Tech Seminar 2019 Drs. Ray, Jones, Axe, and
Description: Tech Seminar 2019 Drs. Ray, Jones, Axe, and Bonnette Identify important ophthalmic screening exam findings Be familiar with common ophthalmic drops and medications List the vital signs of ophthalmology Review intraocular pressure
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slide1. Tech Seminar 2019 Drs. Ray, Jones, Axe, and Bonnette<br>
slide2. Identify important ophthalmic screening exam findings
Be familiar with common ophthalmic drops and medications
List the “vital signs” of ophthalmology
Review intraocular pressure measurement
Identify important ophthalmic conditions encountered in a general ophthalmologist or optometrist practice Objectives<br>
slide3. JEOPARDY BOARD FINAL JEOPARDY<br>
slide4. How can you quickly determine if refraction could potentially improve a patient’s vision? Vision - $100 Question Click to see answer<br>
slide5. Pinhole acuity testing Vision - $100 Answer Click to return to Jeopardy Board<br>
slide6. After cataract surgery what is most likely limiting vision post op day 1? Vision - $200 Question Click to see answer<br>
slide7. Corneal edema Vision - $200 Answer Click to return to Jeopardy Board<br>
slide8. A patient is describing difficulties with halos around light and difficulty with glare, what is the likely underlying problem? Vision - $300 Question Click to see answer<br>
slide9. Visually significant cataracts Vision - $300 Answer Click to return to Jeopardy Board<br>
slide10. When checking a patient’s vision they can only read the 20/200 line and state that they can only read the letters if they look slightly to the left of them. What is likely the cause of this? Vision - $400 Question Click to see answer<br>
slide11. Scotoma from ARMD Vision - $400 Answer Click to return to Jeopardy Board<br>
slide12. A patient is complaining of double vision. When covering the left eye the double vision goes away. When covering the right the double vision remains. What type of diplopia does this patient have? What simple test can you do to further evaluate the diplopia? Vision - $500 Question Click to see answer<br>
slide13. Monocular diplopia, pinhole acuity testing Vision - $500 Answer Click to return to Jeopardy Board<br>
slide14. The pupils of a patient seem to be unequal size and continues to be this way in different light settings. What is this finding called? Pupils - $100 Question Click to see answer<br>
slide15. Anisocoria Pupils - $100 Answer Click to return to Jeopardy Board<br>
slide16. What is the normal pupillary response to accommodation? Pupils - $200 Question Click to see answer<br>
slide17. Bilateral constriction Pupils - $200 Answer Click to return to Jeopardy Board<br>
slide18. An elderly patient has very small and seemingly non-reactive pupils? What condition do they have and is it problematic? Pupils - $300 Question Click to see answer<br>
slide19. Senile miosis, no generally not problematic Pupils - $300 Answer Click to return to Jeopardy Board<br>
slide20. What is the number one thing we are worried about if a patient has a “blown pupil” in the setting of limitation in ocular motility? Pupils - $400 Question Click to see answer<br>
slide21. An expanding brain aneurysm affecting the 3rd nerve. Pupils - $400 Answer Click to return to Jeopardy Board<br>
slide22. On pupil exam you notice that the pupils of a patient are equal regardless of which eye you illuminate, but when you swing from the right eye to the left eye the pupils of both eyes get larger. What is this called? Pupils - $500 Question Click to see answer<br>
slide23. Afferent pupillary defect (APD) or Relative afferent pupillary defect (RAPD) Pupils - $500 Answer Click to return to Jeopardy Board<br>
slide24. What part of the cornea should you try to applanate with the tonopen to get an accurate pressure? Pressure - $100 Question Click to see answer<br>
slide25. Central cornea Pressure - $100 Answer Click to return to Jeopardy Board<br>
slide26. When IOP is abnormally high on a tonopen measurement of an uncooperative patient what is the most likely explanation of the high pressure? Pressure - $200 Question Click to see answer<br>
