Fundoscopic examination
|
|
- Amie Barber
- 6 years ago
- Views:
Transcription
1 Fundscpic examinatin
2 Fundscpic Examinatin Windw t the bld vessels Prerequisites- n Gd phthalmscpe n A large pupil n A still field
3 Fundscpic Examinatin Diminish illuminatin in the rm( t vercme light reflex) Instruct the pt t lk at a distant pint, which is clearly defined( t vercme accmdatin and keeping the eye still) Rt eye fr examining rt fundus, lt eye fr left fundus
4 Fundscpic Examinatin First find the ptic disc n Clur n Edges n Optic cup n Nasal blurring, tempral pallr- Nrmal Vessels n CRA- superir and inferir branches, nasal & tempral br-fur prminent arterial trunks emanating frm the disc n Vns are larger and darker n Arteries are lighter and narrwer than vns and ften have a central reflecting line silver-wire appearance n Pint f crssing f arteries and vns Haemrrhage and exudates Macula, Peripheral retina
5 Nrmal Ocular Fundus Arteriles Fvea Optic cup Optic disc Vein
6 Fundscpic Examinatin Cup t Disk Rati n Diameter f the cupped regin f the ptic nerve head divided by the diameter f the ptic nerve head. C/D = 0.6 Nrmal is ~ Abnrmal values are higher and are assciated with glaucma
7 Cttn Wl Spts Cttn wl spts result frm cclusin f retinal pre-capillary arteriles supplying the nerve fibre layer with cncmitant swelling f lcal nerve fibre axns. Als called "sft exudates" r "nerve fibre layer infarctins" they are white, fluffy lesins in the nerve fibre layer. Papilledema, HTN, PAN, retinal emblism, severe anaemia
8 Hard exudates Hard exudates ( Intraretinal lipid exudates ) are yellw depsits f lipid and prtein within the retina. Accumulatins f lipids leak frm surrunding capillaries and micraneurysms, they may frm a circinate pattern. Hyperlipidemia may crrelate with the develpment f hard exudates.
9 Papilledema- Definitin Swelling f ptic disc Arbitrarily, the term has been reserved fr the passive disc swelling assciated with raised ICP Usually bilateral, althugh it may be asymmetrical
10 Causes f papilledema (Raised ICP)
11 Clinical Features f Papilledema Usually bilateral but may be unilateral r asymmetric Usually preserved visual acuity and clr visin early May have transient visual lss lasting secnds (bscuratins f visin) Visual field defects n Enlarged blind spt n Generalized cnstrictin n Glaucmatus-like defects n Eventual peripheral cnstrictin, especially nasally N afferent pupillary defect
12 Papilledema shwing blurred disc margins and dilated trtuus vessels
13 Early papilledema Minimal disc hyperemia with capillary dilatin Early pacificatin f nerve fiber layer (peripapillary retina lses its superficial linear and curvilinear light reflex and appears red withut luster) Early swelling f disc Absence f venus pulsatins Peripapillary retinal nerve fiber layer hemrrhage
14 Fully develped papilledema Engrged and trtuus retinal veins May have splinter hemrrhages at r adjacent t the disc margin Disc surface grssly elevated Surface vessels becme bscured by nw paque nerve fiber layer May have cttn wl spts Patn s lines (circumferential retinal flds) r chridal flds Hemrrhage and exudates In acute cases (e.g., subarachnid hemrrhage), subhyalid hemrrhages may ccur that may break int vitreus (Tersn s syndrme)
15 Frisen Papilledema Grading System Stage 1 Obscuratin f the nasal brder f the disc N elevatin f the disc brders Disruptin f the nrmal radial nerve fiber layer (NFL) arrangement with grayish pacity accentuating nerve fiber bundles Nrmal tempral disc margin Subtle grayish hal with tempral gap C-shaped hal with a tempral gap
16 Frisen Papilledema Grading System Stage 2 Obscuratin f all brders Elevatin f nasal brder Cmplete peripapillary hal Hal becmes circumferential
17 Frisen Papilledema Grading System Stage 3 Obscuratin f all brders Elevatin f all brders Increased diameter f the ptic nerve head Obscuratin f ne r mre segments f majr bld vessels leaving the disc Peripapillary hal irregular uter fringe with finger-like extensins Lss f majr vessels as they leave the disc (arrw)
18 Frisen Papilledema Grading System Stage 4 Elevatin f entire nerve head Obscuratin f all brders Peripapillary hal Ttal bscuratin n the disc f a segment f a majr bld vessel lss f majr vessels ON THE DISC
19 Grade IV plus partial r ttal bscuratin f all vessels f the disc Frisen Papilledema Grading System Stage 5 Dme-shaped prtrusins representing anterir expansin f the ptic nerve head Peripapillary hal is narrw and smthly demarcated Ttal bscuratin f a segment f a majr bld vessel may r may be present Obliteratin f the ptic cup
20 Pseudpapilledema Optic nerve drusen Medullated nerve fiber Hypermetrpic disc Cngenital anmalus elevatin
21 Optic atrphy - Definitin Optic nerve shrinkage frm any prcess that prduce degeneratin f axns in the ant.visual (Retingeniculate) pathway
22 CLASSIFICATION OF OPTIC ATROPHY PRIMARY SECONDARY Pst- papilledemic ptic atrphy Pst-Neuritic ptic atrphy Glaucmatus ptic atrphy Cnsecutive ptic atrphy
23 PRIMARY OPTIC ATROPHY Optic nerve fibers degenerate in an rderly manner and are replaced by clumns f glial cells withut alteratin in the architecture f the ptic nerve head Pale disc Chalky white(full mn against a dark red sky) Clear margin f disc/ sharply demarcated Nrmal cup Well seen lamina cribrsa Nrmal retinal vessels
24 Secndary ptic atrphy Optic nerve fibers exhibit marked degeneratin, with excessive prliferatin f glial tissue The architecture is lst, resulting in indistinct margins. The disc is grey r dirty grey, lks pale with a greenish tinge The margins are prly defined, The lamina cribrsa is bscured due t prliferating fibrglial tissue. Hyaline bdies (crpra amylacea) r drusen may be bserved. Peripapillary sheathing f arteries as well as trtuus veins may be bserved.
