Добавил:
kiopkiopkiop18@yandex.ru t.me/Prokururor I Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Ординатура / Офтальмология / Английские материалы / Quick Reference Dictionary of Eyecare Terminology 4th edition_Ledford, Hoffman_2005

.pdf
Скачиваний:
0
Добавлен:
28.03.2026
Размер:
3.04 Mб
Скачать

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-

 

 

orrhage (Roth's spot)

 

 

Infection

 

 

Artery occlusion

C. Hypertension

Narrowing, twisting, and

 

 

fibrosis of retinal blood vessels

 

 

Retinal hemorrhage

 

 

Papilledema

 

 

Cotton-wool spots

D.

Mitral valve

Retinal vessel occlusion

 

prolapse

 

II. Endocrine

 

A. Diabetes

Leaking and rupturing of reti-

 

 

nal blood vessels

 

 

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

 

 

muscles (EOMs)

 

 

Corneal exposure

 

 

Compression of optic nerve

C. Hypothyroid

Partial loss of eyebrows and

 

 

eyelashes

 

 

Keratoconus

 

 

Cataracts

 

 

Optic atrophy

D. Pituitary tumor

Visual field loss

 

 

Optic atrophy

 

 

Nerve palsy

III. Infections

 

A. AIDS

Swelling of retinal vessels

 

 

Cotton-wool patches

 

 

Kaposi's sarcoma of lids, con-

 

 

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

 

 

 

Subconjunctival hemorrhage

 

 

Superficial keratitis

 

G. Shingles

Corneal and lid lesions

 

 

(Herpes zoster)

Inflammation of conjunctiva,

 

 

sclera, and uvea

 

H. Syphilis

Eyelid chancre

 

 

 

Argyll Robertson pupil

 

 

 

Swelling of optic disc

 

 

 

Optic atrophy

 

 

 

EOM weakness

 

I.

Toxoplasmosis

Chorioretinitis

 

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

 

dystrophy

diplopia)

 

 

Weakness of levator muscle

 

 

(causing ptosis)

B. Myasthenia gravis Weakness of EOMs Ptosis

VI. Blood dyscrasias

 

A. Anemia

Pale conjunctiva

 

Retinal hemorrhage

 

Cotton-wool spots and hard

 

exudates

B. Leukemia

Optic nerve compression

 

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

 

(entropion, ectropion, derma-

 

tochalasis, EOM dysfunction,

 

ptosis)

 

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-

 

ing

 

Subconjunctival hemorrhage

 

Orbital fractures

 

Hyphema

 

Dislocated lens

 

Retinal detachment

C. Malnutrition

Night blindness

 

Retinopathy

 

Corneal ulceration/necrosis

D. Smoking

Chronic conjunctivitis

 

Increased risk of nuclear scle-

 

rosis

 

Increased risk of macular

 

degeneration

292

Appendix 10

 

DISORDER

OCULAR COMPLICATIONS

 

 

Increased optic nerve damage

 

 

in glaucoma

 

 

Nystagmus

 

 

Optic neuropathy

IX. Genetic disorders

 

A. Albinism

Blue-gray to pink iris

 

 

Nystagmus

 

 

Decreased visual acuity

 

 

Strabismus

 

 

Photophobia

B.

Down syndrome

Short, slanted palpebral fis-

 

 

sures

 

 

Epicanthal folds

 

 

Strabismus

 

 

Nystagmus

 

 

Myopia

 

 

Cataracts

 

 

Keratoconus

 

 

Brushfield’s spots

X. Neoplastic disorders

 

A. Cancer

Ocular metastasis (iris most

 

 

common)

B.

Non-Hodgkin’s

Proptosis

 

lymphoma

Conjunctival growths

 

 

Diplopia

 

 

Lacrimal gland infiltration

XI. Other disorders/conditions

A. Chronic

Dilation of retinal vessels

 

obstructive pul-

Retinal hemorrhage

 

monary disease

Darkening of blood vessels

 

 

(conjunctiva and retina)

 

Systemic Disorders and Their Effects

293

DISORDER

OCULAR COMPLICATIONS

B.

Gout

Conjunctivitis

 

 

 

Episcleritis

 

 

 

Scleritis

 

 

 

Elevated IOP

 

 

 

Uric acid crystals (cornea or

 

 

sclera)

 

C.

Pregnancy

Minor refractive shifts

 

 

 

Difficulty with accommoda-

 

 

tion

 

 

 

Drop in IOP

 

 

 

Mild ptosis

 

 

 

Hyperpigmentation of lids

D. Sarcoidosis

Bilateral anterior uveitis

 

 

 

Granulomas

 

 

 

Optic neuritis

 

 

 

Optic atrophy

 

* See also Appendix 9

 

 

Reprinted with permission from Ledford J. Handbook of Clinical Ophthalmology for Eyecare Professionals. Thorofare, NJ: SLACK Incorporated; 2000: 24-28.