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Created by قناتنا العلمية
almost 11 years ago
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| Question | Answer |
| Herpes Simplex Keratitis (Dendritic Ulcer) Atropine • Acyclovir (Ointment 3%, 5 times/day for 2 weeks). | |
| Spring Catarrah Treatment: A. During attack N-SAID SAID (topical for short term) B. In-between Mast cell stabilizer Anti-histaminic | |
| Foreign Body IN UPPER LID -Removal of the foreign body -Treatment of complications | |
| Paralytic ectropion facial palsy Treatment: If mild Z-plasty If extensive skin graft To prevent exposure keratitis (due to lagophthalmos): Lubricants at night Lateral tarsoraphy Lower lid support by fascia lata or sutures Lateral tarsal sling | |
| hypermature cataract A. Preoperative Fundus by US or ophthalmoscope depending on intensity of opacity Biometry (axial length, kerato-metry) Pupillary light reflex Electro-physiology (Electro-retinogram, electro-oculogram, visual evoked potential) Color perception to assess macula Light projection to assess field B. Surgery a. Large incision Intra-capsular cataract extraction (only in sever sub-laxation or dislocation) Extra-capsular cataract extraction b. Small incision Phaco-emulsification: contraindicated in hard nucleus C. Visual rehabilitation Intra-ocular lens is of choice | |
| Primary optic atrophy - ttt of the cause= poor prognosis | |
| Cavernous sinus thrombosis ttt= - hospitalization - IV AB (broad spectrum) - anticoagulant (heparin 5000 iu \ 12 h) -prophylaxis and ttt of corneal exposure. | |
| Chalazion Incision & curette operation Excision | |
| Irido-cyclitis (Uveitis) Atropine (Cycloplegic, Mydriatic) Corticosteroids | |
| Buphthalmos A. Clear cornea: Goniotomy B. Opaque cornea: sub-scleral trabeculotomy if failed sub-scleral trabeculectomy & anti metabolites |
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