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Additional resources for Amos 4.0 Users Guide
4. Patients frequently complain of distortion with CNV. Exudate Clinical Summary Hard exudates are refractile, yellowish deposits with sharp margins composed of fat-laden macrophages and serum lipids. Occasionally the lipid deposits form a partial or complete ring (called a circinate ring) around the leaking area of pathology. If the lipid leakage is located near the fovea, a spoke or star-type distribution of the hard exudates may be seen. Cotton wool spots, or soft "exudates," are actually microinfarctions of the retinal nerve-fiber layer, and appear white with soft or fuzzy edges.
Tactile tonometry, using the examiner's fingers to ballot the globe, can easily detect markedly elevated IOP. 2. IOP should be checked in at risk patients with headache and vomiting, as ACG is a possible cause. 3. The unaffected eye also will have a shallow anterior chamber. 4. ACG may be precipitated iatrogenically by mydriatic/cycloplegic agents in susceptible individuals. 5. Pilocarpine will often be ineffective with severe or prolonged elevated IOP. Anterior Uveitis (Iritis) Clinical Summary Anterior uveitis, or iritis, is an inflammation of the anterior portions of the uvea (iris, ciliary body, and choroid).
Acute Angle Closure Glaucoma. Note the cloudy or "steamy" appearance of the cornea and the midposition pupil. Conjunctival hyperemia is not as evident. 26. 33 34 Penlight Test. A penlight, held laterally and directed nasally, projects a shadow on the nasal side of an iris with a shallow anterior chamber. This patient presented with acute angle closure glaucoma. (Photo contributor: Alan B. ) Pearls 1. Patients with acute, atraumatic eye pain or decreased visual acuity should have their IOP checked, to rule out ACG.
Amos 4.0 Users Guide by James Arbuckle