PHM owOAY Unit 2 Neuen para OF MASIONL 3 OP NE ISS me iasae “DW TOVE® Wein Sa eee Pe REPOPENCE eA DASE UA AETERS 3-7? visual UIEBALLY Dee oa pee PRIMARY VISUAL ATHY LOpweN. LDAXINS (F BETMIAL Cranitrnins Cees, 2 0P TS Ceo eats ONLY CROSS B.0pne TEATS ber VISUALIELD Cone SIRE, OF opace) teh beenhigenty ShaSLERS Aw pertarr ets To OPN EADIATIN 10 Sere (oceipmne. Celerex) writ, =VIGUaL CORTEX D> tocey POSER oe CORTEX TOINMUN HEA ROSES ¢ PROPOR TONALLY Vuict LARGRE THEN BETA ‘SO Yau DONT LOSE cerrrealVisioN sop Te asst WEXTEA MACULAR HOSAL ANID INRIOR Genel FARES (SLPEROTEMPORAL Fils) CROM Ine ANTERIOR OM OF CHIASM CIE RANDS KNEE) TAO HL °C a STEST Via, CONFEDNITAND a Ogeb recer. Cro ALIVE NTO OTHER Nee TEs SvisuaL Fel Denar: 4 Types: Deep momar rec Deter sesco Viton aceeve Se eoct-on homens AscotmTeD rt. ocean 2): AL UE ay 4 TGA HED HANOPADtoss om < ba Prius zs rAEY AMO ALITY Jeerrenn sorrewa Loss cr commen Topnic Neuerns, Drorronanper Stee iniont Eyes OF OF DO nconspub@ OE ic een oer BO a enone = Bes oe eee Ce Weiler He cea @ pi laste ON, ao anes Cx c nears RackerOVISHAL Fig_D DERE Maula SpaRiGe — & CATEAL DEGREES OF VISION OFTEN ae onwisiee. CATON OF PONEAL AREA INL CORTEX, es08m = OcCiprriay POLE RECIEVES DUP OO por peciees aco FROM ETE OR ARTERY ONLY Dope cringe patabe APrmUrrABY LESION AT ANT ANGLE OF CHIASM Pru Arg JORICTION OF OPTIC NL To CHIASNT IL Bekicw courean serocia LaLoss oF VISIONI/AER PUPLarY erect IN. Arreote> BE 4 & SuseUPORAL? Fietp IN CONTIERLAT ENE LOUUNC ONAL SCTOMA LE MANOPSIA, Poles niant/ RECS — eB InasaL Loeceue freon BiLat Rem Oop NT eee IL AT PETINAL tenet Compressien oF optic Ctlidse PRET EOCHAS yar LESIONS — HOMOMNMMOLIS CoccupINGINe ACH EXE. INSANE SIDE oF VSuanopece) losteores cause go-y, Optic. Teper LESIONS: PRODUCE ZAPD int CONTEALAT EYE Lo TEMPORAV VF Is LARGER THAN NASAL VE PET ROG eicuLaTE LeeSIONS ee Coe estou, ren p Pee HEMUPAEeESIS Bee + VISUAL PERLE TON Dire ~Rlgur {veer ears ~ACALCULA depser > TM Lose Les) Sef becucee PSN Oot APORIED HaLLicu Naru @CALIGES OF VISUAL Ioerierrs Rerenowe BmaoR —PNIEES Grasse ~ Maude Tsesse OOS PEIATED stmae Drees manont > >56- bo vo ~CEsr@ar serous Rennopetiy DYOUNIGER PPULA TIN = 20-308 —KeeATOrONUS WORNGA SHAp ED LiKe coe —Craeaer TMIOSIS PRLUPEY BupiL Bose CGT I —RENNAL DeTanumienr — MiGRaNe STE GIIRY TCs Aen oRrtaury cence Srepke. Lesions AMT Te criss? VISUAL FELIS DEFICITS (nt (PSIEAT eve omy + Comiont Causes: sopne Nenemns/ PAPILLITS, = OPTeW CrLiomA — ScHeeie Opn NeLie@omny > Lenia m1VE DISeRDERS eMyYoPiA ee oe HNREAREIGHTE rae ° TUM AGE Focuses MY * Set veaws wake _ CONCANE LENISAOR, ceometion! 