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Page

IS$

Answer:
Diagnosis: physiological
Treatment option:

a)

/ simple myopia

Optical correction by
Spectacles

b)

Contact lens
Surgery

Keratorefractive surgery
Clear lens extraction

c)

Laser
LASIK (laser assisted stromal in situ keratomileusis)

c*rrectecl
LASEK {laser assisted strsmal epithelial ke

c0rrected
Q.72. Sefine Presbgopia.

Wtrst is its trectment?

&xes:

Presbyopia defined as?his is a physi*l*gica} agi$S pr*ssss,
the ntrrmal reading sr fi/orking distance
accommodatian / pawer of accommoda

s,

psint Sradually recedes beysnd
decrease in amplituds *f

if the pati*nt is *rnnletr*pic, Usuel rul*:

i*'g*eudophalria? What nre the sign of pseudophskis?

hskis:
means replacement of human opaque lens by an artificial transparent
lar lerls

Iriki,

Visual acuity good
There is stitch hyperaemia & subconiunctival hemorrhage in upper limbus or
there may be a curvilinear scar mark
3, There is shiny reflex in pupillary area

I

. .
,r

4. Anterior

:160

chamber is normal or slightly deeper than normal as the artificial lens is
thinner than normal human lens

1)

cular invsstigati*ns :
a) Biom*try:
i. A scan t* rneasure the axial length af the eye ball
ii. Kerat*metry to rneasure the corneal curvature
S

a) Blscd sugar prsfile, HhAr C
b) X-ray of chest
C}

ECG

a)

Yisual acuify
Slit larnp exarninati*n
Ind

h)
c)

tr rlt
tspR
*n test

}M

ad dcx r*d test

Ii&t rsflex
ffip exar$inati*n
msnt *f I*P
ncy Tsst

By assessxlerlt sf Retinfill rnaculan functicm test:

Pags I${

qTT.Whatis bismetrg? How is it done?
Ans:
Measurement of any part of eye, from cornea to retina by using

ophthalmigr,

o

*trt is dCIn* by:

i.
ii"
Q. 78,

A scan to measure the axial length cf the eye ball
Keratometry to rneasure the cfirneal curvature

What is leucocoria? TeII the cnuses of leucocorio?

Ans:
LeucaccrnialArno*ratic cat's *yc reflex:
l*fhite papillary reflex is called leuc*c*rrria. It is an a
retina.

flexi*n fr*m

Causes:

1) Retinoblastoma
Z) Pseudo-retinoblastorna:
a) Congenital cataract
b) Retinapathy *f prernaturity
c) Persistent hyperplastic primary vitreous.

'&sence of crystalline lens from its normal position in the papillaryarea.

uired:
*) P*st-operatirre
b) Post-traumatic
c) Post*inflmmatory
80. Q: Ltlhat ore the differences between diobetic ond hgpertensive retinopothg?

Ans: Diffgr€rnces between diobetic ond hgpertensive retinopathg

L

t

FaS*

ts Stage-I": Quiesce
NSISN

Stnge*1:

Clinic$l
1-. Squinting tc eyeball
Z. Amaurctic cat's eyes

L. Sccupying

<5 **/* cf retinal surface

*
r
2,

Phot*csagulation
Cry*therapy
ficcupying >50% *f retinal surface- Enucleation

$tagr*E: Tumor crnffinedta egeb*I1:

Clinical Fsature$:

F

Raised ISP

162

Pags



lSg

Treatrnentl Hnucleatian
$tage*3: Extr* ccnlsr:
Clinical Feafures;

t.
Z.

Proptosis
Fungating ulcer

Treatment:
tr Hxenterati*n
tr Radirtherapy

St*ge-*: Distal Mst*stusi*:
Tre*trnent:

*f

ttlhqt is
tVhst are
#3"
f;* TASIK?
L&SEK? Whot
*re the
83. Q: e$flmt
*k*e txedtsmti*ms
indications of LASIK?
&ns:
Ans:
Means Laser Assisted Stromal In situ Keratomileusis. By this procedure, the superficial
corneal flap is lifted first & then the central corneal stromal bed is ablated by excimer

laser.