25 Secndary ptic atrphy
26 OPTIC ATROPHY The Kestenbaum cunt is the number f capillaries bserved n the ptic disc. The nrmal cunt is apprximately 10. In ptic atrphy, the number f these capillaries reduces t less than 6; in a hyperemic disc, the cunt is mre than 12
27
Dr/ Marwa Abdellah EOS /16/2018. Dr/ Marwa Abdellah EOS When do you ask Fluorescein angiography for optic disc diseases???
When do you ask Fluorescein angiography for optic disc diseases??? 1 NORMAL OPTIC DISC The normal optic disc on fluorescein angiography is fluorescent due to filling of vessels arising from the posterior
More informationo o sclera o o NORMAL OPHTHALMOSCOPIC FEATURES
Funduscpic Interpretatin 2016 Gillian J. McLellan, BVMS, PhD, DECVO, DACVO, DVOphthal, MRCVS Assciate Scientist / Clinical Instructr in Cmparative Ophthalmlgy University Of Wiscnsin-Madisn Intrductin The
More informationAcquired Optic Neuropathies
Acquired Optic Neurpathies Jseph J. Pizzimenti, OD, FAAO Carl J. Pelin, OD, FAAO GOAL The gal f this presentatin is t prvide the participant with useful clinical infrmatin in the diagnsis and treatment
More informationPapilledema. Golnaz Javey, M.D. and Jeffrey J. Zuravleff, M.D.
Papilledema Golnaz Javey, M.D. and Jeffrey J. Zuravleff, M.D. Papilledema specifically refers to optic nerve head swelling secondary to increased intracranial pressure (IICP). Optic nerve swelling from
More informationNeuro-Ocular Grand Rounds Anthony B. Litwak,OD, FAAO VA Medical Center Baltimore, Maryland
Neuro-Ocular Grand Rounds Anthony B. Litwak,OD, FAAO VA Medical Center Baltimore, Maryland Dr. Litwak is on the speaker and advisory boards for Alcon and Zeiss Meditek COMMON OPTIC NEUROPATHIES THAT CAN
More informationNeuro-Ocular Grand Rounds
Neuro-Ocular Grand Rounds Anthony B. Litwak,OD, FAAO VA Medical Center Baltimore, Maryland Dr. Litwak is on the speaker and advisory boards for Alcon and Zeiss Meditek COMMON OPTIC NEUROPATHIES THAT CAN
More informationYear 2 MBChB Clinical Skills Session Ophthalmoscopy. Reviewed & ratified by: Mr M Batterbury Consultant Ophthalmologist
Year 2 MBChB Clinical Skills Session Ophthalmoscopy Reviewed & ratified by: o Mr M Batterbury Consultant Ophthalmologist Learning objectives o To understand the anatomy and physiology of the external and
More informationChapter 20 The Heart
Chapter 20 The Heart ANATOMY OF THE HEART The adult heart is apprximately the size f. The heart is lcated in the cavity, between. Base is directed, and the apex is directed. The membrane surrunding and
More informationGlaucoma Interviews: Due Tuesday, May 22 nd
Glaucma Interviews: Due Tuesday, May 22 nd 1) Read the glaucma article well! It will explain what it is, plus tell yu sme symptms and risk factrs. Yu may want t use a highlighter r pen t mark imprtant
More informationAmber Priority. Image Library
Amber Priority Image Library Amber flag Diabetic Maculopathy (M1) Pre-proliferative Diabetic Retinopathy (R2) Old, treated and now inactive DR (R1/M0/P1or R0/M0/P1) Where only partial or incomplete images
More informationStep 4: Ask permission to turn off lights or draw the curtains
STEPS OF EYE EXAMINATION - FUNDUS Step 1: Approach the patient Read the instructions carefully for clues Shake hands, introduce yourself Ask permission to examine him I would like to examine your eyes,
More information3/16/2018. Optic Nerve Examination. Hassan Eisa Swify FRCS Ed (Ophthalmology) Air Force Hospital
Optic Nerve Examination Hassan Eisa Swify FRCS Ed (Ophthalmology) Air Force Hospital 1 Examination Structure ( optic disc) Function Examination of the optic disc The only cranial nerve (brain tract) which
More informationPART 1: GENERAL RETINAL ANATOMY
PART 1: GENERAL RETINAL ANATOMY General Anatomy At Ora Serrata At Optic Nerve Head Fundoscopic View Of Normal Retina What Is So Special About Diabetic Retinopathy? The WHO definition of blindness is
More informationNeuroophthalmology and otoneurology. 1. Which of the following is shown on this fundoscopy?