4ST GmariSnt - CORNIBA = eo nee) . A Foote _ mx inten Ore Ee AND LEMS 1S ex PES Man anerer ~ NBEO AsTeMane. Sngeenet rs lose sear oT HYpEE NES. FAESIGHTEONIESS < CUSES EMINIC enna BYE too sHoer ~ NEED convexLenstor cCORRECTIONL YOR IA eee ITY TO acco toes, =ysee BASIL EAS. THAPPENS ar AROINO 40 PoP EASED AST TO CUS On NEAR om, Jeers PSTEASISMIUS et “AMIBLYORIA MORAL EYE Luter Dees fe lie Biua2y Bye Dean pated GooR ENE 10 fe ~ Bas eye Dronces pemiws To oe Seeare ee Meer omanegner IS appex ANGLE oF MISALIGNMENT Bade eta | PO eas) meus & Pepe REE, ONGENITAL SBEM Pn ooeemus —_ee oe ee FA o D40-50 PRIS O10) Acca WE: ONSET INFARSIONTED PTUSUALY 25-Yes oF bearers copeseTe> TANGASERS aia sors CTRBACT ET A INCOMMILLONIT: CEGEEE OF Se CHAIGES WA. DIPECTION, oF eee ON! oe et naar as AoE : ON ° — 25 0 SESISEASE > RELA Aat S$ MEDIATED 2S erscey DEPEY. a Sree aL Cres o/7 w CAM DOSURGELY SAEMC > ORS mepaTHY oN koaceeur oF % ce ame RUA SCUES TMeDiAL Ale Feacture Pear eRAL RECTUS WESENIESS MTS PROM INEANCY-4Yo *exorRopie MususLey Peese! Secor pe ex RAE gets SPOTL eae coveRTEST ACNE EY Sour COVER Ste01 eo REARINIG FUSION. 2. oy er Ele Stoves in To Fockls ©} eae UcHT REFLEX exe MUNeRE You ave PANNOphthalmology Component Unit 2: Visual Disorders Neural Pathway of Vision Causes of Visual Deficits Refractive Disorders Strabismus Visual Field DeficitseEPTIe CHASM > PUITAPY Glan TEN ice AFFECT tT » Lateral Geniculatt > Optic i Optic Tyacts ONE Sipe oF VISUAL SPACE ekeQAtIN Nee ee ot ot Pa Saco yore 4semaeianic LenS OQ PP ELR SE Sato — CHANGES OM! CES Sze. Beiaby rusepasteriTencrs 2S ONG caeeasiest oy th J oY vie ge rf i yf ak he ae DO mepcuree bt PP CEE EY GPUS GovaeGe “Ten 4o-Go pris ploPeTEES eNSer Usuarey int EAR GiGtiteD or QE NCS oF age —scoeecer LI Gtasses > SEIsopy DepevationsVisual Field Deficits Visual Field Deficits (Continued) > Classically, there are four types of visual field defects: loss of vision at the sides ) Conta Seo son 4) Homonymer most Ge. tone side in coms By was COM TEAL SCOTo A> OK OF VENTA Mision = are ve Neurins Horton tyes HEMIMopIA — Less AT ISIE IN EB soTt Byes BPEFECT Beth ene CASAVisual Field Deficits (Continued) > Macular Sparing why? Peceves teord pest. ARTERY ony Lo UneTonial seroVisual Field Deficits (Continued) » Optic Chiasm Damage (Continued) + Bitemporal hemianopsia Cccue Feo Bat Penmat eR gencNX LESIONS Sher Contegessiom) oe Optic HASH homonymous Visual Field Deficits (Continued) ns — tend to be ing in each eye on the same side of pace). For example, a left homonymous hemianopsia: 2 # > Strokes cause 90% of isolated homonymous hemianopsias SLOSS OF BALE VISION! cy Mlanty act lesions produce a Rape HesHulet ral eye (temporal VF is larger in the