"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