Strabismoh-no
"Can't get it up when it's in" is the common pattern.
What is Brown Syndrome?
Reflexive movement of the eye that keeps the visual image stable on the retina during brief, high frequency rotation of the head.
Vestibulo-ocular reflex (VOR)
The point where the abnormal movement has the lowest intensity
What is the Null Point?
!!Daily double!!: How does this apply surgically??
This is the pneumonic I try to remember when Dr. Pasternak asks me the differential for a (pediatric) cloudy cornea.
What is:
Sclerocornea
Trauma
Ulcer
Metabolic
Peters
Endo
Dermoid?
!!Daily double!! What are other syndromic characteristics of someone with the anterior segment dysgenesis we associate with limbal dermoids?
This chromosome 11 based disease has a normal ERG, but abnormal EOG
What is best disease?
This is the muscle to blame when someone has a left hypertropia worse in left head-turn and left head-tilt.
Left SO
1. pendular nystagmus
2. head nodding
3. torticollis
Only shows up when covering one eye. Commonly known by two different names.
What is fusional maldevelopment nystagmus aka latent nystagmus?
!!Daily Double!! What direction is the fast phase?
Tearing, photophobia, and blepharospasm are symptoms that present when the IOP is high enough to cause these lines from breaks in this layer in the cornea.
Haab Striae breaks in Descemet's Congenital glaucoma.
The initial study looking at anti-vegf in ROP
What is BEAT-ROP? Bevacizumab Eliminates the Angiogenic Threat of ROP
This is the accommodative esotropia that persists despite full refractive correction.
What is high AC/A ratio accommodative esotropia?
!!Daily double!! What type of refractive error do these kids usually have?
It is the reason why you must examine nystagmus for > 3-5 minutes.
What is periodic alternating nystagmus?
Physiologic movement of the eyes in response to large, moving visual fields (e.g. when one is looking out the window of a moving train)
Optokinetic nystagmus (OKN)
This is the preferred treatment for congenital glaucoma when the cornea does not permit a view.
What is a trabeculotomy?
!!Daily double!! What is ideal with a clear cornea?
These are the percentages of Rb that arise from somatic nonhereditary mutation of both alleles, and a germline mutation in 1 of the 2 alleles of RB1, respectively.
What is 60% and 40%
!!Daily Double!! What stupid path eponym (not Reese Elsworth) is specific to RB?
Flexner-Wintersteiner Rosettes
Primary: depression
Secondary: extorsion
Tertiary: adduction
What are the actions of the inferior rectus?
The lesion of concern when a child presents with involuntary saccades that are rapid and multidirectional (not a true nystagmus)?
Neuroblastoma (accept brain infection too)
In this type there is reversal of normal optokinetic nystagmus upon presentation of the rotating OKN drum.
What is Congenital Motor Nystagmus?
!!Daily Double!! What other atypical characteristic is associated with the speed of the slow phase?
This posterior segment disease has anterior segment findings of keratoconus due to repetitive mechanical forces.
What is Leber congenital amaurosis; oculodigital reflex?
This macular finding is a clinic diagnosis and is found in both aniridia and albinism
foveal hypoplasia
In a worth four dot test, this subjective finding suggests the person is suppressing the left eye.
They only see two red dots.
"right over red", green over the left eye.
red
green green
white
Patients right eye goes up and intorts while the left eye goes down and extorts.
Where is the problem and how do we look for it?
Large parasellar tumor (craniopharyngioma, pituitary adenoma[55])
This pattern of nystagmus (not a true nystagmus) is associated with this syndrome which also involves paralysis of upward gaze, eyelid retraction, and pupillary light-near dissociation.
How to objectively distinguish a megalocornea eye from a buphthalmic eye other than pressure, WTW, and bilaterality.
Axial length.
This is why fluoresceine angiography has a characteristic "dark choroid" in Stargardt's.
What is lipofuscin deposition?