contra than nasal VF) (Sone EVE cars RPE LiCgut THAN eTHER BYEVisual Field Deficits (Continued) > Retrogeniculate lesions: with Hemiparesis, phat contusion, 1 Fe te or Denser bel (HE ONKE o. ‘and Formed Hallucinations (Defects denser above)AIBA MLO aU <> ots Rep eve t PDIHARGE PoEseT PRDACTERIAL CONUS —SéAaNeRtioner S RARE Los OF PUS STAPHYLoceccuS AUREUS oT FI GONOCOCE AL CONRINETIITS Bary DISCHAEEE/ITEHY NOsmepeing “CAN PENeTeeTe comueng ~FHEKL : ep ree wus S atipionte SED —SAPTER 2-34 ONS AE BOP cr Ber ER STUENSHOS, CIPRO epee — APPLY cool conmmessEs eon > FS Gees te Resp Dew asnes pees oe THISCHAR Cre SUSE ATIRCIAL- VIRAL CON DUINIC MORES. Wares SS —ADeroviRls (RaiNowIeUS ~ Bee oy Seats ToT Crp CaNalD BE 4 SDEE THONT COTES PERALTA AEN DSU RAE, EAI eee "FALL DCAUGHT 1 POOLS, = cay ERIS Se SPREAD EASILY FEmt neTOR, ONE Bye Avo VAS OC OnSTsTaatt TUSE Acco: cmt RESS Bae Wace orrent Lavery ConraGnoulsS PPAR iGeoconunetAL FEVER GuSuALEY WLeHiceett PACUTEMENIMom More CoN ucTUITS, LARC. SuBCONMUNETUAL HEME, ASSoc LH. exTeRovienS OCCURS IN TROPICAL REGONS Hove ro PUN tHEle cose, POPTHAUALA NIBOIETOELIMA Sierra con iniernsste IEE Up WEN THEY Go ties Sin Caner Go Lice SBLEPHARITIS CH. SECON EY con une TTS) IIL OS AT OL oF EYEUIS FLASHES HOT ComPeesses + PERSCEBES eA EeGiK Zot TUMic Tt SAUL ERC ENE DISEASE ITCHING, Rls RY Toe, CHEMTOSIS CAM SE DIFFERENTIATED Feomt Vinee cousUNeTVins ee. 2 No Cape MeSe Se TKIGe “CA Se Rents [an - LAE JAN TARO LINE a as AMssvedce Sree aieses Gata: ow Cabeicasr Sarerol yee Su PLA ero BIER ATS eRPAERYOcYsTITIS RS) FECTION OF LACE NAAL SAC ALES CHEMICAL. CONWLINETIVITIS REIGATE ENE—snlo DascHence rarer yn PELE auJunienvirs Sicca, ; A CACEIMIA DEA CIENCYIN Connie ANID 2clere = JUS WORE IM ETS OVER OS Yo A Con UOT we LOSES LAC eaMtat Guanes SMO GOBLET CELLS OVER TIME — TREATMENTS = LUBRICATING EXE DROPS ANT OINTMENTS OTC. -CYCLOSPORINEA CRerastasic) TOPICAL, tay ARREST NIGER PETHOLOGNY oF INFLAMMATION. ExpENcive SHOULD — TALE Ate. pest sic red a BLOM, LID EVERSION, FLOURESCEIN, BrAININGr + TORCAL- Anaemia VISUAL durtrenoTe ees ihren DIFFRREM =i Kete IF SuSPECED TONY Pen Sese: se PEDEAON 2K Do MOT MANIPULATE EXELIOS I= Nou SuspEeT PENETRATING HN JURY OE Grom. T COMORMETIVAL. OF CORMEAL HOREIEN BooRs PRNESTESIA POLLonIeDEY PECbLRS “IAINTENSE 1eRiGeanon! of comonl e, PRucaron PEP iscreping ~Acure Nor G00 +» ovERLISE. ~ EM OLOGY Gio paTUR, SOA E Mt VAScUcam Disease ineerOns, a, THYPOID DisZase *INFLanmes prieuecore TAPE OF cOntUINeTIOAL. eae Deven Ramen = ORLY STAYS ni THAT ae OOVRLAMINES PTE RYGILInT TBENIGH GROTH OF OF conmmienva ~GRO~'S OnSte COPIER ouvems ce ht CORNEA — Ream pre. : uvelms EES PS