"ITIS"
NAME THE TROPIA
80'S ONE HIT WONDERS
SYNDROMIC ASSOCIATION
IT'S ALL FUN AND GAMES...
100
Epidemic Keratoconjunctivitis (aka Pink Eye)
Signs: 1. follicles 2. preauricular node 3.pseudomembrane 4. SEIs
Treatment: AT, antihistamine, topical/ oral steroid, BCL
100
Esotropia
100
Soft Cell....Tainted Love
100
Limbal Dermoid
Systemic Association- Goldenhar Syndrome
Features: Malformation of 1st and 2nd Brachial clefts; auricular apendages, skeletal anomalies, eyelid coloboma, Duane's syndrome
100
Corneal Abrasion
Vertical= Foreign Body Under Eyelid!
200
Optic Neuritis
Symptoms: 1. Pain with eye movements 2. Color desaturation 3. Pulfrich Effect 4. Worse with heat
Signs: APD, VF defect, Enhancement of ON on MRI
Look for UBOs, demyelination in brain/ spine
LP: Oligoclonal bands, MBP in CSF, lyme, bartonella, ANA
Treatment: ONTT (IV steroid) CHAMPS (Avonex for at risk pts)
200
Exotropia
200
Kagagoogoo- Too Shy
200
Optic Nerve Hypoplasia
"Double Ring Sign"
Systemic Association: Septo-Optic Dysplasia "DeMorsier Syndrome"
Absent Septum Pellucidum, agenesis corpus callosum, pituitary abnormalities
Growth Hormone is most common deficiency
200
Hyphema
"8 Ball"
300
Bartonella Neuroretinitis "Cat Scratch Disease"
Symptoms: flu like illness, anorexia, HA, nausea/emesis
Signs: pustule at inoculation site, LAD, conjunctivitis, disc edema, macular star, +titers
Tx: Azithromycin
300
Hypertropia (left)
300
Cutting Crew- I just Died In Your Arms Tonight
300
Pigmentary Retinopathy
Syndromic Association: Hearing Loss
Usher Syndrome: Hearing loss + Retinitis Pigmentosa
300
Ruptured Globe
Signs: Peaked Pupil, Hypotony, asymmetric AC depth, 360 chemosis, iris prolapse
400
CMV Retinitis
Patient Population: AIDS with CD4 <50
Signs: Start peripherally, move posterior
Tx:IV Foscarnet/ gancyclovir vs intravitreal
400
Orthotropia
400
Tommy Tutone- Jenny 867-5309
400
Morning Glory Disc
Syndromic Asociation: Moya Moya Disease "Puff of Smoke"
400
Canalicular Tear
500
Candida Vitritis/ Endophthalmitis
Organism: Candida Albicans
Signs: "string of pearls" + positive diagnostic vitrectomy
Patient Population: GI surgery, neutropenia, hyperalimentation, transplant
Tx:Intravitreal Amphotericin B or voriconizole + dex along with IV
500
Pseudoesotropia
500
Men Without Hats- Safety Dance
500
Peripapillary Lacunae/ ON abnormalities
Syndromic Association: Aicardi Syndrome
X Linked, but lethal in males, Seizures/ Infantile Spasm, absent corpus callosum, vertebral anomalies
500
Iridodialysis
Symptoms: Photophobia, monocular diplopia
Tx:Mydriasis, McCannell Suture
