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- |
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- fahim : 500 | ||
- waseka : 500 | ||
- zarif : 500 paid | ||
- nadim : 500 | ||
- sohana : 500 |
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- | ||
- ((6733ccee-50d1-41fe-9e24-601c73096b43)) |
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- Measurement of power of intraocular lens | ||
- measures axial length of the eyeball | ||
- normal axial length: 23-24 mm | ||
- Normal power of human eyeball : + 60 D | ||
- Cornea: + 43 D | ||
id:: 674ac59b-4be5-4ca1-80de-576c1746c654 | ||
- Lens: + 17 D | ||
- # Components | ||
- A scan to measure axial length of the eyeball. | ||
- Keratometry to assess corneal diapteric power | ||
- SRK formula to measure Keratometry | ||
- IOL = A - 2.5L - PK | ||
- >A= A constat | ||
L = Axial length | ||
K = Keratometric reading | ||
P = Power |
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definition:: Any opacity in human crystalline lens | ||
alias:: | ||
ICD-11_Code:: | ||
|
||
- ## Etiology | ||
background-color:: blue | ||
- ### Causative Agents | ||
- ### Risk Factors | ||
- ## Epidemiology | ||
background-color:: blue | ||
- ### Incidence | ||
- ### Prevalence | ||
- ### Demographics | ||
- ### Geographic Distribution | ||
- ## Pathophysiology | ||
background-color:: blue | ||
- ### Mechanism of Disease | ||
- ### Affected Systems/Organs | ||
- ## Clinical Features | ||
background-color:: blue | ||
- ### Signs and Symptoms | ||
- #### Symptoms | ||
- #### Signs | ||
- ### Stages or Classification | ||
- ##### Etiological Classificaton | ||
- Congenital Cataract | ||
- Acquired | ||
- Age related cataract/ Senile Cataract | ||
- Secondary cataract due to systemic disease | ||
- Diabetic cataract [Snow flake cataract] | ||
- Trauma | ||
- Infection | ||
- ##### Depending on maturity | ||
- [[Immature Cataract]] | ||
- [[Intumescent Cataract]] | ||
- [[Mature Cataract]] | ||
- [[Hypermature Cataract]] | ||
- Sclerotic Cataract | ||
- Morgagnian Cataract | ||
- |Traits|Immature Cataract|Mature Cataract|Hypermature Cataract| | ||
|--|--|--|--| | ||
|Colour|Grayish white|Pearly white|Milky White| | ||
|Visual Acuity|upto 6/12, 6/18|6/36, 6/60|Hand movement to PL, PR| | ||
|Iris shadow|present|absent|absent| | ||
|Fundal glow|present|present|absent| | ||
- ### Diagnostic Criteria | ||
- ## Diagnosis | ||
background-color:: blue | ||
- ### Clinical Diagnosis | ||
- #### Classical Presentation | ||
- #### Probable Diagnosis | ||
- ### Examination | ||
- Visual Acuity | ||
- Color of lens [Torch examination] | ||
- Pupillary light reflex [Direct, consensual] | ||
- [[Intraocular Pressure]] [Digitally] | ||
- Sac resucsitation test | ||
- Additionally, | ||
- Ocular Motility | ||
- Fundoscopy | ||
- ### Investigation | ||
- #### Systemic Investigation | ||
- ECG | ||
- Blood Sugar profile, HbA1c | ||
- #### Ocular Investigation | ||
- [[Biometry]] | ||
- [[Keratometry]] | ||
- [[B scan]] | ||
- ### Laboratory Tests | ||
- ### Imaging Studies | ||
- ### Differential Diagnosis | ||
- ### Confirmation of Diagnosis | ||
- ## Management and Treatment | ||
background-color:: blue | ||
- ### Medical Management | ||
- ### Surgical Options | ||
- [[Small Incision Cataract Surgery]] with [[Posterior Chamber Intraocular Lens Implantation]] | ||
- [[Phaco-emulsification]] with [[Posterior Chamber Intraocular Lens Implantation]] | ||
- | ||
- ### Lifestyle and Dietary Recommendations | ||
- ### Follow-up | ||
- Assess visual outcome | ||
- [[ONFT]] | ||
- [[Macular Function Test]] | ||
