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Eyes treatments -topical anesthetics
- eye exam
- removal of for bodyy form eye -temp effects on blink reflex (lost) and corneal epithelium (dried) onset and duration of effects 1 to 15 mins
- protective patch to protect eye
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Eye treatments - anti-infection and antimocrobials
treat eye infecitons
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Eye treatments - lubricants
- mositen contact lenses and artificial eyses
- maintain epithelia surgace integrity
- alleviate discomfort from dry eyes
- Eye treatments - miotics
- lower introcoular pressure (IOP) in open angle glacoma
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Eye treatments - mydriatics and cyloplegics
- paralysis of accommodations
- paralysisn of accommodation
- paralyzes eye muscles affecting their abilty to focus or accomomodate
- used in diagnositc procedures and eye surgery
- muscarinic receptor antagonists - produce both effects
- a-adrenergic recpetors agonists -produces only mydriasis
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Stye or hordeolum
- leision on upper or lower eylid
- caused by local staphlococcus abscess
- treatment - warm compress or bacitracin ointment
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Chalazion
- hardened interal lesion
- involves meibomian (oil) gland which prevents watery tear fluid from evaporating and absences of oil, dry to develop
- treatment - bacitracin plus polymixing B or sufacetamide
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Dacroyocystitis
- infection and obstruction of the nasolacrimal apparatus for tear production and drainage
- -infections microorganism (bacteria, yeast)
- -smymptoms - swelling tenderness and pain
- -treatment-surgery and antibodies
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Conjunctivitis
- Inflamation of conjunctiva or superficial covering of the visible sclera (white of the eye) an inner lining of the eye
- -comprises 30% of all eye complaints
- -commonly called "pink eye"
- -symptoms - red swollen eyes with discharge and discomfort
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4 types of Conjunctivitis
- Viral - affects only onle eye causing excessive eye watering and a light discharge
- Bacterial - affect both eyes casue a heavy greenish discharge
- Allergic - affects both eyes casues itching redness and excessive tearing
- Giant paillary - affects boths eyes casuing contact lens intolerance, itching, heavy discharge, tearing, and red bumps on underside of the eyelids
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Glacoma
- Leading cause of periphal vision loss or blindness
- two types - open-angle glacoma, closed-angle glacoman
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open-angle Glacoma
- most common form of glacoma
- progress very slowly a life long condition
- gradual blockage of dranage channel casue intraocular pressure to build slowly
- leads to gradual loss ofperipheral (side) vision (also called tunnel vision)
- asymptomatic until vision loss occurs
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Closed-angle Glacoma
- Total blockage of drainage channel with a sudden increase intraocular pressure
- Symptoms - Severe eye pain, rainbow halo around lights, blurred vision, headache, nausea/vomiting
- unless treated immediationly blindness will result (constitutes a medcial emergancy)
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Treatments for Glacoma
- Cholinomietics - increase outflow of aqueous humor
- a-adrenergic receptor agonists - reduce resistance to outflow of aqueous humor
- B-adrenergic receptors antagonists - reduce the amoutn of aquesous humor produced
- Miotics - carebonice anhydrase inhibitors - reduce the rate aqueous humor formation
- Miotics - Hyperomostics (closed -angle glacoma) - increase movement of fluid through membranes
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Corneal abrasions
- cut or scratch on the corenea from a variet of casues
- Painful because of sensitivity of the cornea
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Corneal abrasions - symptoms
- teary, red eye
- blurred vision
- photphobia
- heanaches
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Corneal abrasions- diagnose
flouresenein dye is appliled to eye to visualize scrathes on cornea under cobalt-blue filter light
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Corneal abrasions -treatment
- Anitibotics
- topical NSAIDs
- Oral analgesics
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Uveitis
Inflamation of the uvear (layer of the eye providingin most of the blood supply to the retina
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Uveitis - symptoms
- blurred vision
- dark floating spots in the vision
- eye pain and redness
- photophbia
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Uveitis- 4 types
- anterior (most prevelant)
- intermediate
- postier
- panuveities
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Uveitis - Causes
- infectious microorganisms,
- autoimmune disorders
- toxins
- neoplasms
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Uveitis-treatment
- topical glucotricosteroids
- mydriatetics
- antibodies or antiviral medication
- sugery
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Astigmatims
- abnormal curvatures of the cornea causign out-of-focus vision
- May affect one or both eyes (myopia - nearsightness; hyperopia -farsightness)
- Difficult to see fine detail, either upclose or far away
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Presbyopia -
- loss of accommodation that develops around 45 to 50 years of age
- vision of distant objects remains unchanged, but with age lens loses some ability to change its curvature to focus on near objects
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Cateracts
- Clouding of the lens
- three types of cateracts corresponding to the 3 layes of the lens
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Nuclear cateracts
affects center of the eye
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Cortical cataracts -
affects the edges of the lens
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Posterior subcapsular cataracts
affects the bact of the lens
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Macular degeneration
- damages teh center of the retina called teh macula
- affects 10% of the elderly
- affects both eyes
- affects only central vision (neccessary for reading, driving, and facial recognition)
- peripheral vision unaffected
- two forms of Macular degeneration
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Atrophic or dry macular degeneration
- ( 70% of cases; blurred vison
- (objects look distorted and dim and colors look faded)
- Exudative or wet (hemorrhagic) macular degeneration
- most distructive
- characterised by swelling caused by leaky blood vessels in the back of the eye
- straight lines appear disorted and wavy
- small dark spot in the center of vision that gradually increased in size causing rapid loss of central vision
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Diabetic retinopathy
- affects 40% of type 1 Diabetsic
- vision abnormalities range from mild to major loss of eye sight
- leading cause of blindness in adults 20-65 years of age
- yearly eye examination including dilated pupils and ophthamoscopy
- in exudative cases, argon laser photocoagulation to treat potiential microvascular leakage
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Retina pigmentosa
- rare, progressive retina degeneration causing blindness
- genetic diseases
- sysmptoms - weakness eye sigth starting in childhood, gradual loss of peripheral vision leading to tunnel visionl; Blindness
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