Ординатура / Офтальмология / Английские материалы / Ocular Differential Diagnosis 7th edition_Roy_2002
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D.Polycythemia (Vaquez disease)
E.Severe anemia
F.Sickle cell disease (Herrick syndrome)
9. Hypotension of fundus
A.Cardiac arrhythmia
B.Glaucoma, narrow angle, pigment dispersion
C.Gaze-evoked amaurosis (transient monocular loss of vision occurring in a particular direction of eccentric gaze)
1. *Bone fragment adjacent to optic nerve following orbital fracture 2. *Central retinal artery occlusion
3. Optic nerve sheath meningiomas
4. Orbital cavernous hemangiomas
5. Orbital osteoma
D.Impending vascular occlusion, retinal vasospasm associated with systemic vasospastic disease (migraine)
E.Increased intracranial pressure, such as from intracranial tumors that interfere with vascular supply to the optic nerve
F.Increased venous pressure
1. Impending central retinal vein occlusion (see p. 468â??472) 2. Intermittent elevation of intraocular pressure (glaucoma)
G.Negative G-force in pilotsâ??circular maneuver with head toward the center of the circle
H.Ocular ischemic syndrome
I.Orbital vascular insufficiency with giant cell arteritis
J.Papilledemaâ??lasts for to seconds (see p. 593)
K.Positive G-force in pilotsâ??circular maneuver with feet toward center of circle
L.Vasospasm including temporal arteritis, polyarteritis nodosa, eosinophilic vasculitis, migraine and cluster headache
10. Large vitreous floater
11. Optic disc anomalies (congenital)
12. Ornithine transcarbamoylase deficiency P.626
13. Pituitary tumor
14. Polymyalgia rheumatica
15. Quinine poisoning
16. Raynaud disease (paroxysmal digital cyanosis)
17. Retrobulbar anesthesia
18. Schleral buckling procedure
19. Spontaneous bleeding from a normal-appearing iris or intraocular lens iris touch 20. Taveras syndrome (progressive intracranial arterial occlusion syndrome)
21. Uhthoff symptomâ??vision decreased with exercise or ocular hyperthermia can occur with: A. Friedreich ataxia
B.Insufficiency of posterior cerebral arteries
C.Intrasellar and parasellar tumor
D.Multiple sclerosis (disseminated sclerosis)
22. Uremic amaurosisâ??with eclampsia
23. Vasospasm
24. Wasp sting
Bernard GA, et al. Vasospastic amaurosis fugax. Arch Ophthalmol 1999;117:1568.Bibliographic Links
Fineman MS, et al. Transient visual loss and decreased ocular blood flow velocities following a schleral buckling procedure. Arch Ophthalmol 1999;117:1647â??1648.Bibliographic Links
Knapp ME, et al. Gaze-induced amaurosis from central artery compression. Ophthalmology 1992;99:238â??240.Bibliographic Links
Roy FH. Ocular syndromes and systemic diseases, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.
Slavin M. Clinical challenges. Surv Opthalmol 1997;41:6,481â??487.
Sudden Painless Loss of Visual Acuityâ??One Eye
1. Acute keratoconus
2. Complication of retrobulbar block
3. Injury to the optic nerve
4. Meningeal carcinomatosis
5. Occlusion of central retinal artery
6. *Retinal detachment
7. Vitreous or retinal hemorrhage
Appen RE, et al. Meningeal carcinomatosis with blindness. Am J Ophthalmol 1978;86:661â??665.Bibliographic Links
Brookshire GL, et al. Life-threatening complication of retrobulbar block. Ophthalmology 1986;93:1476â??1478.Bibliographic Links
Kearne JR. Sudden blindness after ventriculography: bilateral retinal vascular occlusion superimposed on papilledema. Am J Ophthalmol 1974;78:275â??278.Bibliographic Links
Posttraumatic Loss of Vision
1. *Acute (angle-closure) glaucoma precipitated by emotional trauma of recent accident or from intumescent lens capsular trauma or other blunt trauma
2. Avulsion of optic nerve by lateral orbital wall trauma or contrecoup blow to head
3. Central retinal artery or vein occlusion (from markedly increased orbital pressure or embolus)
4. Cortical blindness from hematoma, ischemia, or anoxia (patient may be unaware of blindness)
5. Hyphema, vitreous hemorrhage
6. Hysteria P.627
7. Indirect trauma to optic nerves or chiasm
8. Intracranial interruption of visual pathways (hemorrhage, foreign body) 9. *Lid swelling, blood or foreign material covering cornea, corneal damage
10. Malingering
11. *Retinal detachment
12. Traumatic cataract, luxation of the lens (see p. 401)
13. Traumatic retinal edema and hemorrhages of retina from direct or contrecoup blows
Deutsch TA, Feller DB. Paton and Goldberg's management of ocular injuries. Philadelphia: WB Saunders, 1985.