- [[MFT]] | ||
- Tonometry | ||
- Opthalmoscope | ||
- ## Prognosis | ||
background-color:: blue | ||
- ### Expected Course | ||
- #### With Treatment | ||
- Per-operative complications | ||
- Injury to surrounding structures | ||
- Posterior Capsular Tear | ||
- Vitrous Prolapse, Corneal Injury, Iris Prolapse | ||
- Lens drop | ||
- Subluxation of lens | ||
- Early Post-operative complication | ||
- Corneal edema | ||
- Increased IOP | ||
- Endopthalmitis | ||
- Hyphema - Collection of blood at anterior chamber | ||
- Iris prolapse | ||
- Post-operative secondary glaucoma | ||
- Post-operative uveitis | ||
- Late Post Operative Complication | ||
- Posterior capsular opacification | ||
*Another name after cataract* | ||
- Macular edema | ||
- Retina detachment | ||
- #### Without Treatment | ||
- ##### Possible Complications | ||
- ##### Long-Term Effects | ||
- Lens Induced Glucoma | ||
- Phacolytic glaucoma [Hypermature] | ||
- Phacomorphic glaucoma | ||
- Phaco-anaphylactic glaucoma | ||
- [Anti-glaucoma drug + Cataract Surgery] Media | ||
- ### Survival Rates | ||
- #### With Treatment | ||
- #### Without Treatment | ||
- ### Quality of Life Considerations | ||
- ## Prevention | ||
background-color:: blue | ||
- ### Health Education | ||
- ### Community Approach | ||
- ### Screening Programs | ||
- ### Lifestyle Modifications | ||
- ## Patient Education and Support | ||
background-color:: blue | ||
- ### Educational Resources | ||
- ### Support Groups | ||
- ### Counseling Options | ||
- ## Recent Research and Developments | ||
background-color:: blue | ||
- ### Ongoing Clinical Trials | ||
- ### Recent Advances | ||
- ## Key Literature | ||
background-color:: blue | ||
- ## Guidelines and Protocols | ||
background-color:: blue |
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- [[Aqueous Humor]] | ||
- [[Aqueous Humor]] | ||
- [[Lens]] |
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alias:: ITP, Immune Thrombocytopenic Purpura | ||
tags:: #Paediatrics | ||
ICD-11_Code:: | ||
|
||
- ## Etiology | ||
background-color:: blue | ||
- ### Causative Agents | ||
- Autoimmune | ||
- Primary : unknown cause | idiopathic | ||
- Secondary : known cause (following infection) | ||
- SLE | ||
- CLL | ||
- APS (antiphospholipid syndrome) | ||
- Viruses | ||
- HIV | ||
- HCV | ||
- ### Risk Factors | ||
- ## Epidemiology | ||
background-color:: blue | ||
- ### Incidence | ||
- ### Prevalence | ||
- ### Demographics | ||
- ### Geographic Distribution | ||
- ## Pathophysiology | ||
background-color:: blue | ||
- ### Mechanism of Disease | ||
- antibody against GPIIb/IIIa | ||
id:: 674736e2-8fe7-4418-85aa-e7de99f38eaa | ||
- platelet won't be able to aggregate with each other | ||
- ### Affected Systems/Organs | ||
- ## Clinical Features | ||
background-color:: blue | ||
- ### Signs and Symptoms | ||
- #### Symptoms | ||
- #### Signs | ||
- ### Stages or Classification | ||
- ### Diagnostic Criteria | ||
- Purpura is Blanchable | ||
- Platelet count : low | ||
- BT : prolonged | ||
- Peripheral smear : macro thrombocytopenia | ||
- PT : normal | ||
- aPTT : normal | ||
- ## Diagnosis | ||
background-color:: blue | ||
- ### Clinical Diagnosis | ||
- #### Classical Presentation | ||
- a child afebrile presenting with purpura having a history of fever 2-3 weeks back | ||
- #### Probable Diagnosis | ||
- ### Laboratory Tests | ||
- ### Imaging Studies | ||
- ### Differential Diagnosis | ||
- ### Confirmation of Diagnosis | ||
- ## Management and Treatment | ||
background-color:: blue | ||
- ### Medical Treatment | ||
- No symptoms ⇒ No Tx : "observation" | ||
