Presentations
severe pain, blurred vision, n+v, red, fixed+dilated pupil, increased IOP
closed angle glaucoma
acute angle closure glaucoma - from GP
urgent referral to ophthalmologist
what is presentation
tunnel vision, decreased acuity, optic disk cupping
red, not painful, normal vision, mild watering, associated with inflammatory disease
episcleritis
wet AMD
anti-VEGF
what is first line drug
how does it work
main side effect
latanoprost
increase uveoscleral outflow
eyelash thickening
flashing, floaters, painless loss, curtain coming down, loss of red-reflex
retinal detachment
reduced aqueous production
sudden painless loss, unilateral, RAPD, flame haemorrhage, cotton wool spots, optic nerve oedema
central retinal vein occlusion
anterior uveitis - 2 answers
corticoteroid drops
cyclopegic drops - dilate pupil
mechanism of action of dorzolamide
contraindications
carbonic anhydrase inhibitor
reduces aqueous secretions
renal impairment, hepatic impairment, breastdfeeding
white pupillary reflex noted on red-eye when taking photo with flash, <3y
retinoblastoma
dry AMD
stop smoking, lower BP, vitamin supplements
when is screening performed
if FH and >40y