Ординатура / Офтальмология / Английские материалы / Quick Reference Dictionary of Eyecare Terminology 4th edition_Ledford, Hoffman_2005
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284 Appendix 9
lung cancer: Metastatic lesion to angle, metastatic lesion to iris, other metastatic lesions (visible mass, redness), symptoms of metastatic lesions (exophthalmos, hyphema).
lupus: Roundish lesions on lids, congestion of conjunctival blood vessels, episcleritis, keratitis, iridocyclitis.
malaria: Conjunctivitis, keratitis, iritis.
malnutrition: Lid edema, conjunctival chemosis, dry eye, keratopathy.
Marfan syndrome: Nystagmus, blue sclera, off-center pupil, multiple pupils, pupillary membrane, subluxed lens.
measles: Koplik’s spots (tiny white grain surrounded by a red round area) on caruncle or conjunctiva, catarrhal conjunctivitis (inflammation with discharge), keratitis, iritis.
melanoma: Metastatic lesions (visible mass, redness), symptoms of metastatic lesions (exophthalmos, hyphema).
menopause: Increased wrinkling of skin, ectropion, entropion, ptosis, dermatochalasis, dry eye.
mononucleosis: Swelling (indicating infection of the lacrimal gland), lid edema, conjunctivitis.
multiple sclerosis: Nystagmus, ptosis, anisocoria. mumps: Swelling (indicating infection of the lacrimal
gland), conjunctivitis, episcleritis, scleritis, unilateral keratitis, stromal keratitis and vascularization (interstitial keratitis), iritis.
muscular dystrophy disorders: Ptosis, dry eye, cataract. myasthenia gravis: Ptosis, abnormal pupil. neurofibromatosis (von Recklinghausen’s disease):
Exophthalmos, thickened lid margins, lid neurofibroma, cafe-au-lait marks on lids, ptosis, limbal neurofibroma, prominent corneal nerves, iris nodules.
occlusive vascular disorder (progressive): Dilation of conjunctival vessels, iritis.
Slit Lamp Findings for Systemic Diseases |
285 |
parathyroid (overactive): Calcification of conjunctiva, corneal opacities (calcium deposits), band keratopathy.
parathyroid (underactive): Blepharospasm, conjunctivitis, keratitis, cataract.
Parkinson’s disease: Eyelid tremors, diminished blinking.
peptic ulcer disease: Iritis.
psoriasis: Scaling lid skin, blepharitis, exfoliated scales in conjunctival sac, conjunctivitis, corneal infiltrates, corneal erosion, corneal vascularization.
rheumatoid arthritis: Conjunctivitis, dry eye, episcleritis, scleritis, scleral thinning, keratitis sicca, band keratopathy, corneal melting, iritis, cataract.
rosacea: Blepharitis, conjunctivitis, multiple chalazia, keratitis, corneal ulcers, corneal infiltrates, corneal pannus, iritis.
rubeola: See measles. rubella: See German measles.
sarcoidosis: Swelling of lacrimal gland, sarcoid lid nodule, episcleral nodule, keratic precipitates, corneal edema, iritis.
scleroderma: Scarring of lid margin, keratitis, corneal ulceration, cataract.
shingles (Herpes zoster): Vesicles on lid, ptosis, lid edema, lid redness, incomplete lid closure, scleritis, keratitis, exposure keratitis, corneal edema, infiltrates, iritis.
sickle cell disease: Comma-shaped conjunctival vessels. sinus problems: Conjunctivitis, congestion of conjunctival blood vessels, dry eye (secondary to medication),
iritis (seasonal).
smallpox: Lid lesions, trichiasis, symblepharon (lid adheres to the globe), conjunctivitis, severe keratitis, leukoma (white corneal opacity), iritis, patchy iris atrophy, vitreous opacity.
smoking: Dry eye, cataract.