EANS/UEMS European examination in neurosurgery Part I (written) Variants of questions with answers (compilation - Vyacheslav S. Botev, Department of Neurosurgery, M.Gorky Donetsk National Medical University)
More informationCOEXISTENCE OF OPTIC NERVE HEAD DRUSEN
COEXISTENCE OF OPTIC NERVE HEAD DRUSEN AND COMBINED HAMARTOMA OF THE RETINA AND RETINAL PIGMENT EPITHELIUM IN A TAIWANESE MALE Yo-Chen Chang 1 and Rong-Kung Tsai 2,3 1 Department of Ophthalmology, Kaohsiung
More informationOptic Disc: Anatomy, Variants, Unusual discs. Kathleen B. Digre, MD Professor Neurology, Ophthalmology
Optic Disc: Anatomy, Variants, Unusual discs Kathleen B. Digre, MD Professor Neurology, Ophthalmology THE OPHTHALMOSCOPE DIRECT OPHTHALMOSCOPY Jan Purkinje 1823 Hermann von Helmholtz 1851 Hand held ophthalmoscope
More informationCerebrospinal taps are also performed as a component of contrast myelography.
Flrence JUVET Resident in internal medicine University Veterinary Hspital, UCD Belfield DUBLIN 4 flrence.juvet@ucd.ie Hw t d a CSF tap? Definitin: CSF is an ultrafiltrate f plasma that is prduced predminantly
More informationp f .'''a.".: ;i.l i PAPILLOEDEMA brain. The ophthalmoscope may be looked upon as the Plate i is that of papilloedema of the optic nerve.
382 * s. ii d:.'. ; z. j:.'''a.".: : ;i.l i 4 PAPILLOEDEMA FIG. I.-Papilloedema or 'choked disc' due to raised intracranial tension. In this instance the papilloedema was due to a frontal lobe tumour.
More informationMitosis and Meiosis Lecture Notes
Bilgy Mitsis and Meisis Lecture Ntes Name Per Learning Gals Quiz #6: December 6th Describe what happens during interphase Identify steps f mitsis/meisis by picture and functin Explain the diseases that
More informationFrequently Asked Questions: IS RT-Q-PCR Testing
Questins 1. What is chrnic myelid leukemia (CML)? 2. Hw des smene knw if they have CML? 3. Hw is smene diagnsed with CML? Frequently Asked Questins: IS RT-Q-PCR Testing Answers CML is a cancer f the bld
More informationQuestion 1: Comment on the optic nerve appearance of each eye.
Case 2 - Right Optic Nerve Head Drusen (ONHD) A 41 year old female was referred by her optometrist for a workup for unilateral optic disc drusen, OCT, and visual field changes. The patient was otherwise
More informationTopic 11: Senses. Sensory Receptors
Tpic 11: Senses Sensry Receptrs Part f the nervus system that detects a stimulus A sensry receptr culd be: Types f Sensry Receptrs: Chemreceptrs: detects chemicals ( ) Phtreceptrs: detects light (fund
More informationMaterials Dissecting pan, dissecting kit, safety glasses, lab apron, pig heart, & gloves
Heart Dissectin Intrductin Mammals have fur-chambered hearts and duble circulatin. The heart f a bird r mammal has tw atria and tw cmpletely separated ventricles. The dublelp circulatin is similar t amphibians
More informationKhaleel Alyahya, PhD, MEd King Saud University School of
CEREBRAL BLOOD CIRCULATION Khaleel Alyahya, PhD, MEd King Saud University Schl f Medicine @khaleelya OBJECTIVES At the end f the lecture, students shuld be able t: List the cerebral arteries. Describe
More informationAlan G. Kabat, OD, FAAO (901)
THE SWOLLEN OPTIC DISC: EMERGENCY OR ANOMALY? Alan G. Kabat, OD, FAAO (901) 252-3691 Memphis, Tennessee alan.kabat@alankabat.com Course description: The swollen disc presents a diagnostic dilemma. While
More informationThe Glaucoma Suspect. Evaluating the Suspect Disk. Dr Michael Forrest. ! the usual suspects: ! is it glaucoma? ! is it swollen?
