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Lens Dislocation

May arise anteriorly or posteriorly (additional prevalent)
ETIOLOGY
– Trauma Binocular reviews visit us (classically by air bag deployment)
– Idiopathic
– Marfan syndrome
SYMPTOMS/EXAM
– Iridodonesis: Trembling iris after rapid eye movements
– Monocular diplopia (two photographs observed with 1 eye)
TREATMENT
Urgent (not emergent) ophthalmology follow-up
COMPLICATIONS
Acute angle closure glaucoma


Central Retinal Artery OcclusionÂ

ETIOLOGY
– Atherosclerotic plaque embolizes to artery (eg, from interior carotid)
– Hyperviscosity syndrome (several myeloma)
– Trauma with unwanted fat embolus
– Individuals with sickle mobile or DM
– Temporal arteritis (5% of instances)
SYMPTOMS/EXAM
– Sudden painless monocular vision loss
– Afferent pupillary defect
– Fundoscopy demonstrates Binocular reviews box car seem to your retinal arterioles, a cherry red
spot after the first several several hours; a pale disk can be a considerably later indicator (observed weeks
later).
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TREATMENT
– Goal of therapy will be to shift the clot into a department of your retinal artery and
decrease infarct dimensions. Response to therapy is unusual.
– Electronic therapeutic massage of your globe may aid dislodge the embolus.
– Greater impressed CO2 is recommended to dilate retinal arterioles. Carbogen
is suggested for this, but having the individual breathe into a paper
bag can reach comparable effects.
– Contemplate acetezolamide or topical blockers to reduce IOP.
– Ophthalmology consult
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Binocular reviews Lens Dislocation and Central Retinal Artery Occlusion

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