286 Appendix 9
temporal (cranial) arteritis: Iritis. temporal (giant cell) arteritis: Ptosis, iritis.
third nerve palsy (oculomotor nerve palsy): Ptosis, anisocoria.
thyroid (overactive): Exophthalmos, orbital puffiness, lid retraction, lid lag, incomplete lid closure, exposure keratitis, keratoconjunctivitis of superior limbus.
thyroid (underactive): Periorbital edema, loss of outer third of brows, lid edema, mild cortical lens opacities. toxoplasmosis (congenital and acquired): Conjuncti-
vitis, leukokoria (“white pupil”), vitreous haze. tuberculosis: Scleritis, phlyctenular keratoconjunctivitis
(tiny red pustules on conjunctiva and/or cornea). vaccinia: Lid infection, cellulitis, lid vesicles, blepharitis,
conjunctivitis, keratitis, corneal perforation, vitreous opacity.
varicella: See chickenpox. variola: See smallpox.
vitamin A deficiency: Foamy patches on bulbar conjunctiva, conjunctival dryness, corneal dryness, corneal haze, corneal perforation.
vitamin B deficiency: Conjunctival dryness, corneal dryness.
vitamin C deficiency: Subconjunctival hemorrhage.
Reprinted with permission from Ledford J, Sanders V. The Slit Lamp Primer. Thorofare, NJ: SLACK Incorporated; 1998: 95-98.
A P P E N D I X 10
Systemic Disorders and
Their Effects On the Eye*
DISORDER |
OCULAR COMPLICATIONS |
I. Cardiovascular
A. Atherosclerosis/ Retinal artery obstruction carotid artery
disease
B. |
Endocarditis |
Conjunctival and retinal hem- |
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orrhage (Roth's spot) |
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Infection |
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Artery occlusion |
C. Hypertension |
Narrowing, twisting, and |
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fibrosis of retinal blood vessels |
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Retinal hemorrhage |
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Papilledema |
|
|
Cotton-wool spots |
D. |
Mitral valve |
Retinal vessel occlusion |
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prolapse |
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II. Endocrine |
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A. Diabetes |
Leaking and rupturing of reti- |
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nal blood vessels |
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Neovascularization of retinal |
vessels
Iris rubeosis Retinal detachment Macular edema
Increased incidence of glaucoma and cataract
288 |
Appendix 10 |
|
DISORDER |
OCULAR COMPLICATIONS |
|
B. |
Graves’ disease |
Inflammation of extraocular |
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muscles (EOMs) |
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Corneal exposure |
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Compression of optic nerve |
C. Hypothyroid |
Partial loss of eyebrows and |
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eyelashes |
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Keratoconus |
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Cataracts |
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Optic atrophy |
D. Pituitary tumor |
Visual field loss |
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Optic atrophy |
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Nerve palsy |
III. Infections |
|
|
A. AIDS |
Swelling of retinal vessels |
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|
Cotton-wool patches |
|
|
Kaposi's sarcoma of lids, con- |
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|
junctiva, or orbit |
B. |
Chlamydia |
Trachoma |
C. Herpes simplex |
Corneal opacity |
|
D. Influenza |
Conjunctivitis |
|
|
|
Dacryoadenitis |
E. |
Lyme disease |
Conjunctivitis |
|
|
Periorbital edema |
Corneal infiltrates
Uveitis
Endophthalmitis
|
Systemic Disorders and Their Effects |
289 |
|
DISORDER |
OCULAR COMPLICATIONS |
||
F. |
Measles |
Conjunctivitis |
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Subconjunctival hemorrhage |
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Superficial keratitis |
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G. Shingles |
Corneal and lid lesions |
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(Herpes zoster) |
Inflammation of conjunctiva, |
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sclera, and uvea |
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H. Syphilis |
Eyelid chancre |
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Argyll Robertson pupil |
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Swelling of optic disc |
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Optic atrophy |
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EOM weakness |
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I. |
Toxoplasmosis |
Chorioretinitis |
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J. |
Tuberculosis |
Ocular tubercles |
|
IV. Connective tissue disease
A. Lupus Scleritis
Damage to lacrimal gland Optic neuritis Cotton-wool spots
B. Multiple sclerosis Optic neuritis
Paralysis of EOMs
Nystagmus
C. Rheumatoid |
Keratoconjunctivitis sicca |
arthritis |
Scleritis |
|
Episcleritis |
|
Uveitis (in juveniles) |
D. Temporal arteritis Ischemic optic neuritis Weakness of EOMs
290 |
Appendix 10 |
|
DISORDER |
OCULAR COMPLICATIONS |
|
V. Muscle disorders |
|
|
A. Muscular |
Weakness of EOMs (causing |
|
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dystrophy |
diplopia) |
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|
Weakness of levator muscle |
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(causing ptosis) |
B. Myasthenia gravis Weakness of EOMs Ptosis
VI. Blood dyscrasias |
|
A. Anemia |
Pale conjunctiva |
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Retinal hemorrhage |