slide27. Digital pressure or squeezing on the globe Pressure - $200 Answer Click to return to Jeopardy Board<br>
slide28. What does a thick cornea do to IOP measurement? Pressure - $300 Question Click to see answer<br>
slide29. Artificially elevates the pressure Pressure - $300 Answer Click to return to Jeopardy Board<br>
slide30. A patient has a pressure of 38 mmHg. What oral medication could be causing this? Pressure - $400 Question Click to see answer<br>
slide31. Oral steroids prednisone. Pressure - $400 Answer Click to return to Jeopardy Board<br>
slide32. Which glaucoma drop causes the most ocular dryness/surface disease and most burning on instillation? Pressure - $500 Question Click to see answer<br>
slide33. Dorzolamide Pressure - $500 Answer Click to return to Jeopardy Board<br>
slide34. A patient comes in with red eyes and bilateral itching/watering/stringy white mucoid discharge. What is the most likely cause of their complaints? Miscellaneous - $100 Question Click to see answer<br>
slide35. Allergic conjunctivitis Miscellaneous - $100 Answer Click to return to Jeopardy Board<br>
slide36. A patient has a mid-dilated non-reactive pupil in one eye that has had multiple surgeries. What is the most likely reason for this finding? Miscellaneous - $200 Question Click to see answer<br>
slide37. Iris sphincter trauma Miscellaneous - $200 Answer Click to return to Jeopardy Board<br>
slide38. What ethnicity is most at risk for glaucoma?
ARMD? Miscellaneous - $300 Question Click to see answer<br>
slide39. African American, Caucasian Miscellaneous - $300 Answer Click to return to Jeopardy Board<br>
slide40. A teenage patient comes in with a prescription of -12.00. He wants to play football and box. What counseling should be provided? What is the name of this condition? Miscellaneous - $400 Question Click to see answer<br>
slide41. Retinal tears/detachments/PVD
Pathologic myopia Miscellaneous - $400 Answer Click to return to Jeopardy Board<br>
slide42. A patient comes in with new onset of distorted vision. They say that things look bent and distorted. (eg. a telephone pole appears bent). What is this symptom called? And What is a common cause of this symptom? Miscellaneous - $500 Question Click to see answer<br>
slide43. Metamorphopsia
Exudative or wet AMD
Or any cause of CNVM Miscellaneous - $500 Answer Click to return to Jeopardy Board<br>
slide44. What is the type of diplopia seen when the double vision is only noticed when both eyes are uncovered? Misc. - $100 Question Click to see answer<br>
slide45. Binocular diplopia Topic 5 - $100 Answer Click to return to Jeopardy Board<br>
slide46. How do you convert
+1.00 -1.00 x 180 to plus cylinder? Topic 5 - $200 Question Click to see answer<br>
slide47. Plano +1.00 x 90 Topic 5 - $200 Answer Click to return to Jeopardy Board<br>
slide48. You have a PO1 cataract patient and the patient can only see 20/100 but does not have much corneal edema. The auto refractor shows +5.00 cylinder but the patient did not previously have astigmatism. What is the most likely explanation? Topic 5 - $300 Question Click to see answer<br>
slide49. Astigmatism induced by a tight suture Topic 5 - $300 Answer Click to return to Jeopardy Board<br>
slide50. You check a patient that has diplopia and see the above finding. What is the finding seen above? Topic 5 - $400 Question Click to see answer<br>
slide51. Exotropia Topic 5 - $400 Answer Click to return to Jeopardy Board<br>
slide52. What is the number one thing proven to reduce endophthalmitis when performing intraocular surgery or injections? Topic 5 - $500 Question Click to see answer<br>
slide53. Cleaning the ocular surface with 5% betadine solution Topic 5 - $500 Answer Click to return to Jeopardy Board<br>
slide54. Topic: Type topic here FINAL Click to see question<br>
slide55. Why do we risk trauma to the eye to deliver certain intraocular medications (eg. Intravitreally) rather than just give them systemically (orally/intravenously) if there is less potential for harm to the eye? Final Jeopardy Question Click to see answer<br>