Decreased Visual Acuity
1. Achromatopsia
2. Amblyopia ex anopsiaâ??disuse
A.Anisometropiaâ??difference in refractive error between the eyes
B.Monocular occlusion
C.Strabismusâ??esotropia, exotropia, or hypertropia
D.Unilateral atropinization
3. Anomalous elevation of optic disc with hyperplastic glial tissue and anomalous retinal vessels
4. Apparently normal eye with central fixation with poorer visual acuity in one than other eyeâ??anisometropia
5. Apparently normal eye with normal fixation with disparity between near and distance visionâ??amblyopia, hysteria, malingering, retrobulbar neuritis, presbyopia, and micronystagmus
6. Apparently normal eye with normal fixation with poor distance and near vision astigmatism,
amblyopia, hyperopia in older persons |
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7. Drugs, including the following: |
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acebutolol |
amantadine |
antipyrine |
aceclidine |
ambenonium |
aprobarbital |
acetaminophen |
ambutonium |
aspirin |
acetanilid |
aminosalicylate (?) |
atenolol |
acetazolamide |
aminosalicylic acid (?) |
atropine |
acetohexamide |
amiodarone |
azatadine |
acetophenazine |
amithiozone |
bacitracin |
acetyldigitoxin |
amitriptyline |
baclofen |
acid bismuth sodium |
amobarbital |
barbital |
tartrate (?) |
|
|
|
amodiaquine |
bacille |
|
|
Calmetteâ??Guérin |
acyclovir |
amoxapine |
(bCG) vaccine |
adiphenine |
amphetamine |
belladonna |
adrenal cortexinjection |
amphotericin B |
bendroflumethiazide |
albuterol |
amyl nitrite |
benoxinate |
alcohol |
anisindione |
benzathine penicillin G |
aldosterone |
anisotropine |
benzphetamine |
alkavervir |
antazoline |
benzthiazide |
allobarbital |
antimony lithium |
benztropine |
|
thiomalate |
|
allopurinol |
antimony potassium |
betamethasone |
|
tartrate |
|
alprazolam |
antimony sodium |
betaxolol |
|
tartrate |
|
alseroxylon |
antimony sodium |
biperiden |
|
thioglycollate |
|
aluminum nicotinate |
|
bismuth oxychloride |
bismuth sodium tartrate |
chloral hydrate |
dantrolene |
(?) |
|
|
bismuth sodium |
chlorambucil |
dapsone |
thioglycollate (?) |
|
|
|
chloramphenicol |
deferoxamine |
bismuth sodium |
chlorcyclizine |
demecarium |
triglycollamate (?) |
|
|
|
chlordiazepoxide |
demeclocycline |
bismuth subcarbonate |
chloroform |
deserpidine |
(?) |
|
|
bismuth subsalicylate |
chloroprocaine |
desipramine |
(?) |
|
|
bromide |
chloroquine |
deslanoside |
bromisovalum |
chlorothiazide |
desoxycorticosterone |
brompheniramine |
chlorpheniramine |
dexamethasone |
broxyquinoline |
chlorphenoxamine |
dexbrompheniramine |
bupivacaine |
chlorphentermine |
dexchlorpheniramine |
busulfan |
chloroprocaine |
dextroamphetamine |
butabarbital |
chlorpromazine |
dextrothyroxine |
butacaine |
chlorpropamide |
diatrizoate meglumine and |
|
|
sodium |
butalbital |
chlorprothixene |
|
butallylonal |
chlortetracycline |
diazepam |
butaperazine |
chlorthalidone |
diazoxide |
capreomycin |
cimetidine |
dibucaine |
captopril |
cisplatin |
dichlorphenamide |
carbachol |
clemastine |
dicumarol |
carbamazepine |
clidinium |
dicyclomine |
carbinoxamine |
clofazimine |
diethazine |
carbon dioxide |
clofibrate |
diethylpropion |
carbromal |
clomiphene |
digitalis |
carisoprodol |
clomipramine |
digitoxin |
carmustine |
clonazepam |
digoxin |
carphenazine |
clonidine |
diltiazem |
cefaclor (?) |
clorazepate |
dimethindene |
cefadroxil (?) |
cobalt |
diphemanil |
cefamandole (?) |
cocaine |
diphenadione |
cefazolin (?) |
codeine |
diphenhydramine |
cefonicid (?) |
colchicine |
diphenylpyraline |
cefoperazone (?) |
colloidal silver |
diphtheria and tetanus |
|
|
toxoids adsorbed |
ceforanide (?) |
cortisone |
|
cefotaxime (?) |
cryptenamine |
diphtheria and tetanus |
|
|
toxoids and pertussis |
cefotetan (?) |
cyclizine |