Evaluating the Suspect Disk Dr Michael Forrest Senior Lecturer, The University of Queensland Northside Eye Specialists, Nundah Visiting Ophthalmologist, Mater Hospital, Brisbane Australian Vision Convention
More informationOCCLUSIVE VASCULAR DISORDERS OF THE RETINA
OCCLUSIVE VASCULAR DISORDERS OF THE RETINA Learning outcomes By the end of this lecture the students would be able to Classify occlusive vascular disorders (OVD) of the retina. Correlate the clinical features
More informationA Novel Approach to the Assessment of Afferent Pupillary Defects
Eye (1991) 5, 40-44 A Nvel Apprach t the Assessment f Afferent Pupillary Defects M. T. BENSON, M. E. NELSON, 1. A. CUNLIFFE, I. G. RENNIE Sheffield Summary The pupil respnse t a flashing light stimulus
More informationNeuro-ophthalmologyophthalmology. Marek Michalec, MD.
Neuro-ophthalmologyophthalmology Marek Michalec, MD. Neuro-ophthalmology Study integrating ophthalmology and neurology Disorders affecting parts of CNS devoted to vision or eye: Afferent system (visual
More informationCentral venous occlusion
Central venous occlusion Central venous occlusion (right eye) There are dark haemorrhages at the macula and all over the retina. Choroidal haemangioma A choroidal haemangioma has salmon pink colour. There
More informationAssessment of Gastric Health. Approach to Partial Gastrectomy. Splenectomy. Gastric Dilatation/Over-Distension
Questins n Gastric Dilatatin-Vlvulus Syndrme Assessment f Gastric Health Apprach t Partial Gastrectmy Splenectmy Gastric Dilatatin/Over-Distensin Hw d I evaluate gastric wall health? Clur: Nrmal gastric
More informationHS172A R01/10 1 MID-COURSE REVIEW
HS172A R01/10 1 MID-COURSE REVIEW A. Drugs, Drug Categries and the Drug Influence Evaluatin 1. Define the wrd "drug". 2. Name the seven drug categries. a. Name the six subcategries f CNS Depressants. b.
More informationOphthalmics. Usually based on history and examination, with additional tests rarely required.
Ophthalmics Assessment Usually based n histry and examinatin, with additinal tests rarely required. Presentatins: Red eye Lss f visin Painful eye Diplpia Squinting child Ocular trauma Lss f visin Sudden
More informationDRUSEN OF OPTIC NERVE SIMULATING PAPILLEDEMA
DRUSEN OF OPTIC NERVE SIMULATING PAPILLEDEMA MAX CHAMLIN, M.D., AND LEO 1VI. DAVIDOFF, M.D.* New York City (Received for publication July 5, 1949) 6" 6" "~"~ RUSEN" is the name applied to hyaline substances
More informationFor details on measurement and recording of visual acuity, refer to Annex 1. VISION INTERPRETING RESULTS ABSTRACT
management update on functional decline in older adults 2012 Unit No. 5 VISION Dr Au Eong Kah Guan, Ms Yulianti, Ms Fifiana ABSTRACT Among Singaporean adults of Chinese origin aged 40 to 79 years old,
More informationYear 1 MBChB Clinical Skills Session Ophthalmoscopy
Year 1 MBChB Clinical Skills Session Ophthalmoscopy Reviewed & ratified by: Dr V Taylor-Jones, Mr M Batterbury Consultant Ophthalmologist Learning objectives o To understand the anatomy and physiology
More informationYear 2 MBChB Clinical Skills Session Examination of the Sensory System
Year 2 MBChB Clinical Skills Sessin Examinatin f the Sensry System Reviewed & ratified by: Dr D Smith Cnsultant Neurlgist Dr R Davies Cnsultant Neurlgist Dr B Michael Neurlgy Clinical Lecturer Dr J Williamsn
More informationCARDIOVASCULAR SYSTEM. Khaleel Alyahya, PhD, MEd King Saud University School of
CARDIOVASCULAR SYSTEM Khaleel Alyahya, PhD, MEd King Saud University Schl f Medicine @khaleelya OBJECTIVES At the end f the lecture, students shuld be able t: Identify the cmpnents f the cardivascular
More informationPearls, Pitfalls and Advances in Neuro-Ophthalmology
Pearls, Pitfalls and Advances in Neuro-Ophthalmology Nancy J. Newman, MD Emory University Atlanta, GA Consultant for Gensight Biologics, Santhera Data Safety Monitoring Board for Quark AION Study Medical-legal
More informationMild NPDR. Moderate NPDR. Severe NPDR
Diabetic retinopathy Diabetic retinopathy is the most common cause of blindness in adults aged 35-65 years-old. Hyperglycaemia is thought to cause increased retinal blood flow and abnormal metabolism in
More informationA Case of Carotid-Cavernous Fistula