slide56. To minimize systemic side effects. Final Jeopardy Answer Click to return to Jeopardy Board<br>
slide2. Identify important ophthalmic screening exam findings
Be familiar with common ophthalmic drops and medications
List the “vital signs” of ophthalmology
Review intraocular pressure measurement
Identify important ophthalmic conditions encountered in a general ophthalmologist or optometrist practice Objectives<br>
slide3. JEOPARDY BOARD FINAL JEOPARDY<br>
slide4. How can you quickly determine if refraction could potentially improve a patient’s vision? Vision - $100 Question Click to see answer<br>
slide5. Pinhole acuity testing Vision - $100 Answer Click to return to Jeopardy Board<br>
slide6. After cataract surgery what is most likely limiting vision post op day 1? Vision - $200 Question Click to see answer<br>
slide7. Corneal edema Vision - $200 Answer Click to return to Jeopardy Board<br>
slide8. A patient is describing difficulties with halos around light and difficulty with glare, what is the likely underlying problem? Vision - $300 Question Click to see answer<br>
slide9. Visually significant cataracts Vision - $300 Answer Click to return to Jeopardy Board<br>
slide10. When checking a patient’s vision they can only read the 20/200 line and state that they can only read the letters if they look slightly to the left of them. What is likely the cause of this? Vision - $400 Question Click to see answer<br>
slide11. Scotoma from ARMD Vision - $400 Answer Click to return to Jeopardy Board<br>
slide12. A patient is complaining of double vision. When covering the left eye the double vision goes away. When covering the right the double vision remains. What type of diplopia does this patient have? What simple test can you do to further evaluate the diplopia? Vision - $500 Question Click to see answer<br>
slide13. Monocular diplopia, pinhole acuity testing Vision - $500 Answer Click to return to Jeopardy Board<br>
slide14. The pupils of a patient seem to be unequal size and continues to be this way in different light settings. What is this finding called? Pupils - $100 Question Click to see answer<br>
slide15. Anisocoria Pupils - $100 Answer Click to return to Jeopardy Board<br>
slide16. What is the normal pupillary response to accommodation? Pupils - $200 Question Click to see answer<br>
slide17. Bilateral constriction Pupils - $200 Answer Click to return to Jeopardy Board<br>
slide18. An elderly patient has very small and seemingly non-reactive pupils? What condition do they have and is it problematic? Pupils - $300 Question Click to see answer<br>
slide19. Senile miosis, no generally not problematic Pupils - $300 Answer Click to return to Jeopardy Board<br>
slide20. What is the number one thing we are worried about if a patient has a “blown pupil” in the setting of limitation in ocular motility? Pupils - $400 Question Click to see answer<br>
slide21. An expanding brain aneurysm affecting the 3rd nerve. Pupils - $400 Answer Click to return to Jeopardy Board<br>
slide22. On pupil exam you notice that the pupils of a patient are equal regardless of which eye you illuminate, but when you swing from the right eye to the left eye the pupils of both eyes get larger. What is this called? Pupils - $500 Question Click to see answer<br>
slide23. Afferent pupillary defect (APD) or Relative afferent pupillary defect (RAPD) Pupils - $500 Answer Click to return to Jeopardy Board<br>
slide24. What part of the cornea should you try to applanate with the tonopen to get an accurate pressure? Pressure - $100 Question Click to see answer<br>
slide25. Central cornea Pressure - $100 Answer Click to return to Jeopardy Board<br>
slide26. When IOP is abnormally high on a tonopen measurement of an uncooperative patient what is the most likely explanation of the high pressure? Pressure - $200 Question Click to see answer<br>
slide27. Digital pressure or squeezing on the globe Pressure - $200 Answer Click to return to Jeopardy Board<br>