Indicatislt:

ts

Astigmatism: Upto Sfi
.,r*r:;1:'

.

iii::e;t;:r:ii.i

8*. Q: Sescribe
Ans:
$ympt*ms:
f lid margin
scharge

r swelling in lid margin pointing anteriorly through skin with usually a

Treatment:
Chloramphenicol eye ointment at bedtime.

?

PaSe IS$

with diobetes & hgpertmsion for 15 geors reported
with sudden poinless loss of vision lttltrot ore the possibilities and how will gou
87. Q: A 55 gear old gentleman

dicgnsse the cnse?

fuis:

f.. Retinal detachment
2, Vitreous Hsxnsrrhags
3. Central retinal artery *cclusi*n
4. *ptic nerve Ishchemia
Diagn*sis by> Ophthalmcscspe

h

B scan

88" Q. Ncme the

etialogs of cor&eal ulcer?

&ns:

J.. Infective:

a) Bacterial
b) Fungal: Filamentous fungi an{
c) Vira}: trerpes simplex and zos
d) Prot*rsa
e) Ctrlarnydial
,.

Degenerativel e.g, Mocren's ulcer, Terien's ulcer

diagnose $ cose of herpetic lceratitis?

S.4 Oxybuprscaine

Mydriatics
Antiseptic l$ash
Antibiotic drop & Ointment & patient with eye pad for 24 hrs.

page
Reassess the condition after 24 hrs. Flurosence stain is done to see

91. Q:

166

correal defect

How will gou cHnicallg differentiote bacteriol ond fungol corneol ulcer?

&srs;

-A cloudy

grey
surr*unding the disc

92. Q: TeII

area

indication and contro- in

Ans:
.

Indicgtion:

,t::: ;:

,t.t::.:a

'''"'

a) Theraputic:

b)

Diagnostic:

Contra{ndication:

F

Micro-cornea

93. Q: ClassiS corneal ulcer?
Ans:
94. Q: Whot ore the differences between conjunctivcl tgpe of congestion ond

tgpe of congestion?

cilliarg

,f

PaSs l6f
Ans:

ore the tgpes of ECCE?
C*nventi*na} method
Srnall incisisn catarart surg*ry
Ptraca em *lsificati 0n xreth*d.

98. Q: TelI the stage of

nsrrow nngle gloucoma?

.4.

:'

Page ISB
Ans:

1) Prodromal stage
2) Stage of constant instability
3) Acute congestive attack
4) Chronic congestive stage
5) Stage of absolute glaucoma
99. Q: Tell the boundories of qnterior ond posterior chamber?

Ans:
Boundsrie$ sf Antericr chsmber:
Anteriarly: tsrneal end*theliunr
Fcsteriarly:

Lat*rally: Angle *f anterior charnber
B*undarie$ 0f Fostericr chamber:
Antcrierly: Iris
ilateraltry: tilliary pr*cess
Medially: fiquat*r *f l*ns
Pasterisrly: Antericr surfacs *f lens
tOS. Q: Enumer{rte sS

diseoses

the retina?

Ans:
1) Diabetes
?3 Hype
3) Ne
of Fluroscein dge te$t? / lfithst ore the u$es of

101.

rT

eg8?

urosein dge:

*painful

l*cal extratrasati*ns a$d pht*bitis
Fruritis and urticaria
Anaptrylaxis and br*nch*spas$1 {Acute emergency}

Topical use:
a) Staining *f corneal abrasi*n and ulcer
b) To measure tear film break up tirne: ts detect dry sy*
c) During hard contact lens fitting

C
.,

'1..

, :.. r 169
d) To detect wound leak- Siedel's
e) Applanationtonometry

test

0

To see the patency of lacrimal passage (1. Dye disappearance

g)

& II)
To detect foreign body

tesl

2. |ones

Xnfravenous u$s:

a)
b)

c)
d)

Fundus flursscein angi*graphy
Flur*sc*in irid*graphy t* study iris yascular pattern
Fluroscein fluro-photometry to study aqueous oufflow of corneglerf
function
As an antidots far aniline drug poisoning

Dose:

r

For topical use: Za/* solution one dr*p

matrspine
Tr*picarnide
Cyclnpent*late

CWloplegic drugs:

test I

.f


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