Cis exantstort3: “ANT. OVEITIS: INFLATA TION OF 1218 ANID Wrarisanonl of CLIARY moby ITREOUS, PENNA, ~ post tag iensan ~ NGO E Geax ce een ibiatamsaron oF crepo> Be AssociATED Wt SEC EARLY INITIATION OF TOPICAL Of peace’ SYSTEMIC CopmeoSTEROIDS VAL A TREATLENT SANE PREVENT Comipercation’s such ARD ANT. AS: Gramcoria, cataract AND ADHESION OF LEIS Te LENS > cacceo Pest. SYNECHIAE. WCWIARY erasene Msn ro escipeats PAIN 1 DEER seveee,Saciares Sai dusoe 7D ipsinaT SIDE OF HEADS igre —Me SLanicuiniG of VESSELS 14 NFO IFLA MIH44ATION: oF Sc LERS — False HYpEeeMIC LESsioN DORAL NS4iDs o& — ASSOCIATED (4. COLLAGEN VASCHLAS COR MCADSTERO OS PisoReps + RHEUMATO:D DISEaces ~BeSee Ree Inn esac ee Hirer ones. */6 oF AE, PAUTE AGE CLOSURE GLALcomty ATRABEUILAR WHESHLIORE CaN BECOME SUDDENLY AND COMPLETELY pecLuDeD ev ikis Tssue. Gdouses Aeupreaise In (Of - SYMPTOMS! SYMP auisen coneten nares = FiInsiNGs: — PBS Tesey eye A HaZ CORREA, AND A MANO-CAALATES IL EXTZEMELY FEMTO Pacpraniom — MEASUENG THOR MAL 15 MIN. SHANOMIELE ELEOTOIC. TONO-LOTEY, WEREGUAR CopNEAL EEFLECTIONL SUD yee coant EA SueGesTS BDEMA we Pe e1oeiyy © coeNEeAL Ameasion © Leckey ort comme Hyrereni exnoceute ZATMIENT (4NEsnesize ry, prepscecaine 5% ZN wep Sims?) 1 DOEYELINS ILS O CSI ¢ ore ER GINON, OF IRS ALONE OR. (IC AUIS CILIORY ony —SSLITLAMID wa mpenon. (IIDOCELITS) —PUPILINARPECTED BYE 1S TwPICALLy SMaLlleR THAN NokitAleNe —PIST RIED UE Te POST SY IOE Ginteraritaroey LESIOMS Bont Lenses peeciprares ey SEE CERATATIC MPT: ASSESEMENT = = SUT LAMP ExarATo IOENTEL INA HAT ORY CELLS IN AOUESLS HM 0k - RT es ingen naeions SERINE CpeccoreTicot RA Oe Beplices PAN+ PRENENTS FoRUATION! PED UOLOERY YP EIALLLOCOMPROMISATION. OR SNCHALe er OCILIARY FLUSH ~WWeIms —Seeens = Daure Gbauiconta, CORNEAL INFLAMMATION,> BIEN EOS Ee CHEKPES SIMPLE HERATINS erage —DENDEM¢ fORMMATIOMS HUTHINISONS 5\ LATERALIS Ou AOE AOD SLESION. Seo. SS ANIFECTION! ~UNILOT ~w -SELONIDARY To ANOTHES — CORNEAL ULLE Zam ON TE UNE —conurrTwaL HYPEREMIA, —S TREATMENT? AUCLOIR, HK for SActTERIALMIEAL, AND VIRAL >No SteRoWws?OPEN tere So ere G LAR co TOnt TARTEROLAR (2685 FRULIoe AGES —coTTony oot S| so Reverie Hele CHANGES Heyr UGHT IS REFRACTED on Rema Tees CaN ORemERee TERIAL LS eiptoir DIT. HTN, COppeR HEE 2 ARTERIES FO Bwee ries @— Eciemesis SAETERIES LOOK TeTALY I Be Aare A/V NIC KING OCCUE MIC En IGA OCCUT Sess eD ew AETERY _ auGeenT Hm —~200/110 La eeN 1S TO DEI ES EON ELOnELY SO THEY ony SYNCOPI Ze CL HERHIATE me eean einpee eocien — GRA OPTHAL IM OPoTn ry Fy Sa ee LNeee Ten CUTYRIG 7 Siaewue Raver puMELE* cous Im. Et IF DISEASE 1S TREATED OCULAR Foetont PILL SILOS _ ECT EO coe EXTRASCUNA ES EL