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Surgical notes

Surgical notes

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Нет данных24 часа
-47 дней
-530 дней
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🔶D.D wide palpebral apertures (fissure) ▪️proptosis ▪️buphthalmos ▪️upper lid retraction

🔶D.D narrow palpebral fissure ▪️odema of lids ▪️ptosis ▪️phtaitis bulbi ▪️micro phthalmos

🔶D.D of EYE reflex : 🔴Red reflex _........ (NORMAL) ⚪️white reflex ......(leukocoria) 🔘 Grey reflex......( retinal detachment) ⚫️ Black reflex ,,(vitreous hemorrhage) 🟡Yellow reflex .....( vitreous pus) 🔴🔴Double red reflex ..(poly coria,, iridodialysis,,, peripheral iridoectomy ) ⭕️ ring red reflex ....( nuclear cataract)

🔶D.D of Blue sclera ▪️Buphthalmous ▪️marfan syndrome ▪️High myopia ▪️scleral staphyloma ▪️physiological (children , infant)

🔶D.D of watery eye (neonate) ▪️congenital NLD obstruction ▪️congenital glaucoma ▪️ophthalmia neonatorum

🔶D.D Binocular Diplopia ▪️paralytic squint (4,6) ▪️pterygium ▪️blowout fractures

🔶D.D of PARACENTESIS ▪️hyphema ▪️hypopyon ▪️keratocele

🔶 D.D uses of local ANESTHESIA ▪️tonometry ▪️suture remove ▪️Goniolens ▪️probing &dilatation

🔶D.D uses of ROSE BANGAL stain ▪️DRY EYE ▪️ corneal ulcer

🔶D.D causes of axial proptosis ▪️Greaves disease ▪️retrobublar hemorrhage ▪️ optic nerve tumor ▪️ orbital cellulitis

🔶D.D of hypopyon ▪️endophthalmitis ▪️chemical injuries ▪️keratitis ▪️TB

🔶D.D of hyphema ▪️trauma ▪️metallic intra ocular foreign body ▪️Rubeosis iridis ▪️drug:Asprine

🔶D.D of leukokoria : ▪️cataract ▪️toxocariasis ▪️retinoblastoma ▪️coats disease ▪️retinopathy of prematurity

🔸D.D of pupil irregularity ▪️posterior& anterior synechiae ▪️ iris atrophy ▪️injury of the iris ▪️trauma

Repost from Common Sense
◽️ When 'The patient sees nothing and the doctor sees nothing' 🔻You must think of " Retrobulbar optic neuritis " And look for multiple sclerosis which is the MOST common cause. 🔹Note / 25% of MS patients come with rapid painful lose of vision as only presention ❗️ #Opthalmology

Shiemer test 1 measure the basal + reflex lacrimal tear secreation Shiemer teat 2 measure the reflex secretion Common site of blockage of NLD in children is at it's lower portion Common site of blockage of NLD in adult is at sac __NLD junction #عيون

Veneral conjunctivitis = sporadic gonoccocal conjunctivitis But vernal conjunctivitis = Spring cattarh = external allergy #عيون

In Fungal keratitis signs more than symptoms But in Bacterial keratitis symptoms more than signs Penitrating keratoplasty for deep corneal opacities but lamellar kertoplasty for superficial opacities #عيون

Types of trachomatous pannus 1 Tenius( thin) is vascularization and infiltration is mild 2 Carnosus ( thick fleshy pannus ) Is infiltration is excessive 3_ Vasculosus is vascularization is excessive 4_ Annulosus is all around the cornea 5_ Siccus ( dry or healed pannus ,,) #عيون

فروقات مهمة 1. Lacrimation is watery eye due to increase the secretory part of lacrimal System But Epiphora is due to obstruction in the drainage part of lacrimal system 2. Proptosis is passive forward protrusion of eye ball But exophthlamous is active forward proteusion of the eye ball 3_ trachomatous pannus is vasculization with diffuse cell infiltration But Herberts rosette is vascularization with local cell infilteration #عيون