Term
| Approx what % of ppl have cystic retinal tufts? |
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Definition
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Term
| Lattice degeneration is ___________ of _______ retinal layers |
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Definition
| Thinning of inner retinal layers |
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Term
| How will lattice look with scleral indentation? |
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Definition
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Term
| Another name for lattice degeneration, specifically the non-pigmented forms |
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Definition
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Term
| What % of eyes that suffer a retinal detachment also have lattice |
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Definition
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Term
| 3 Criteria for when Lattice Degeneration merits treatment |
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Definition
Symptoms such as flashing lights, since flashing is caused by vitreous traction
RD in fellow eye
Pre-cataract surgery |
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Term
| Cystic retinal tufts are generally found in what part of the retina |
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Definition
| Superior, they are rarely inferior |
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Term
| How can you differentiate a hole from a hemorrhage |
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Definition
| Hole will turn white with scleral depression |
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Term
| A term for the optical illusion of retinal elevation, that is actually flat |
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Definition
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Term
| 2 criteria for referral for second opinion of Lattice Degeneration |
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Definition
Flashing lights
Pigment cells in vitreous |
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Term
| 2 criteria for referral for second opinion of Cystic Retinal Tufts |
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Definition
Status of Fellow Eye
Family history of RD |
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Term
| Pt presents with flashes/floaters and you find lattice, what is a critical component of your pt education |
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Definition
S/S of RD AND
scheduling the next appt in 4-6 weeks, not just telling them to come back if it is worse. |
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Term
| PT presents with flashes/floaters and you find lattice and they have a family history of RD, when should you refer them for a 2nd opinion if you don't find anything |
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Definition
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Term
| 4 types of retinal detachment |
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Definition
Rhegmatogenous
Tractional
Exudative
Mass Effect |
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Term
| 2 types of retinal detachment that don't have a retinal break |
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Definition
| Exudative and Mass effect |
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Term
| Name 5 options for treatment of rhegmatogenous retinal detachment |
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Definition
Cryotherapy/Laser Photocoagulation
Scleral Buckling
Pneumatic Retinopexy
Primary Vitrectomy
Silicone Oil Tamponade |
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Term
| What are the 2 types of gas used in vitrectomy and which lasts longer |
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Definition
SF6 and C3F8
C3F8 lasts longer (2-3 months) |
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Term
| What is the most common reason for failure of pneumatic retinopexy |
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Definition
| Failure to identify and treat all retinal breaks |
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Term
| Pneumatic Retinopexy is limited to treating detachments in which area of the retina |
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Definition
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Term
| Most common treatment for rheg RD |
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Definition
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Term
| Name a RD treatment option that requires general anesthesia |
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Definition
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Term
| What is the difference between pneumatic and primary vitrectomy |
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Definition
| Pneumatic bubble is smaller, only about 30%. With primary there is 100% exchange so the gas bubble is much bigger |
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Term
| RD treatment with silicone oil will also come with what procedure |
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Definition
| Inferior iridectomy, otherwise the oil will cause pupillary block glaucoma |
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Term
| Superior iridectomies are likely done to treat ______________ but inferior ones are generally done to treat___________ |
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Definition
Superior-associated with glaucoma treatment
Inferior-associated with Retinal Detachment treatment and prophylactic treatment of angle closure |
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Term
| 3 reasons to remove silicone oil from the eye |
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Definition
1) Pain
2)High pressures/glaucoma (oil gets in TM)
3) emulsification and cloudiness |
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Term
| Cystic retinal tufts are generally found in what conditions |
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Definition
| Retinal Hemangioma Coat's Disease Choroidal Tumors Posterior Uveitis Severe Mac Degen |
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Term
| Common treatment of exudative RD |
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Definition
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Term
| Referral time period for Macula ON RD |
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Definition
| Same day referral, surgery within 12 hours |
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Term
| Referral time period for Macula OFF RD |
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Definition
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Term
| 2 main DDx of Retinal Detachment |
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Definition
Retinoschisis
Choroidal Detachment |
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|
Term
|
Definition
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Term
| Refractive error of majority of pts with Retinoschisis |
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Definition
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Term
| According to Dr. Haynie, Retinoschisis is always _________________ |
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Definition
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Term
| Name a pertinent negative you should record when examining a retinoschisis |
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Definition
No demarcation line
No cells in vitreous |
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Term
| Treatment of retinoschisis |
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Definition
| Laser Photocoagulation-purpose is to prevent spread of fluid |
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Term
| 2 important signs of a choroidal detachment |
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Definition
Low IOP
History of recent surgery |
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Term
| Etiology of Choroidal Detachmetn |
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Definition
| Past Surgical history that has caused IOP to drop too low |
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Term
| Treatment options of choroidal detachment |
|
Definition
Topical Steroids
Topical Cycloplegics
Oral Steroids |
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