Term
| 2nd most prevalent vascular disease |
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Definition
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Term
| How would you categorize a BRVO that affects more than 5 DD of the retina? |
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Definition
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Term
| How would you categorize a BRVO that affects 2-5 DD of the retina? |
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Definition
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Term
| How would you categorize a BRVO that affects <2 DD of the retina |
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Definition
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Term
| Name 4 common systemic causes of BRVO |
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Definition
HTN
Cardiovascular dz
Diabetes
Glaucoma |
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Term
| Describe vision associated with BRVO |
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Definition
| sudden, unilateral, painless loss over 24-48 hours, partial field loss |
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Term
| What is happening in the vasculature that causes a BRVO |
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Definition
| An artery compresses the thin-wall of a vein |
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Term
| What may be visualized in a retina with a BRVO |
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Definition
dilated, tortuous vessels
retinal hemes
CWS
Macular edema
Lipid infiltrates near occlusion
Collaterals |
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Term
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Definition
DR
HTN Retinopathy
Anemia-based retinopathy
Retinal vascular break
CMV retinitis |
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Term
BRVO
How does laser photocoagulation affect the risk of vitreous hemorrhages |
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Definition
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Term
| 2 indications ofr argon laser treatment of BRVO |
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Definition
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Term
| Age of onset of BRVO and CRVO |
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Definition
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Term
| 2 systemic diseases strongly correlated with CRVO |
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Definition
Carotid artery dz
Other vascular dx |
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Term
| BRVo and CRVO, unilateral or bilaterl |
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Definition
| Both generally unilateral |
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Term
| 3 causes of CRVO for individuals <50yo |
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Definition
Head injury
Hyperlipidemia
Estrogen-containing preparations (Birth control) |
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Term
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Definition
| Right at lamina cribrosa, either inflammation, anatomical change or blood viscosity leads to thrombus build-up |
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Term
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Definition
Occurs in child when given aspirin
NEVER GIVE A CHILD ASPIRIN |
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Term
| Are the majority of CRVO cases ischemic or non-ischemic? |
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Definition
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Term
Ischemic vs. Non-ischemic CRVO
Which is more often associated with an APD |
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Definition
| Ischemic, no APD with non-ischemic |
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Term
CRVO
Ischemic= _________________- occluded CRV
Non-ischemic=_______________occluded CRV |
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Definition
Ischemic=completely occluded
non-ischemic=partially occluded |
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Term
Ischemic vs. Non-ischemic CRVO
Age of incidence |
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Definition
Non=younger to middle age
Ischemic-elderly |
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Term
Ischemic vs. Nonischemic CRVO
Which causes rubeosis irides |
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Definition
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Term
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Definition
Ocular ischemic syndrome
Diabetic Retinopathy
Hypertensive retinopathy
Papilledema |
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Term
| 2 possible complication sof CRVO |
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Definition
Neovascularization
Neovascular glaucoma |
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Term
CRVO vs. hemi-CRVO vs. BRVO
site of occlusion |
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Definition
CRVO and hemi-CRVO=in optic nerve at lamina
BRVO=arteriovenous-crossing |
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Term
CRVO vs. hemi-CRVO vs. BRVO
Retinal collaterals |
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Definition
CRVO=absent
Hemi-CRVO=present
BRVO=present |
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Term
| When should CRVO be treated with PRP |
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Definition
| Safe to wait for development of early NVI |
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Term
| What results were found regarding treatment of CRVO with macular gridi photocoagulation |
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Definition
| This method of treating ME was found to have no benefit |
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Term
| What is the SCORE study looking into |
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Definition
| Use of steroid (triamcinolone) injections to treat CRVO |
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Term
| 2 things to watch for in follow up of CRVO |
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Definition
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Term
| T/F Anti-VEGF has been shown to be effective in treatment of BRVO and CRVO |
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Definition
| True, use of Lucentis resulted in improvement of 16-18 letters depending on dosage |
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Term
| Based on researchin 80's and 90's best tx for BRVO is ______________ and best tx for CRVO is__________________ |
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Definition
BRVO=photocoagulation therapy
CRVO=Observation |
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Term
| 4 types of embolism that can cause BRAO |
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Definition
Cholesterol
Calcifications
Platelet-fibrin
Septic |
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Term
| 4 dz strongly associated with BRAO |
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Definition
HTN
hypercoagulation disorders
Carotid occlusive dz
Diabetes |
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Term
| What part of the vascular are you most likely to find emboli |
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Definition
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Term
| What type of drug may be given (IV or PO) to treat BRAO |
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Definition
| CAIs, to attempt to lower fluid content and thus IOP, hopefully increasing perfusion |
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Term
| In the event of BRAO, name 2 ways that were suggested to attempt to increase perfusion |
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Definition
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Term
| 5 Aspects of BRAO work-up |
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Definition
BP
DFE
Visual field
OCT
Fundus photo |
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Term
BRAO vs. CRAO
Age of incidence |
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Definition
| Both tend to occur in elderly |
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Term
| Compare time frame of vision loss in CRAO vs. CRVO |
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Definition
| CRVO and BRVO can happen over 24-48 hours, whereas CRAO vision loss occurs in seconds |
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Term
| Which of the vascular occlusions is associated with cherry red spot macula |
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Definition
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Term
| In case of CRAO name a test that needs to be done immediately and what condition is being ruled out |
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Definition
| Immediately do ESR to rule out GCA |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| another name for ACUTE HTN retinopathy |
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Definition
| Malignant HTN Retinopathy |
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Term
| Configuration of exudates associated with malignant HTN retinopathy |
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Definition
| Macular star configuration |
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Term
| Hallmark of Malignant phase of HTN retinopathy |
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Definition
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Term
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Definition
Collagen vascular dz
DR
Anemia
Crvo/BRVO |
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Term
| Difference between cerebral thromboembolism and cerebral embolism |
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Definition
| embolism travels from its origin and lodges somewhere else, thromboembolism lodges where it was formed |
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Term
| Common 'source' of subarachnoid hemorrhage |
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Definition
| Rupture of Circle of Willis aneurysm |
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Term
| Name 6 systemic causes of Ocular Ischemic Syndrome |
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Definition
HTN
Ischemic Heart Dz
Atherosclerosis
DM
Giant Cell Arteritis |
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Term
| T/F vision loss in OIS is sometimes accompanied by pain |
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Definition
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Term
| Describe the hemorrhages uiquely associated with OIS |
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Definition
| Midperipheral (equatorial) heme |
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Term
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Definition
Red eye
Narrowed arteries
Dilated, not tortuous veins
Midperipheral heme
NVI
Neovascular glc
NVE/NVD
Uveitis |
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Term
| Modern term for retrolental fibroplasia |
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Definition
| Retinopathy of Prematurity |
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Term
| Birth weight that indicates risk for ROP |
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Definition
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Term
| Length of gestation (how premature?) that indicates risk for ROP |
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Definition
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Term
| Describe the vascular changes that occur when a newborn is returned to room air after the incubator |
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Definition
| Capillaries are no longer patent Hypoxia ensues, stimulating vasoproliferation and fibrotic proliferation. This results in cicatricial changes-->vitreoretinal traction and RD, bleeding and scarring |
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Term
| ______________ retinal vessels reach the ora at 8 mo gestation and ____________________retinal vessels reach ora after birth |
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Definition
1-Nasal (before birth)
2-Temporal (after birth) |
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Term
| Follow up schedule for premature babies (under 2lbs 12 oz) |
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Definition
q2wks until 14week
q2wks to q1-2 mo
Then q6-12mo |
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