Uveal Effusion Syndrome Clinical Features
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Questions and Answers

Which of the following is a characteristic finding of Terson syndrome?

  • Chorioretinopathy associated with indirect trauma
  • Preretinal hemorrhage overlying the macula (correct)
  • Optic nerve pallor or edema
  • Retinal whitening with clear demarcation from normal retina

What is the underlying mechanism of Purtscher retinopathy?

  • Spontaneous vitreous hemorrhage leading to retinal ischemia
  • Optic nerve compression resulting in retinal whitening
  • Direct ocular trauma causing retinal hemorrhages
  • Intravascular shock wave transmitted to retinal vasculature (correct)

Which of the following is NOT a characteristic finding in Purtscher retinopathy?

  • Optic nerve pallor or edema
  • Polygonal areas of retinal whitening (Purtscher flecken)
  • Preretinal and intraretinal hemorrhages
  • Subretinal hemorrhage along the superior arcade (correct)

What is the recommended management for severe vision loss or bilateral hemorrhages in Terson syndrome?

<p>Early vitrectomy to remove the hemorrhage (B)</p> Signup and view all the answers

Which of the following statements about the symptoms of Purtscher retinopathy is TRUE?

<p>Painless diminished visual acuity is a common presenting symptom (B)</p> Signup and view all the answers

What is the recommended diagnostic approach for suspected Terson syndrome?

<p>Prompt funduscopic exam and B-scan ultrasonography or CT head scan (A)</p> Signup and view all the answers

What is the recommended initial screening for a patient starting hydroxychloroquine (Plaquenil)?

<p>Fundus examination within the first year of use (B)</p> Signup and view all the answers

Based on the given information, what is the calculated daily dosage of hydroxychloroquine for this 68 kg patient?

<p>5.88 mg/kg (C)</p> Signup and view all the answers

Which ancillary test is most useful in detecting hydroxychloroquine retinopathy in this patient?

<p>10-2 Humphrey visual field testing (A)</p> Signup and view all the answers

According to the information provided, what is the characteristic OCT finding in hydroxychloroquine retinopathy?

<p>Foveal thinning and loss of the photoreceptor inner segment/outer segment (IS/OS) junction (A)</p> Signup and view all the answers

Which statement regarding the risk factors for hydroxychloroquine retinopathy in this patient is correct?

<p>The duration of use and dosage are major risk factors. (B)</p> Signup and view all the answers

Which statement regarding hydroxychloroquine retinopathy in Asian patients is correct?

<p>Initial damage is often seen in a peripheral extramacular distribution near the arcades. (C)</p> Signup and view all the answers

Which imaging modality is MOST valuable for highlighting the characteristic early features of the condition?

<p>Fundus autofluorescence (FAF) imaging (D)</p> Signup and view all the answers

What is the primary cause of the pigmentary maculopathy described in the text?

<p>Elmiron use (B)</p> Signup and view all the answers

Which of the following OCT findings is NOT described in the text?

<p>Intraretinal cysts (A)</p> Signup and view all the answers

What is the recommended frequency of follow-up examinations with fundus imaging after the initial baseline examination?

<p>Annually (C)</p> Signup and view all the answers

Which of the following findings is NOT described in the text for the right eye (OD)?

<p>Retinal hemorrhages (B)</p> Signup and view all the answers

What is the defining characteristic of pathologic/degenerative myopia?

<p>Axial length of the eye greater than or equal to 26.5mm (C)</p> Signup and view all the answers

Which of the following is NOT a clinical sign of pathologic/degenerative myopia?

<p>Epiretinal membrane (B)</p> Signup and view all the answers

What is the underlying pathology of angioid streaks?

<p>Breaks in the calcified Bruch's membrane (D)</p> Signup and view all the answers

Which of the following conditions is NOT associated with the development of angioid streaks?

<p>Age-related macular degeneration (A)</p> Signup and view all the answers

What is the characteristic appearance of angioid streaks on clinical examination?

<p>Reddish-brown or gray bands radiating from the optic disc (C)</p> Signup and view all the answers

What is the term used to describe the diffuse mottling of the retinal pigment epithelium seen in some cases of angioid streaks?

<p>Peau d'orange (A)</p> Signup and view all the answers

What is the recommended treatment for symptomatic retinal breaks in pathologic/degenerative myopia?

<p>Both A and B (B)</p> Signup and view all the answers

Which of the following statements about the treatment of choroidal neovascularization (CNV) in pathologic/degenerative myopia is correct?

<p>Anti-VEGF therapy is recommended for all subtypes of CNV (C)</p> Signup and view all the answers

Which of the following laboratory tests would be most useful in the evaluation of suspected angioid streaks?

<p>All of the above (D)</p> Signup and view all the answers

What is the most appropriate initial management for an asymptomatic patient with angioid streaks and no choroidal neovascularization?

<p>Recommend regular monitoring for development of CNV (C)</p> Signup and view all the answers

What are the key features of Uveal Effusion Syndrome?

<p>Lack of inflammation or severe pain, normal IOP (D)</p> Signup and view all the answers

Which clinical presentation is NOT associated with Uveal Effusion Syndrome?

<p>Inflammation and vitritis (D)</p> Signup and view all the answers

What is the typical clinical appearance of Choroidal Folds?

<p>Horizontal bands located at the posterior pole (B)</p> Signup and view all the answers

What can cause Choroidal Folds according to the text?

<p>Choroidal tumors and hypotony (C)</p> Signup and view all the answers

How can Choroidal Rupture be characterized based on its shape?

<p>Crescent shaped (D)</p> Signup and view all the answers

What is a common symptom associated with Choroidal Rupture?

<p>Decreased vision if hemorrhage present (B)</p> Signup and view all the answers

What is the typical treatment approach for Choroidal Folds without space-occupying masses on a CT scan?

<p>'Watchful waiting' or observation (A)</p> Signup and view all the answers

Which of the following is NOT listed as part of the etiology of Choroidal Folds?

<p>'COMANAGE' approach to treatment (C)</p> Signup and view all the answers

What is a characteristic feature of Chorioretinal Abnormalities?

<p>Focal shrinkage of choroid (A)</p> Signup and view all the answers

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