A Case of Carotid-Cavernous Fistula By : Mohamed Elkhawaga 2 nd Year Resident of Ophthalmology Alexandria University A 19 year old male patient came to our outpatient clinic, complaining of : -Severe conjunctival
More informationOCULAR HEMORRHAGES. ROSCOE J. KENNEDY, M.D. Department of Ophthalmology
OCULAR HEMORRHAGES ROSCOE J. KENNEDY, M.D. Department of Ophthalmology Ocular hemorrhages are important not only because they produce visual loss but also because they usually indicate a disorder elsewhere
More informationEyePACS Grading System (Part 2): Detecting Presence and Severity of Background (Non-Proliferative) Diabetic Retinopathy Lesion
EyePACS Grading System (Part 2): Detecting Presence and Severity of Background (Non-Proliferative) Diabetic Retinopathy Lesion George Bresnick MD MPA Jorge Cuadros OD PhD Anatomy of the eye: 3 Normal Retina
More informationGlaucoma Glaucoma is a complication which has only recently been confirmed as a feature of
1.2.4 OPHTHALMOLOGICAL ABNORMALITIES Ocular abnormalities are well documented in patients with NPS 6 62 81 95. 1.2.4.1 Glaucoma Glaucoma is a complication which has only recently been confirmed as a feature
More informationS uperior segmental optic hypoplasia (SSOH), also termed
910 CLINICAL SCIENCE Optical coherence tomography of superior segmental optic hypoplasia K Unoki, N Ohba, W F Hoyt... See end of article for authors affiliations... Correspondence to: Kazuhiko Unoki, MD,
More informationSpeaker Disclosure Statement. " Dr. Tim Maillet and Dr. Vladimir Kozousek have no conflicts of interest to disclose.
Speaker Disclosure Statement Dr. Tim Maillet and Dr. Vladimir Kozousek have no conflicts of interest to disclose. Diabetes Morbidity Diabetes doubles the risk of stroke. Diabetes quadruples the risk of
More informationIRIDOLOGY THE OPHTHALMOSCOPE
IRIDOLOGY THE OPHTHALMOSCOPE Compiled by Campbell M Gold (2008) CMG Archives http://campbellmgold.com IMPORTANT The health information contained herein is not meant as a substitute for advice from your
More informationForensic Anthropology Lecture Notes. Week 3: Crime Scene Analysis, Trauma and Taphonomy
Frensic Anthrplgy Lecture Ntes Week 3: Crime Scene Analysis, Trauma and Taphnmy Mdule 16: Blunt Frce Trauma What is Blunt Frce Trauma? Blunt frce trauma ccurs any time a frce impacts tissue ver a relatively
More informationClinically Significant Macular Edema (CSME)
Clinically Significant Macular Edema (CSME) 1 Clinically Significant Macular Edema (CSME) Sadrina T. Shaw OMT I Student July 26, 2014 Advisor: Dr. Uwaydat Clinically Significant Macular Edema (CSME) 2
More informationFundus Autofluorescence. Jonathan A. Micieli, MD Valérie Biousse, MD
Fundus Autofluorescence Jonathan A. Micieli, MD Valérie Biousse, MD The retinal pigment epithelium (RPE) has many important functions including phagocytosis of the photoreceptor outer segments Cone Rod
More informationImage Processing and Data Mining Techniques in the Detection of Diabetic Retinopathy in Fundus Images
I J C T A, 10(8), 2017, pp. 755-762 International Science Press ISSN: 0974-5572 Image Processing and Data Mining Techniques in the Detection of Diabetic Retinopathy in Fundus Images Payal M. Bante* and
More informationRefining Blood Collection Techniques to Improve Animal Welfare and Sample Quality
Refining Bld Cllectin Techniques t Imprve Animal Welfare and Sample Quality Amy Allaire RLATG 1, Jennifer Jhnsn 2, Kimberly Maratea DVM PhD 2, Steven Bulé CMAR RLATG 1, Sara Savage DVM DACLAM 1 1 Dispsitin,
More informationADVANCED DIAGNOSTIC TECHNIQUES
DIVISION OF VISION SCIENCES SESSION: 2008/2009 DIET: 1ST ADVANCED DIAGNOSTIC TECHNIQUES VISP216 LEVEL:2 MODULE LEADER: DR GUNTER LOFFLER B.Sc/B.Sc. (HONS) OPTOMETRY MAY 2009 DURATION: 2 HOURS CANDIDATES
More informationLearn Connect Succeed. JCAHPO Regional Meetings 2015
Learn Connect Succeed JCAHPO Regional Meetings 2015 OPTIC NEUROPATHY AS EASY AS 1,2,3,4 OPTIC NERVE ANATOMY M. Tariq Bhatti, MD Departments of Ophthalmology and Neurology Duke Eye Center and Duke University
More informationIntrapapillary hemorrhage with concurrent peripapillary and vitreous hemorrhage in two healthy young patients
Moon et al. BMC Ophthalmology (2018) 18:172 https://doi.org/10.1186/s12886-018-0833-z CASE REPORT Open Access Intrapapillary hemorrhage with concurrent peripapillary and vitreous hemorrhage in two healthy
