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Ophthalmologische Notfälle Fall 1

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Quiz

Beim Spazierengehen hat ihre Begleitung durch eine Windböe Sand ins Auge bekommen. Nun haben Sie das Gefühl unter dem Augenlid ein „Kratzen“ zu spüren. Handelt es sich hierbei um einen ophthalmologischen Notfall?

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Ja

001

b6139eb5-463f-47ac-8c00-4220e1cfb512

Welche Verdachtsdiagnose(n) haben Sie?

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Richtige Antwortmöglichkeit...

002

06b4c1f3-b125-4ffe-8ba0-ed50a5d7b794

Wie schnell würde Sie eine Abklärung einleiten?

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Richtige Antwort:

Am selben Tag

003

1d292f4d-b7e2-4f79-ba40-438fb4598dd5

Es wurden nicht alle Fragen beantwortet...

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jrpucman

1mm == 15pdpt

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jrpucman

falsch niedrig = messung mit zu wenig Fluorescein = schwacher tränenfilm... da stimmt was nicht mit der Frage

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jrpucman

https://eyewiki.aao.org/Ocular_Manifestations_of_Myotonic_Dystrophy
Muscular Abnormalities, Miosis, Hypotony, Fuchs’ Endothelial Corneal Dystrophy, Cataract (Early-onset posterior subcapsular cataract, usually described as a ''Christmas-tree cataract), Pigmentary Retinopathy

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jrpucman

https://eyewiki.aao.org/Lowe_Syndrome

Ocular manifestations can include congenital cataracts, corneal keloid, and infantile glaucoma
Lowe Syndrome is an X-linked recessive disorder with the key mutation in the OCRL gene
Male gender is a risk factor as well as having a mother as a carrier of the OCRL mutation.

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jrpucman

https://eyewiki.aao.org/Choroidal_and_Ciliary_Body_Melanoma

most common primary intraocular tumor in adults...
Approximately 30% of patients are asymptomatic at presentation

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jrpucman

Infectious causes
Tuberculosis
Leprosy
Lyme’s disease
Syphilis
Toxocariasis
Whipple’s disease.
Non-infectious causes
Sarcoidosis
Blau syndrome
Multiple sclerosis (MS)
Inflammatory Bowel Disease
Lymphoma

Idiopathic IU
IU without apparent cause is the most frequent type of IU, accounting for more than 70% of cases.
https://eyewiki.aao.org/Intermediate_Uveitis

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jrpucman

Proptosis is the most common presentation of orbital GPA, and because it is often present concomitantly with respiratory and renal disease, these manifestations together are highly suggestive of the disease
In patients presenting for the first time with non-life- or organ-threatening GPA, treatment with glucocorticoids in combination with methotrexate is advised. Q:eyewiki

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jrpucman

https://eyewiki.aao.org/Serpiginous_Choroidopathy

Medical therapy
Treatment of SC aims to stop chorioretinal inflammation especially when the advancing lesions threaten the fovea. Systemic or periocular corticosteroids are frequently used but recurrence prevention usually requires long term anti-inflammatory treatment with a steroid-sparing agent, such as antimetabolites (methotrexate, mycophenolate mofetil, azathioprine), cyclosporine A, or anti-TNF agents, such as adalimumab or infliximab, once tuberculosis has been ruled out.

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Konstantin Seiller-Tarbuk

Ist die drei Einteilung des Tränenfilms in drei Schichten nicht veraltet?

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