- IVIG (or anti-D immune globulin if Rh+ & DAT+ (positive comb's test)) | ||
- Platelet transfusion | ||
- Rituximab, eltrombopag, Romiplostim | ||
- ### Surgical Options | ||
- ### Splenectomy | ||
- not for children | because it is a major immune organ | ||
- vaccinate (pre-op) | ||
- strept pneumo | ||
- H. influenza | ||
- Nisseria meningitidis | ||
- antibodies (post-op) | ||
- advantages (the following functions of spleen are rectified) | ||
- platelets hide within the spleen | ||
- plasma cells in spleen produce ((674736e2-8fe7-4418-85aa-e7de99f38eaa)) | ||
- platelets get destroyed by splenic macrophages | ||
- ### Lifestyle and Dietary Recommendations | ||
- ### Follow-up | ||
- ## Prognosis | ||
background-color:: blue | ||
- ### Expected Course | ||
- #### With Treatment | ||
- #### Without Treatment | ||
- ##### Possible Complications | ||
- ##### Long-Term Effects | ||
- ### Survival Rates | ||
- #### With Treatment | ||
- #### Without Treatment | ||
- ### Quality of Life Considerations | ||
- ## Prevention | ||
background-color:: blue | ||
- ### Health Education | ||
- ### Community Approach | ||
- ### Screening Programs | ||
- ### Lifestyle Modifications | ||
- ## Patient Education and Support | ||
background-color:: blue | ||
- ### Educational Resources | ||
- ### Support Groups | ||
- ### Counseling Options | ||
- ## Recent Research and Developments | ||
background-color:: blue | ||
- ### Ongoing Clinical Trials | ||
- ### Recent Advances | ||
- ## Key Literature | ||
background-color:: blue | ||
- ## Guidelines and Protocols | ||
background-color:: blue |
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- measures corneal diapteric power | ||
- ((674ac59b-4be5-4ca1-80de-576c1746c654)) |
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- `Lens is the part of posterior chamber` | ||
- `Lens is observed through the pupil` | ||
id:: 674ab9bb-e705-41fe-b1af-c0655be8d9a5 |
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alias:: MFT |
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# Long Acting Mydriatics | ||
duration:: 14-21 days | ||
- [[Atropine 1% Sulphate]] | ||
- ## Indication | ||
- [[Corneal Ulcer]] | ||
- [[Uveitis]] | ||
- Cyclopegic retraction | ||
- `Atropine is contraindicated in Glaucoma, but indicated in neovascular Glaucoma` | ||
- # Intermediate Mydriatics | ||
duration:: 7-14 days | ||
- [[Homatropine]] | ||
- ## Indication | ||
- | ||
- # Short Acting Mydriatics | ||
duration:: 4-6 hours | ||
- [[Tropicamide]] | ||
- ## Indication | ||
- ### Therapeutic | ||
- Cataract Surgery | ||
- ### Diagnostic | ||
- To see the color of lens for Lens/Cataract Grading | ||
collapsed:: true | ||
- ((674ab9bb-e705-41fe-b1af-c0655be8d9a5)) | ||
- For Fundoscopy |
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- [[Refractive Errors]] | ||
- [[Cataract]] | ||
- [[Chronic Dacryocystitis]] | ||
- [[Terigium]] | ||
- [[Kalazion]] | ||
- [[Glaucoma]] |
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alias:: ONFT |
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alias:: OCT | ||
|
||
- use | ||
- Diabetic Retinopathy | ||
- Glaucoma |
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- a tubular structure | ||
- inlet and outlet being different and work in sync wirelessly | ||
- the outlet being just a valved fan | ||
- inlet | ||
- electrostatic precipitator | ||
- heat pump, both sides having radiators and water exchangers | ||
- cold side | ||
- hot side |
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- [[Mydriatics]] |
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