(adsorbed) |
cefoxitin (?) |
cyclobarbital |
|
cefsulodin (?) |
cyclopentobarbital |
diphtheria toxoid |
|
|
(adsorbed) |
ceftazidime (?) |
cyclopentolate |
dipivefrin |
ceftizoxime (?) |
cyclophosphamide |
disopyramide |
ceftriaxone(?) |
cycloserine |
disulfiram |
cefuroxime(?) |
cyclosporine |
doxepin |
cephalexin(?) |
cyclothiazide |
doxycycline |
cephaloglycin (?) |
cycrimine |
doxylamine |
cephaloridine (?) |
cyproheptadine |
dronabinol |
cephalothin (?) |
cytarabine |
droperidol |
cephapirin (?) |
dacarbazine |
dyclonine |
cephradine (?) |
danazol |
echothiophate |
edrophonium |
homatropine |
mannitol hexanitrate |
emetine |
hydrabamine |
maprotiline |
|
penicillin V |
|
enalapril |
hydralazine |
marihuana |
ephedrine |
hydrochlorothiazide |
measles and rubella virus |
|
|
vaccine (live) |
epinephrine |
hydrocortisone |
|
ergonovine |
hydroflumethiazide |
measles, mumps and |
|
|
rubella virus vaccine (live) |
ergot |
hydromorphone |
|
ergotamine |
hydroxyamphetamine |
measles virus vaccine (live) |
erythrityl tetranitrate |
hydroxychloroquine |
mecamylamine |
ethacrynic acid |
ibuprofen |
mechlorethamine |
ethambutol |
imipramine |
meclizine |
ethchlorvynol |
indapamide |
medrysone |
ether |
indomethacin |
mefenamic acid |
ethionamide |
influenza virus |
melphalan |
|
vaccine |
|
ethopropazine |
insulin |
mepenzolate |
ethosuximide |
interferon |
meperidine |
ethoxzolamide |
iodide and iodine |
mephenesin |
|
solutions and |
|
etidocaine |
compounds |
mephobarbital |
etretinate |
iodochlorhydroxyquin |
mepivacaine |
fenfluramine |
iodoquinol |
meprednisone |
fenoprofen |
iophendylate |
meprobamate |
flecainide |
iothalamate |
mescaline |
|
meglumine and |
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floxuridine |
sodium ophthalmic |
mesoridazine |
|
acid |
|
fludrocortisone |
|
methacycline |
fluorometholone |
iron dextran |
methadone |
fluorouracil |
isocarboxazid |
methamphetamine |
fluphenazine |
isoflurophate |
methantheline |
fluprednisolone |
isoniazid |
methaqualone |
flurazepam |
isopropamide |
metharbital |
flurbiprofen |
isosorbide |
methazolamide |
furosemide |
isosorbide dinitrate |
methdilazine |
gentamicin |
isotretinoin |
methitural |
gitalin |
kanamycin |
methixene |
glutethimide |
ketamine |
methocarbamol |
glyburide |
ketoprofen |
methohexital |
glycerin |
labetalol |
methotrexate |
glycopyrrolate |
lanatoside C |
methotrimeprazine |
griseofulvin |
levallorphan |
methscopolamine |
guanethidine |
levobunolol |
methsuximide |
halazepam |
levodopa |
methyclothiazide |
haloperidol |
levothyroxine |
methyl alcohol |
hashish |
lidocaine |
methylatropine nitrate |
heparin |
liothyronine |
methyldopa |
heptabarbital |
liotrix |
methylene blue |
hexachlorophene |
lithium carbonate |
methylergonovine |
hexamethonium |
lomustine |
methylphenidate |
hexethal |
lorazepam |
methylprednisolone |
hexobarbital |
lysergide |
methyprylon |
hexocyclium |
mannitol |
methysergide |
metoclopramide |
pentaerythritol |
procaine penicillin G |
|
tetranitrate |
|
metolazone |
pentazocine |
prochlorperazine |
metoprolol |
pentobarbital |
procyclidine |
|
pentolinium |
|
metrizamide |
perazine |
promazine |
metronidazole |
perhexiline |
promethazine |
mexiletine |
pericyazine |
propantheline |
mianserin |
perphenazine |
proparacaine |
midazolam |
phenacaine |
propiomazine |
minocycline |
phenacetin |
propoxycaine |
minoxidil |
phencyclidine |
propoxyphene |
mitomycin |
phendimetrazine |
propanolol |
mitotane |
phenelzine |
protoveratrines A and B |
morphine |
phenindione |
protriptyline |
moxalactam (?) |
pheniramine |
psilocybin |
mumps virus vaccine |
phenmetrazine |
pyridostigmine |
(live) |
|
|
nadolol |
phenobarbital |
pyrilamine |
nalidixic acid |
phensuximide |
quinacrine |
nalorphine |
phentermine |
quinethazone |