/18.13.jpg
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Temporal Arteritis
Acute vision loss
Headache, jaw claudication, scalp tenderness, proximal myalgias, constitutional symptoms
ESR and CRP
Prednisone 100mg QD
Temporal artery biopsy
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Optic Neuritis
Loss of vision
Pain with EOM
+/- disc edema
Multiple Sclerosis
Steroids
http://www.djo.harvard.edu/files/2982_355.jpg
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Pseudotumor Cerebri
Headache, tinnitus
Papilledema
Vision loss
Female, overweight
Medication-induced
LP: opening pressure
http://www.caleyes.com/images/papilledema-image.jpg
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Horner Syndrome
Anisocoria in the dark
Mild ptosis
Acute and painful:
R/O carotid dissection
http://www.mrcophth.com/oculoplasticgallery/traumatichorner/horner.jpg
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Third Nerve Palsy
Aniscoria in the light
Severe Ptosis
EOM paresis
Microvascular
PCA/PCom
aneurysm
http://www.nature.com/eye/journal/v18/n3/images/6700625f1.jpg
http://www.revophth.com/Images//2008/10/083_RPJ8_F6.gif
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Thank You!
http://blog.omy.sg/dingan/files/2009/05/bob.jpg
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References
http://www.drgreene.com/21_1254.html http://www.bobzyeruncle.com/archives/images/conjunctivitis-GC.html http://www.ueseyecare.com/images/photos/allergic_conjunctivitis_l.jpg http://www.ueseyecare.com/images/photos/viral_conjunctivitis_l.jpg http://www.vigamox.com/images/packaging.jpg http://dro.hs.columbia.edu/ced3/conjhemb.jpg http://www.aafp.org/afp/20030401/1481_f3.jpg http://eyemicrobiology.upmc.com/Images/Sub/PhotoEyeDendrite.jpg http://www.hkmj.org.hk/skin/images/108-1.jpg http://www.medicalskincare.be/images/content/herpes03.jpg http://www.tusalud.com.mx/images/herpes_zoster.jpg http://eyelearn.med.utoronto.ca/Lectures04-05/RedEye/images/11Kera2.jpg http://www.nova.edu/~albert/ScleritisWeb.jpg http://www.mrcophth.com/externaleyediseases/sp.JPG http://e-learning.studmed.unibe.ch/augenheilkunde/systematik/aderhaut/images/iritis2.jpg http://www.emedicine.com/oph/images/456cmv7.jpg http://www.revoptom.com/handbook/images/62a.jpg http://images.google.com/imgres?imgurl=http://www.asoprs.org/Graphics/gravesct.jpg&imgrefurl=http://www.asoprs.org/Pages/thyroid.html&h=250&w=
429&sz=9&tbnid=ul6zL-4JdFYJ:&tbnh=71&tbnw=122&start=1&prev=/images%3Fq%3Dthyroid%2Beye%2Bmuscles%26hl%3Den%26lr%3D http://www.medscape.com/content/2002/00/44/63/446304/art-mop446304.coat.fig3.jpg http://www.jeremydiamond.co.uk/graphics/cataract_eye.jpg http://technology.kingston.ac.uk/dirc/medical/images/catara2.jpg http://www.drloden.com/Pages/Pics/cataract.gif http://www.eri.harvard.edu/faculty/peli/Opthalm_Mngt_0803_files/xNat.beauty.jpg http://www.avclinic.com/images/tonometry.jpg http://www.avclinic.com/Glaucoma.htm http://www.lasikinstitute.org/Glaucoma_whatis.html http://www.neec.com/images/photos/mitrev5.jpg http://www.rvscny.com/images/Diabetic%20retinopathy.jpg http://www.tedmontgomery.com/the_eye/eyephotos/pics/DiabeticRetinopathyProliferative.jpg http://www.neec.com/images/photos/diabetic%20retinopathy%20figure%203.jpg
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References
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