|
Cotton-wool spots and hard |
|
exudates |
B. Leukemia |
Optic nerve compression |
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Elevated intraocular pressure |
|
(IOP) |
C. Sickle cell disease Neovascularization Vitreous hemorrhage Retinal detachment Elevated IOP
VII. Age-related disorders
A. Elderly Cataract
Macular degeneration Dry eye
Increased incidence of glaucoma
Increased incidence of infection
Presbyopia (first noticed around age 40)
Loss of skin and muscle tone
Systemic Disorders and Their Effects |
291 |
|
DISORDER |
OCULAR COMPLICATIONS |
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|
(entropion, ectropion, derma- |
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tochalasis, EOM dysfunction, |
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ptosis) |
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B. Prematurity |
O2 damage to retina |
|
Blocked development of retinal blood vessels
Retinal detachment Retinal scarring
VIII. Environmental disorders
A. Alcoholism Visual field defects Nerve palsies Optic atrophy Alcohol amblyopia
Decreased color vision Cataracts
B. Child abuse |
Retinal and vitreal hemorrhage |
|
Periorbital bruising and swell- |
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ing |
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Subconjunctival hemorrhage |
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Orbital fractures |
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Hyphema |
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Dislocated lens |
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Retinal detachment |
C. Malnutrition |
Night blindness |
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Retinopathy |
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Corneal ulceration/necrosis |
D. Smoking |
Chronic conjunctivitis |
|
Increased risk of nuclear scle- |
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rosis |
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Increased risk of macular |
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degeneration |
292 |
Appendix 10 |
|
DISORDER |
OCULAR COMPLICATIONS |
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Increased optic nerve damage |
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in glaucoma |
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Nystagmus |
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Optic neuropathy |
IX. Genetic disorders |
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A. Albinism |
Blue-gray to pink iris |
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Nystagmus |
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Decreased visual acuity |
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Strabismus |
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Photophobia |
B. |
Down syndrome |
Short, slanted palpebral fis- |
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sures |
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Epicanthal folds |
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Strabismus |
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Nystagmus |
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Myopia |
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Cataracts |
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Keratoconus |
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Brushfield’s spots |
X. Neoplastic disorders |
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A. Cancer |
Ocular metastasis (iris most |
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common) |
B. |
Non-Hodgkin’s |
Proptosis |
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lymphoma |
Conjunctival growths |
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Diplopia |
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Lacrimal gland infiltration |
XI. Other disorders/conditions |
||
A. Chronic |
Dilation of retinal vessels |
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obstructive pul- |
Retinal hemorrhage |
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monary disease |
Darkening of blood vessels |
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(conjunctiva and retina) |
|
Systemic Disorders and Their Effects |
293 |
|
DISORDER |
OCULAR COMPLICATIONS |
||
B. |
Gout |
Conjunctivitis |
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Episcleritis |
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Scleritis |
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Elevated IOP |
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Uric acid crystals (cornea or |
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sclera) |
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C. |
Pregnancy |
Minor refractive shifts |
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Difficulty with accommoda- |
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tion |
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Drop in IOP |
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Mild ptosis |
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Hyperpigmentation of lids |
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D. Sarcoidosis |
Bilateral anterior uveitis |
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Granulomas |
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Optic neuritis |
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Optic atrophy |
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* See also Appendix 9 |
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Reprinted with permission from Ledford J. Handbook of Clinical Ophthalmology for Eyecare Professionals. Thorofare, NJ: SLACK Incorporated; 2000: 24-28.