TS Sees couses Fabs) Se Sas LIPeTED SY pails 4! ~ ROSIE CALICHTEA A pee ad CE GESTAG se. x nl 5-26 SPAIN, ReDwess BUIPPED = fares nTIkt. keeamiTts AUD VISIGM, FLOATERS, KERATOUVEIT!S IRINS, BetUS CeBROIEITS = DiLAaTEeA wa crear of Peeituns - IMATE A 12D TRMUDSTE SARDINES Dise _ ea Mee ALO e Ae Rea Se toTeepenen 4 Bereriores FE" CE Eee eas orecrie | OATES, ks. Zines SION sae = BUUPRED VISION — Breas ESSers raBDE COPS se PERENSE OF sous EN eS Allgice mes ricer mice CHO RIOR ETINUAS CISALLY Ceara sr euesioes INDICATES CSF INVOLVEMENT Fm CORNEA LLY CLEACS 08 Neves. yu $ Une STAKE SHOWS OPER CHS, BEPCOee higticoce nes, Srey aan VESSELS ae Sree PAPULITIC's PER APIEC AC — shouLD Spa exams — _. siparinste Rhew ose se, " q CUPATVE PENICLILUN SHOULD PEE VEN IE CSE 1S NibieedetOATH IEEO SEEEIOSIS ( HOLLEN: Peo Atos composts oF S mea “” CHOLESTE RAL 5 Apa me ingge cCALOTO A. Ose a Mt ELLY HAS HOA Be CHOLES TEED, DY © — NELLY GUI REFRAIN 2 cee — Nan cave BALE NPE erm oF Aekaucess HESS: pape u qoDes 5 aE Stiemtic arabe Fe TRE ET sins ure Papie Fae ee emir rz 1 pes STS Peon OOD ETUC 4. IN RETINAL GEE ROLE oe emeacs UP Tous ARID VISIONS PEERS SEL IP eeteot LoBGES Win A RETINAL Vesser,THeueeTHa Cole , LIS tae vesees Silt as. [sewer satis. pe THE RESULT May AetEEY eecuiibiore A) Rennie %, RE, MEAL STBO RE, HEADacH IBY Suaest Rector henson: Suaae Vaseueiris TCPR NES ALE VASODILATORS, CLOT soot : Busrer, POPAO KerespeesseOphthalmology Component V4, \ fai (conus. Unit 3 ‘The Red Eye Ocular Findings in Systemic Herpes Simplex Herpes Zoster4 oe wpe The Red Eye (Continued) > Discharge Present (Continued) cornea's INTACT + Viral Conjunctivitis ~ Watery.[ 1) Pharyngoconjun fever, usually in children = ae 2)Acute hemmorhagic conjunctivitis large vez subconjunctival heme assoc enterovirus, contaer OY (in tropical regions) y , en Gf PRE rene, iameey oc, cHHErPS'S, ITCHING, —> re ee HePES oN oF LACK Met INF ec- 18S LOS preceeThe Red Eye (Continued) > NO Discharge Present with PAIN disease, thyroid disease > (NE a peti Cnc 45 ONTS coer” D weirs > apors on coenca oHTE Sraeatne: eeeciprs SEETIS—Pan is eee, SeveR= Paniares To jpsicat Siuoe oF Here Fe Bab neternn lO OF VESSES NFO Do Way SBE CORNEAL (Nuon preuGy—__) sesccusen W. NSTEME INFEC. EY, cf THEis + Conjunctival Tumor fee eanclt oN Cornea AL BEASI NE HERE LIGHT CORNEAL EROSION f/ieceR Le cott Hen Al. ConsTAceS —s, © cart See HeoulorH (T PORE ceRiOHlS Buco RIGHT UNSER conte scour, tertet Ex teeGreHleys 7 Vo wert Cr, CouMARNunceent FS Herpes Zoster Jo aA ee 3s zoster ote FAA 635 AFFER is Z areca t Ht Le Beart HN Ls Of opr pr phew OFTE ‘affect the BreeeeO FT eneh areeT Geom cHaree Bre Tl eA AerTEO