More informationPATHWAY OF CENTRIFUGAL FIBRES IN THE HUMAN
Brit. J. Ophthal. (1965) 49, 246 PATHWAY OF CENTRIFUGAL FIBRES IN THE HUMAN OPTIC NERVE, CHIASM, AND TRACT*t BY J. REIMER WOL-TER AND ROMAN R. KNOBLICH From the Departments of Ophthalmology and Pathology
More informationThe Prevalence of diabetic optic neuropathy in type 2 diabetes mellitus
The Prevalence of diabetic optic neuropathy in type 2 diabetes mellitus Received: 25/4/2016 Accepted: 8/12/2016 Introduction Diabetic papillopathy is an atypical form of non-arteritic anterior ischemic
More informationDEMENTIA. DESCRIPTION: a progressive, degenerative disease of the brain, which causes impairment of thinking and memory
DEMENTIA Dementia a syndrme cnsisting f a number f symptms including lss f memry, judgment and reasning, and changes in md and behavir the changes may affect a persn's ability t functin at wrk, in scial
More informationBeyond the C/D Ratio: Evaluating a Glaucomatous Optic Nerve. Marcus Gonzales, OD, FAAO Cedar Springs Eye Clinic COPE ID#: GL
Beyond the C/D Ratio: Evaluating a Glaucomatous Optic Nerve Marcus Gonzales, OD, FAAO Cedar Springs Eye Clinic COPE ID#: 27809-GL Points to Remember Glaucoma affects the ONH in characteristic patterns
More informationPeripheral Retinal Degenerations
Delhi Jurnal f Ophthalmlgy Majr Review Peripheral Retinal Degeneratins K Sudhamathi, Umah Venugpal, Ajay Sharma, Deependra V Singh Eye-Q Superspeciality Eye Hspitals, Gurgan The vast array f peripheral
More informationOptical Coherence Tomography in Diabetic Retinopathy. Mrs Samantha Mann Consultant Ophthalmologist Clinical Lead of SEL-DESP
Optical Coherence Tomography in Diabetic Retinopathy Mrs Samantha Mann Consultant Ophthalmologist Clinical Lead of SEL-DESP Content OCT imaging Retinal layers OCT features in Diabetes Some NON DR features
More informationASSESSING THE EYES. Structures. Eyelids Extraocularmuscles Eyelashes Lacrimal glands: Lacrimal ducts Cornea Conjunctiva Sclera Pupils Iris.
ASSESSING THE EYES Structures External Eyelids Extraocularmuscles Eyelashes Lacrimal glands: Lacrimal ducts Cornea Conjunctiva Sclera Pupils Iris 1 2 Structures Internal Optic disc Physiological cup Retinal
More informationBIOLOGY 101. CHAPTER 15: The Chromosomal Basis of Inheritance: Locating Genes Along Chromosomes
BIOLOGY 101 CHAPTER 15: The Chrmsmal Basis f Inheritance: Lcating Genes Alng Chrmsmes Lcating Genes Alng the Chrmsme CONCEPTS: 15.2 Sex-linked genes exhibit unique patterns f inheritance 15.3 Linked genes
More informationOptical coherence tomography of the retinal nerve fibre layer in mild papilloedema and pseudopapilloedema
294 SCIENTIFIC REPORT Optical coherence tomography of the retinal nerve fibre layer in mild papilloedema and pseudopapilloedema E Z Karam, T R Hedges... Aims: To determine the degree to which optical coherence
More informationQUESTION 1. Year 2003 Paper two: Questions supplied by Tricia
QUESTION 1 A 65-year-ld wman presents with a ne-week histry f prgressive dyspnea. On admissin, there are signs f shck, a systlic murmur and an elevated jugular venus pressure. The ECG shws sinus tachycardia
More informationDiabetic Retinopathy
Diabetic Retinopathy Diabetes mellitus is one of the leading causes of irreversible blindness worldwide. In the United States, it is the most common cause of blindness in people younger than 65 years.
More informationObesity/Morbid Obesity/BMI
Obesity/mrbid besity/bdy mass index (adult) Obesity/Mrbid Obesity/BMI Definitins and backgrund Diagnsis cde assignment is based n the prvider s clinical judgment and crrespnding medical recrd dcumentatin
More informationNeurologic Examination Benchmarks
Neurlgic Examinatin Benchmarks Preparatin & psitining: A cmplete neurlgic exam can be dne fllwing the musculskeletal exam, r the neurlgic exam can be integrated int the exam f each regin f the bdy. Cranial
More informationCHAPTER 13 CLINICAL CASES INTRODUCTION
2 CHAPTER 3 CLINICAL CASES INTRODUCTION The previous chapters of this book have systematically presented various aspects of visual field testing and is now put into a clinical context. In this chapter,
More informationLecture 17 (03/28/2011) (Lateralization in the Brain) PSY 215. Lecture 17 Topic: Lateralization in the Brain Chapter 14.
