Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.
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Transcript of Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.
![Page 1: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/1.jpg)
Mohamed Abdelzaher
M.Sc.
FOURTH YEARBRAIN STORMING
![Page 2: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/2.jpg)
A 64-year-old female patient, who had cataract surgery 3 days before presented with a red painful eye with decreasing vision. On examination, the eye was severely injected, severe corneal edema, anterior chamber cells and flare, cortical lens matter in the anterior chamber and IOP 40 mmHg. The best line of treatment is:1) Antibiotic drops
2) Miotics and beta blockers
3) beta blockers, Steroid drops, mydriatics
4) Antibiotics and beta blockers
![Page 3: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/3.jpg)
THIS CHILD HAS ANIRIDIA,WHAT ARE THE MOST IMPORTANT ASSOCIATIONS?
![Page 4: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/4.jpg)
• A 54 year old female patient presented to the ER with red painful right eye. VA was HM, ciliary injection, corneal edema, IOP 55 mmHg, pupil mid-dilated & fixed. Left eye shows shallow AC, VA was 6/24, IOP 16 mmHg.
• How would you manage:
- Right eye
- Left eye
![Page 5: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/5.jpg)
• A 54 year old female patient presented to the ER with red painful right eye. VA was HM, ciliary injection, corneal edema, IOP 55 mmHg, pupil mid-dilated & fixed. Left eye shows deep AC, VA was 6/24, IOP 16 mmHg.
• How would you manage:
- Right eye
- Left eye
![Page 6: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/6.jpg)
LOOK AT THE INFERIOR PUNCTUM,WHAT IS THIS??
![Page 7: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/7.jpg)
DIFFERENTIAL DIAGNOSIS
![Page 8: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/8.jpg)
DIFFERENTIAL DIAGNOSIS
![Page 9: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/9.jpg)
WHAT IS THE USED TEST?
![Page 10: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/10.jpg)
• A farmer had a left eye injury with a piece of cotton wood, two weeks later, he developed redness and defective vision. He received broad spectrum antibiotic drops and ointments for two weeks but he deteriorated more. The next step is:
1) Culture and sensitivity for specific antibiotics
2) Culture for virus
3) Culture for fungus
4) Culture for acanthamoeba
![Page 11: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/11.jpg)
• This child gave a history of recurrent attacks of ocular pain, discharge and lacrimation.
• How to manage??
![Page 12: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/12.jpg)
• Index myopia may be due to:1) Nuclear sclerosis
2) Cortical cataract
3) Posterior dislocation of the lens
4) Anterior dislocation of the lens
![Page 13: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/13.jpg)
Name of the test
What is the finding
![Page 14: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/14.jpg)
DIAGNOSIS
![Page 15: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/15.jpg)
•What is the instrument??
•What are the characteristics of its picture?
![Page 16: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/16.jpg)
• This is the fundus picture of a diabetic patient. He gave a history of rapid painless diminution of vision in left eye of 4 days duration. His VA is 3/60 OD, HM OS.
• How to manage??
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DIAGNOSISCAUSES
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• It is 4 a.m. and a 23 year old male patient is knocking your door. He is complaining of severe phtophobia, lacrimation and stitching ocular pain in his both eyes. He gave a history of welding. You stained the cornea and you found the following:
WhatTo do??
![Page 19: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/19.jpg)
• Ptosis can occur in the following conditions exept:
1) Horner syndrome
2) Myasthenia gravis
3) Thyroid ophthalmopathy
4) III nerve palsy
![Page 20: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/20.jpg)
This patient had chemical ocular injury with cement, what is the 1st aid management??
![Page 21: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/21.jpg)
WHAT IS YOUR PROVISIONAL DIAGNOSIS?WHAT ARE THE INVESTIGATIONS MIGHT HELP YOU?��
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WHAT IS THE OPERATION?INDICATION?
![Page 23: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/23.jpg)
DRAW THE FIELD DEFECT CAUSED BY THE LESION
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How to manage this case??
The ulcer healed leaving this opacity. Manage??
This picture 1 month after PKP, Manage??
![Page 25: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/25.jpg)
MIX & MATCH
A
B
C
D
E
![Page 26: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/26.jpg)
USING THIS INSTRUMENT, HOW CAN WE:- MEASURE IOP?- EXAM THE
FUNDUS?
![Page 27: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/27.jpg)
WHAT IS THIS LESION?
![Page 28: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/28.jpg)
• Name this sign
• Importance?
![Page 29: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/29.jpg)
• A 54 year old female patient presented to the ER with red painful right eye. VA was HM, ciliary injection, IOP 55 mmHg, pupil mid-dilated & fixed, gonioscopy showed closed angle (grade 0). Left eye shows shallow AC (gonioscopy grade I), VA was 6/24, IOP 16 mmHg .
• How would you manage:
- Right eye
- Left eye
![Page 30: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/30.jpg)
•Fill in the spaces
![Page 31: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/31.jpg)
DIFFERENTIAL DIAGNOSIS
![Page 32: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/32.jpg)
• 5th nerve palsy could cause:1) Ptosis
2) Proptosis
3) Neurotrophic keratitis
4) lagophthalmos
![Page 33: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/33.jpg)
DIFFERENTIAL DIAGNOSIS
![Page 34: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/34.jpg)
ACDEG
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• A 45 year old male patient presented with BCVA 6/9 OU, IOP 25 mmHg OD, 29 mmHg OS, fundus exam shows C/D ratio 0.3 OU, standard automated perimetry showed no abnormality.
• How to manage??
![Page 36: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/36.jpg)
NAME THE INSTRUMENT
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WHAT IS THE OPERATION?WHERE IS THE ANATOMICAL SITE OF INJECTION?WHAT ARE THE DRUGS COULD BE INJECTED??
![Page 38: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/38.jpg)
WHAT IS THIS??
![Page 39: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/39.jpg)
WHAT IS THE TEST??
![Page 40: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/40.jpg)
WORTH’S 4 DOT TESTWHAT ARE THESE RESULTS
1 2
43
![Page 41: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/41.jpg)
• During retinoscopy you found the following:
This patient is:- Myopic- Hyperopic- Emmetropic
![Page 42: Mohamed Abdelzaher M.Sc. FOURTH YEAR BRAIN STORMING.](https://reader035.fdocuments.in/reader035/viewer/2022062518/5697bf8e1a28abf838c8cbde/html5/thumbnails/42.jpg)