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    Optha Shivani Mam

    Uploaded by

    Abhi Anilkumar

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Optha Shivani Mam

    Uploaded by

    Abhi Anilkumar
    17 views85 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views85 pages

    Optha Shivani Mam

    Uploaded by

    Abhi Anilkumar

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 85

    DR SHIVANI JAIN

    MS, DNB, FAICO, MNAMS

    CONSULTANT
    OPHTHALMOLOGIST
    M
    LIMBAL INCISION
    INTRAVITREAL INJECTION
    MEIOSIS MYDRIASIS
    Light , neonates Dark

    Senile Emotions

    Horner syndrome 3rd nerve paralysis

    Opiod Amphetamine, cocaine

    OP poisonings Dhatura / belladona poisoning

    Pilocarpine Cycloplegic mydriatics

    Acute iritis Angle closure glaucoma

    Argyll Robertson Pupil Adie’s pupil


    EYE OF A NEWBORN EYE OF AN ADULT

    Axl – 16.5 mm 24mm


    Hypermetropia +2 to +3 D
    Cornea 9mm 11mm

    Pupil small

    Anterior chamber shallow

    Orbit are divergent 45 degree 45degree


    Macula undifferentiated ( 4- 6 month) After 4 month of birth
    Lacrimal gland not functional Functional after a month
    Fixation starts at 1st month, poor fixation Completed by 6 months
    Binocularity at 3 months By 6 years of age 6/6
    Visual acuity poor 6/60
    SOME IMP NUMBERS

    • Anterior chamber -0.25ml


    • Posterior chamber -0.06ml
    • Posterior segment – 4ml
    • Eyeball- 6.5ml
    • Orbit- 30ml
    • Weight of eyeball – 6 gm
    Q. Mydriasis is due to
    a. OP poisoning
    b. Opiate overdose
    c. 3rd nerve palsy
    d. Horner syndrome
    e. Neurosyphillis
    Q. All are fully achieved by 6 months of age
    except
    a. Corneal size
    b. Fusion
    c. Stereopsis
    d. Macula
    Q. Refractive condition at birth is

    a. Hypermetropia 2 D
    b. Myopia 2 D
    c. Hypermetropia 5 D
    d. Myopia 5 D
    Q. Accommodation:
    a. Is increased by cycloplegic drug
    b. Produces an increased curvature of the
    anterior surface of the lens
    c. Is independent on the elasticity of the lens
    capsule
    d. Zonules strectches
    Q. USG A scan is used to

    a. Measure axial length


    b. See the retina
    c. To find out the calcification in eye
    d. To rule out retinal tumour
    CATARACT : GRAY REFLEX
    ANTERIOR LENTICONUS
    MORPHOLOGICAL CLASSIFICATION

    • CAPSULAR
    • SUBCAPSULAR : PSC MOST DISTURBING
    • POLAR
    • CORTICAL
    • NUCLEAR
    SNOW FLAKE CATARACT : DM
    SUNFLOWER CATARACT
    COPPER DEPOSITS IN DESCEMET
    OIL DROPLET CATARACT :
    GALACTOSEMIA
    Q.TRAUMATIC CATARACT
    POLYCHROMATIC LUSTRE :
    COMPLICATED
    HMSC : BAG OF MILK
    Which of the following is the only reversible
    cataract
    • Senile Cataract
    • Cataract in Galactosemia
    • Congenital Cataract
    • None
    ECCE
    CLEAR CORNEAL INCISION
    PHACOEMULSIFICATION
    Which procedure is going on in this
    picture
    INJECTOR
    POSTERIOR CHAMBER IOL ( PCIOL)
    ENDOPHTHALMITIS
    SUPEROTEMPORAL SUBLUXATION :
    MARFAN
    CONGENITAL CATARACT
    BLUE DOT

    LAMELLAR/ ZONULAR
    ZONULAR CATARACT WITH RIDERS
    Q. Secondary cataract

    a. Caused by UV rays
    b. Best treatment is Nd YAG capsulotomy
    c. Surgery can be done
    d. Secondary to eye problem
    Q. The instrument is used in
    a. Making tunnel in cataract suregery
    b. Making main port incision in cataract surgery
    c. Making trabeculectomy opening
    d. PPV
    Q. A 56 year old patient presents after 3 days of
    cataract surgery with a history of increasing
    pain and diminution of vision after an initial
    improvement. The most likely cause would be
    • Endophthalmitis
    • After cataract
    • Central retinal vein occlusion
    • Retinal detachment
    PARTS OF CONJUNCTIVA
    CONJUNCTIVITIS
    MEMBRANOUS CONJUNCTIVITIS
    ANGULAR CONJUNCTIVITIS Q
    SEROUS DISCHARGE IN VIRAL
    CONJUNCTIVITIS
    SUBCONJUNCTIVAL
    HAEMORRHAGE
    HAEMORRHAGIC Q

    PICORNA VIRUS P

    ADENOVIRUS A

    COXACIE VIRUS C

    ENTEROVIRUS 70/ ECHO VIRUS E


    Q. A patient is prescribed ointment and 2 drops
    by a doctor . What is not true about these
    dosage as explained by doctor
    a. Apply ointment 1st and then drop after 15
    minutes
    b. Ointment preferred for night time
    c. One drop is sufficient every time the drops
    are put
    d. A gap of minimum 10 min should be there in
    between
    TRACHOMA
    PAPILLAE FOLLICLES
    ARLT’S LINE
    OPHTHALMIA NEONATORUM Q
    OPHTHALMIA NEONATORUM

    • Come Girl Out Have Coffee


    • Chemical 1- 2 day
    • Gonococcal- <3 days; MOST SEVERE
    • Other 3-5 days
    • Herpes – 5-7 days
    • Chlamydia - > 1 week -2 week ; MC
    Pathognomonic of trachoma is

    a. Bulbar papillae
    b. Palpebral papillae
    c. Bulbar follicles
    d. Palpebral follicles
    VKC : HORNER TRANTA SPOT
    COBBLE STONE PAPILLAE
    SHIELD ULCER : VKC
    PSUEDOGERONTOXON
    Phlyctenular conjunctivitis
    Ques. White ,ropy, secretion is a feature of

    a. Phylectenular conjuctivitis
    b. Vernal conjuctivitis
    c. Trachoma
    d. Tubercular conjuctivitis
    PTERYGIUM
    Pinguecula
    BITOT SPOT
    Q. Refractive error which can be seen in
    following condition is
    A. With the rule astigmatism
    B. Without the rule astigmatism
    C. Hypermetropia
    D. Irregular
    LAYERS OF CORNEA
    SPECULAR MICROSCOPY
    PENETRATING KERATOPLASTY

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