PSY 215 Lecture 17 (03/28/2011) (Lateralizatin in the Brain) Dr. Achtman PSY 215 Lecture 17 Tpic: Lateralizatin in the Brain Chapter 14.1, pages 404-413 Crrectins: Nne needed Annuncements: Wednesday will
More informationI have nothing to disclose but I
OPTIC NEUROPATHIES Robert L. Tomsak MD PhD Professor of Ophthalmology and Neurology Wayne State t University it Sh School of Mdii Medicine I have nothing to disclose but I wish I did. dd Road map for this
More informationInternational Myeloma Working Group Guidelines on Imaging Techniques in the Diagnosis and Monitoring of Multiple Myeloma 1
Internatinal Myelma Wrking Grup Guidelines n Imaging Techniques in the Diagnsis and Mnitring f Multiple Myelma 1 Up t 90% f myelma patients develp stelytic lesins, a majr cause f mrbidity and mrtality,
More informationTips for Handling BV without VT
Tips fr Handling BV withut VT Catherine McDaniel, OD, MS, FAAO mcdaniel.547@su.edu Objective: Attendees will learn diagnsis f cmmn nn-strabismic bincular visin cnditins and treatment f these cnditins using
More informationTHE EYE: RETINA AND GLOBE
Neuroanatomy Suzanne Stensaas February 24, 2011, 10:00-12:00 p.m. Reading: Waxman Ch. 15. Your histology and gross anatomy books should be useful. Reading: Histology of the Eye from any histology book
More informationRetinal detachment in congenital glaucoma
British Jurnal f Ophthalmlgy, 198, 64, 417421 Retinal detachment in cngenital glaucma R. J. OOLING, N... RIE, AND D. MLEOD Frm Mrfields Eye spital, ity Rad, Lndn EJ V 2PD UMMARY This paper reprts the ccurrence
More informationACTIVATED OR NOT? RETINAL CASE PRESENTATION Shorye Payne, MD Medical Retinal Specialist Robley Rex VA Eye Clinic
ACTIVATED OR NOT? RETINAL CASE PRESENTATION Shorye Payne, MD Medical Retinal Specialist Robley Rex VA Eye Clinic C We anticipate that the future management of posterior uveal melanoma (PUM) will focus
More informationOptic Disc Evaluation: Is the Optic Disc Glaucomatous and Has it Progressed?
Optic Disc Evaluation: Is the Optic Disc Glaucomatous and Has it Progressed? Jody Piltz-Seymour, M.D. Clinical Professor Perelman School of Medicine University of Pennsylvania Wills Glaucoma Service Valley
More informationDiabetic Retinopathy Classification using SVM Classifier
Diabetic Retinopathy Classification using SVM Classifier Vishakha Vinod Chaudhari 1, Prof. Pankaj Salunkhe 2 1 PG Student, Dept. Of Electronics and Telecommunication Engineering, Saraswati Education Society
More informationMonopolar Energy Simulation: Chicken Thigh Model
Mnplar Energy Simulatin: Chicken Thigh Mdel Lisa Cha, MD, Magee-Wmen s Hspital f UPMC Nicle Dnnellan, MD, Magee-Wmens Hspital f UPMC Amanda Ecker, MD, Oregn Health and Science University Ted Lee, MD, Magee-Wmen
More informationEXUDATES DETECTION FROM DIGITAL FUNDUS IMAGE OF DIABETIC RETINOPATHY
EXUDATES DETECTION FROM DIGITAL FUNDUS IMAGE OF DIABETIC RETINOPATHY Namrata 1 and Shaveta Arora 2 1 Department of EECE, ITM University, Gurgaon, Haryana, India. 2 Department of EECE, ITM University, Gurgaon,
More informationBulging and Herniated Disc Protocol
Bulging and Herniated Disc Prtcl 1217-02 An intervertebral disc serves as a cushin between each f the vertebrae in the spinal clumn. The discs have a strng uter layer f cllagen fiber that prvides supprt
More informationAutomated Detection of Vascular Abnormalities in Diabetic Retinopathy using Morphological Entropic Thresholding with Preprocessing Median Fitter
IJSTE - International Journal of Science Technology & Engineering Volume 1 Issue 3 September 2014 ISSN(online) : 2349-784X Automated Detection of Vascular Abnormalities in Diabetic Retinopathy using Morphological
More informationAl Balqa Applied University. Collage of Medicine. Anatomy Lab Check List
Al Balqa Applied University Cllage f Medicine Anatmy Lab Check List Blck: Nervus System and Special Senses (31500311) Lab Title: Neuranatmy 1 Lab Objectives: Identify majr cmpnents f brain. Knw majr lbes,
More informationA, ttrition of nerve fibers in the anterior
Fundoscopy of nerve fiber layer defects in glaucoma William F. Hoyt, Lars Frisen,* and Nancy M. Newman** Early attrition of nerve fiber bundles in glaucoma causes slit-like gaps to appear among the normally
More informationOCT Angiography in Primary Eye Care
OCT Angiography in Primary Eye Care An Image Interpretation Primer Julie Rodman, OD, MS, FAAO and Nadia Waheed, MD, MPH Table of Contents Diabetic Retinopathy 3-6 Choroidal Neovascularization 7-9 Central
More informationThe Excretory System. 4 The Excretory System.notebook. May 24, 2017
4 The Excretry System.ntebk The Excretry System OSMOREGULATION (WATER BALANCE) Mst marine invertebrates are smcnfrmers, meaning the cncentratin f slutes in their bdy fluid is equal t that f their envirnment.
