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Systemic Diseases in Opthalmology

Systemic Diseases in Opthalmology

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Published by susheel yeshala

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Published by: susheel yeshala on Aug 19, 2011
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11/22/2012

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VIRAL INFECTIONS MEASELS .catarrhal conjunctivitis .koplik spot .corneal ulceration .optic neuritis .retinitis MUMPS .conjunctivitis .

keratitis .acute dacryoadenitis .uveitis

€ RUBELLA

Congenital micropthalmos .cataract .glaucoma .chorio retinitis .optic atrophy € WHOOPING COUGH .sub conjunctival haemorrhage .orbital haemorrhage[proptosis]

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1.RETINAL VASCULOPATHY Cotton wool spots[50%] Superficial and deep haemorrhages Micro aneurysms 2.OCULAR INFECTIONS Herpes zoster opthalmicus Herpes simplex infections Toxoplasmosis [chorioretinitis] 3.OPPORTUNISTIC INFECTIONS CMV retinitis CANDIDA opthalmitis Cryptococcal and pneumo cystis carini Choroiditis 4.NEOPLASMS Kaposis sarcoma Burkits lymphoma

NEURO OPTHALMIC LESIONS[cranial nerve palsies]

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1.SEPTICAEMIA Metastatic retinitis End opthalmitis Uveitis 2.DIPTHERIA Membranous conjunctivitis Coneal ulceraton Paralysis of accommodation Paralysis of extra occular muscles 3.GONOCOCCAL INFECTIONS Opthalmia neonatorum Purulent conjunctivitis Corneal ulceration

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4.[MENINGOCOCCAL INFECTIONS Metastatic conjunctivitis Corneal ulceration Paresis of extra occular muscles Optic neuritis Metastatic end opthalmitis or panopthalmitis 5.TUBERCULOSIS Granulomatous conjunctivitis Phlyctenular conjunctivitis Interstitial keratitis Uveitis[non granulo n granulo] Optic atrophy pailloedema

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6.SYPHILITIC LESIONS PRIMARY STAGE Conjunctivitis Chancre of conjunctiva SECONDARY STAGE Iridocyclitis TERTIARY STAGE Chorioretinitis Gummata in the orbit NEURO SYPHILIS«««..optic atrophy CONGENITAL SYPHILIS Interstitial keratitis Iridocyclitis chorioretinitis

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€ 7.LEPROSY € Cutaneous € Madarosis € Interstitial

nodules

keratitis € Exposure keratitis € Granulomatous uveitis € dacryocystitis

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1.TOXOPLASMOSIS Necrotising chorio retinitis 2.TAENIA ECHINOCOCCUS Hydatid cyst of orbit ,vitreous ;retina 3.TAENIA SOLIUM Cysicercus cysts 4.TOXOCARA End opthalmitis 5.onchocerciasis BLINDNESS

€ CORNEAL

ULCERATION € ENDOPTHALMITIS

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DIABETES MELLITUS 1.LIDS Xanthelasma Recurrent stye 2.CONJUNCTIVA Sludging of blood Sub conjunctival haemorrhage 3.CORNEA Decreased corneal sensation Punctate kerotapathy Descements fold Corneal ulcers Delayed epithelial healing

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5.IRIS Rubeosis iridis[neo vascularisation 6.LENS. Snow flake cataract Sub capsular cataract Senile cataract 6.VITREOUS Haemorrhage Fibre vascular proliferation 7.RETINA Retinopathy Lipaemia retinalis 8.IOP Increased Neo vascular glaucoma hypotony

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NERVE € Optic neuritis
€ 9.OPTIC

OCCULAR MUSCLES € Opthalmoplegia € 11.CHANGES IN REFRACTION € Hypermetropic shift € Myopic shift
€ 10.EXTRA

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1.THYROID OPTHALMOPATHY A.LID SIGNS Dalrymples sign Von grafes sign Enroths sign Giffords sign Stellwags sign B.CONJUNCTIVAL SIGNS Chemosis C.PUPILLARY SIGNS D.OCCULAR MOTILITY DEFECT EXOPTHALMOS F.OCULAR SURFACE DISCOMFORT G.OPTIC NEUROPATHY

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€ Superior

limbic keratoconjunctivitis € Optic disc oedema

€ HYPO

PARATHYROIDISM € Fasciculation € Cataract € Optic disc oedema

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GOUT Episcleritis Scleritis Uveitis GALACTOSEMIA Congenital cataract HOMOCYSTINURIA Sub luxation of lens WILSONS DISEASE Kayser-fleisher ring Sun flower cataract

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STEVEN JONSON SYNDROME Conjunctival ulceration Cicatrisation ATOPIC DERMATITIS Conjunctivitis Keratoconus Cataract DERMATITIS HERPETIFORMIS Recurrent bullae Ulceration cicatrisation

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ANAEMIA

LEUKAEMIA ..proptosis ..retinopathy SICKLE CELL DISEASE Dilated conjunctival vessels Retinopathy LYMPHOMAS Lid and orbital deposits uveitis

TRISOMY 21[DOWNS SYNDROME] € Upward slanting palpebral fissure € [MONGOLOID SLANT] € Almond shaped palpebral fissure € Epicanthus € Telecanthus € Narrowed inter pupillary distance € Esotropia € High refractive errors € Cataract € Iris hypoplasia € keratoconus
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€ TURNERS

SYNDROME[XO] € Anti mongoloid slant € Epicanthus € Ptosis € Strabismus € Blue sclera € Ecentric pupils € Cataract € Colour blindness

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VITAMIN A Xeropthalmia Vitamin B1 Corneal anaesthesia Corneal dystrophy Conjunctival dystrophy Acute retro bulbar neuritis VITAMIN B2 Photophobia Burning sensation VITAMIN C Haemorrhages Vitamin d Lacrimation Zonular cataract papilloedema

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