ANATOMY
Which part of the eye, located in the retina, connects the eye to the brain and is often described as a "donut shape"?
OPTIC NERVE
Bonus (100 points): name one diagnosis related to the optic nerve
Which part of the eye is the cataract located in?
Lens.
Bonus (100 pts): we grade the cataract on a scale of ____?
What is an intraocular lens?
An implant used during cataract surgery to replace the natural lens.
Bonus (100 pts): Name three types of IOLs?
What top color are antibiotic drops?
Tan/Brown
Bonus (100 pts): name 3 examples of antibiotic drops.
What does pachymetry measure?
Corneal thickness
Bonus (100 pts): why is corneal thickness important?
Bonus (200 pts): what corneal condition requires serial pachymetry readings?
Dilating drops effect this part of the eye.
IRIS
Bonus (100 pts): name another type of drop the effects the iris.
The work up for a cataract evaluation MUST include these four things.
Bonus (100 pts): why do we do BAT?
What is the difference between a standard lens and a toric lens?
Toric lens corrects for astigmatism.
Bonus (100 pts): what else can be done during surgery to correct for the astigmatism?
Bonus (200 pts): what is the full name of Bonus 1 answer and how is it done?
What top color are steroid drops?
Pink.
Bonus (100 pts): name 3 examples of steroid drops.
Bonus (200 pts): when is the top color white and not pink?
iCare, tonopen, applanation
Bonus (100 pts): what does IOP stand for?
Bonus (200 pts): what is the "normal range" of IOP?
The function of _______ is to provide protection and spread tears equally over the eyeball.
The eyelids/lids.
Bonus (100pts): What are "droopy" eyelids technically referred to as?
These three types of drops (or the names) are prescribed for after cataract surgery.
Antibiotic, NSAID, steroid
Bonus (100 pts): what are two other options for post operative medication?
Bonus (200 pts): What is the post operative drop schedule for standard drops?
Explain the Enhanced (REMV) package option.
One eye is set for distance and the other is offset for near. Astigmatism is corrected with LRIs. I special implant (EMV) is used that enhances depth of focus (or range of vision).
Bonus (100 pts): name one thing it would be helpful to check on these patients during pre-op.
What classification of drops have a grey top?
NSAIDs
Bonus (100 pts): name 2 examples of NSAID drops
Describe Kahook.
Pressure lowering procedure during cataract surgery that removed part of the drain (trabecular meshwork).
Bonus (100 pts): What does MIGS stand for?
Bonus (200 pts): Name 3 other MIGS procedures.
Name three things to check for when assessing pupils.
Any 3
- Size, shape, reactivity, APD
Bonus (100 pts): what does APD stand for?
Bonus (200 pts): name an example of a condition that would cause an APD
I should refract my post op patient if...
Vision is not 20/25 or better or if they are between eyes.
Bonus (100 pts): explain when to get a mac OCT and why?
What is the difference between Panoptix and Vivity?
Panoptix has rings in lens (=halos at night) and excellent distance, intermediate, and near vision. Vivity does not have rings and gives good distance and intermediate vision only.
Bonus (100 pts): Two reasons we would recommend Vivity and not Panoptix?
What oral medication do we use for eye pressure?
Diamox
Bonus (100 pts): what is the generic name of this?
Bonus (200 pts): what other ophthalmic condition is this prescribed for?
The first code in the impression and plan must pertain to the ____
Chief complaint.
Bonus (100 pts): explain the difference between a vision complaint and a medical complaint.
Bonus (200 pts): name one chief complaint that could potentially be counted as either/or.
Name three retinal diagnoses.
Any three of the following: macular degeneration, diabetic retinopathy, choroidal nevus, retinal detachment, glaucoma, drusen, papilledema, epiretinal membrane, etc.
Bonus (100 pts): name three more.
I should check near vision if...
My patient has had Panoptix (MF, WTT), Vivity (MF, WET), or Enhanced (REMV) lenses.
Bonus(100 pts): explain when to check near with one eye only or both eyes and why.
Bonus (200 pts): name 3 places you can look in the chart to figure out which lenses your patient had implanted.
Case 1: John Smith comes in for a cataract evaluation. He is an accountant and on the computer all day. He also enjoys being active and playing golf and tennis! He is very type A and pays attention to small details. He is interested in a multifocal lens. Dilated exam shows cupping in the right eye and shows cupping as well as an ERM in the left eye. IOP is 25/25 with applanation. Which lens would you recommend and why?
Vivity due to ERM and type A personality.
Bonus (100 pts): what additional procedure during cataract surgery might you recommend based on exam?
Name 3 combination glaucoma medications.
Any of the following: Combigan, Cosopt, Vyzulta, Simbrinza, Rocklatan
Bonus (100 pts): name the 4 major generic glaucoma medications?
What is the difference between proliferative diabetic retinopathy and nonproliferative diabetic retinopathy?
PDR is growing new blood vessels (neovascularization) into retina, optic nerve, vitreous, angle, iris (some or all of these). NPDR is bleeding/leaking, but not generating new vasculature.
Bonus (100 pts): how do we treat PDR (2 options)?
Bonus (200 pts): what other eye condition related to diabetes requires treatment?