More informationOCT Image Analysis System for Grading and Diagnosis of Retinal Diseases and its Integration in i-hospital
Progress Report for1 st Quarter, May-July 2017 OCT Image Analysis System for Grading and Diagnosis of Retinal Diseases and its Integration in i-hospital Milestone 1: Designing Annotation tool extraction
More informationDiabetic Retinopathy. Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012
Diabetic Retinopathy Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012 Outline Statistics Anatomy Categories Assessment Management Risk factors What do you need to do? Objectives Summarize the
More informationLocal Coverage Determination (LCD): Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (L34431)
Local Coverage Determination (LCD): Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (L34431) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website.
More informationPain-Orientated Sensory Testing (POST) Guidelines
PM 2018 2 Faculty f Pain Medicine Australian and New Zealand Cllege f Anaesthetists Pain-Orientated Sensry Testing (POST) Guidelines PREAMBLE These guidelines utline standardised terminlgy, equipment and
More informationHead Injury: Early Results of
757 Head Injury: Early Results f Cmparing CT and High-Field MR Rbert. Zimmerman Larissa T. ilaniuk David. Hackney Herbert I. Gldberg Rbert I. Grssman The sensitivity and specificity f CT and high-field
More information12/2/16. Ways to differentiate:
Nate Lighthizer, O.D., F.A.A.O. Assistant Dean for Clinical Care Services Director of CE Chief of Specialty Care Clinics Chief of Electrodiagnostics Clinic Oklahoma College of Optometry lighthiz@nsuok.edu
More informationEvaluation of optic disc blood flow of intraconal orbital tumors using laser speckle flowgraphy.
Research Article http://www.alliedacademies.org/ophthalmic-and-eye-research/ Evaluation of optic disc blood flow of intraconal orbital tumors using laser speckle flowgraphy. Hideki Chuman*, Takako Hidaka,
More informationGlaucoma Clinical Update. Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012
Glaucoma Clinical Update Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012 Objectives Understand the different categories of glaucoma Recognize the symptoms and signs of open angle and angle-closure
More informationIntro to Glaucoma/2006
Intro to Glaucoma/2006 Managing Patients with Glaucoma is Exciting Interesting Challenging But can often be frustrating! Clinical Challenges To identify patients with risk factors for possible glaucoma.
More informationWARNING: FATAL AND SERIOUS TOXICITIES: SEVERE DIARRHEA AND CARDIAC TOXICITIES
INDICATION FARYDAK (panbinstat) capsules, a histne deacetylase inhibitr, in cmbinatin with brtezmib and dexamethasne, is indicated fr the treatment f patients with multiple myelma wh have received at least
More informationZEISS AngioPlex OCT Angiography. Clinical Case Reports
Clinical Case Reports Proliferative Diabetic Retinopathy (PDR) Case Report 969 PROLIFERATIVE DIABETIC RETINOPATHY 1 1-year-old diabetic female presents for follow-up of proliferative diabetic retinopathy
More informationTREATMENT OF POLYCYTHEMIA VERA
RUSSELL L. HADEN, M.D. Plycythemia vera is characterized by an increase in the number f red bld cells. This disease is insidius in rigin, chrnic, and withut pathgnmnic symptms r physical findings. Early
More informationCHAPTER 8 EVALUATION OF FUNDUS IMAGE ANALYSIS SYSTEM
CHAPTER 8 EVALUATION OF FUNDUS IMAGE ANALYSIS SYSTEM Diabetic retinopathy is very common retinal disease associated with diabetes. Efforts to prevent diabetic retinopathy though have yielded some results;
More informationScrub In. What is the function of vitreous humor? What does the pupil do when exposed to bright light? a. Maintain eye shape and provide color vision
Scrub In What is the function of vitreous humor? a. Maintain eye shape and provide color vision b. Maintain eye shape and refract light rays c. Provide night vision and color vision d. Provide night vision
More information