slide28. What does a thick cornea do to IOP measurement? Pressure - $300 Question Click to see answer<br>
slide29. Artificially elevates the pressure Pressure - $300 Answer Click to return to Jeopardy Board<br>
slide30. A patient has a pressure of 38 mmHg. What oral medication could be causing this? Pressure - $400 Question Click to see answer<br>
slide31. Oral steroids prednisone. Pressure - $400 Answer Click to return to Jeopardy Board<br>
slide32. Which glaucoma drop causes the most ocular dryness/surface disease and most burning on instillation? Pressure - $500 Question Click to see answer<br>
slide33. Dorzolamide Pressure - $500 Answer Click to return to Jeopardy Board<br>
slide34. A patient comes in with red eyes and bilateral itching/watering/stringy white mucoid discharge. What is the most likely cause of their complaints? Miscellaneous - $100 Question Click to see answer<br>
slide35. Allergic conjunctivitis Miscellaneous - $100 Answer Click to return to Jeopardy Board<br>
slide36. A patient has a mid-dilated non-reactive pupil in one eye that has had multiple surgeries. What is the most likely reason for this finding? Miscellaneous - $200 Question Click to see answer<br>
slide37. Iris sphincter trauma Miscellaneous - $200 Answer Click to return to Jeopardy Board<br>
slide38. What ethnicity is most at risk for glaucoma?
ARMD? Miscellaneous - $300 Question Click to see answer<br>
slide39. African American, Caucasian Miscellaneous - $300 Answer Click to return to Jeopardy Board<br>
slide40. A teenage patient comes in with a prescription of -12.00. He wants to play football and box. What counseling should be provided? What is the name of this condition? Miscellaneous - $400 Question Click to see answer<br>
slide41. Retinal tears/detachments/PVD
Pathologic myopia Miscellaneous - $400 Answer Click to return to Jeopardy Board<br>
slide42. A patient comes in with new onset of distorted vision. They say that things look bent and distorted. (eg. a telephone pole appears bent). What is this symptom called? And What is a common cause of this symptom? Miscellaneous - $500 Question Click to see answer<br>
slide43. Metamorphopsia
Exudative or wet AMD
Or any cause of CNVM Miscellaneous - $500 Answer Click to return to Jeopardy Board<br>
slide44. What is the type of diplopia seen when the double vision is only noticed when both eyes are uncovered? Misc. - $100 Question Click to see answer<br>
slide45. Binocular diplopia Topic 5 - $100 Answer Click to return to Jeopardy Board<br>
slide46. How do you convert
+1.00 -1.00 x 180 to plus cylinder? Topic 5 - $200 Question Click to see answer<br>
slide47. Plano +1.00 x 90 Topic 5 - $200 Answer Click to return to Jeopardy Board<br>
slide48. You have a PO1 cataract patient and the patient can only see 20/100 but does not have much corneal edema. The auto refractor shows +5.00 cylinder but the patient did not previously have astigmatism. What is the most likely explanation? Topic 5 - $300 Question Click to see answer<br>
slide49. Astigmatism induced by a tight suture Topic 5 - $300 Answer Click to return to Jeopardy Board<br>
slide50. You check a patient that has diplopia and see the above finding. What is the finding seen above? Topic 5 - $400 Question Click to see answer<br>
slide51. Exotropia Topic 5 - $400 Answer Click to return to Jeopardy Board<br>
slide52. What is the number one thing proven to reduce endophthalmitis when performing intraocular surgery or injections? Topic 5 - $500 Question Click to see answer<br>
slide53. Cleaning the ocular surface with 5% betadine solution Topic 5 - $500 Answer Click to return to Jeopardy Board<br>
slide54. Topic: Type topic here FINAL Click to see question<br>
slide55. Why do we risk trauma to the eye to deliver certain intraocular medications (eg. Intravitreally) rather than just give them systemically (orally/intravenously) if there is less potential for harm to the eye? Final Jeopardy Question Click to see answer<br>
slide56. To minimize systemic side effects. Final Jeopardy Answer Click to return to Jeopardy Board<br>