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COMMON DISEASES AND DISORDERS OF THE EYES
Normal Vision
Eye Anatomy: Posterior Segment
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Eye Anatomy: Anterior Segment
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AMBLYOPIA (lazy eye)
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Definition: Decreased vision in an anatomical normal eye.
Causes:
- Refractive: near-sighted, far-sighted, astigmatism
- Strabismic: eye-turn
- Occlusion: cataract, droopy eyelid, corneal opacity
Symptoms: decreased vision, eye-turn in/out, droopy eyelid, white pupil
Treatment: eye glasses, patching, surgery
Outcome:
- Refractive, Strabismic: good
- Occlusion: poor
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ASTIGMATISM
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Definition: Decreased vision due to different curvatures of the cornea and/or lens in different meridians.
Causes: hereditary, eyelid pressure on cornea
Types:
- With the Rule:cornea steeper in the vertical meridian
- Against the Rule: cornea steeper in the horizontal meridian
Symptoms: decreased vision, eyestrain, fatigue, headache
Treatment: eye glasses, contact lens, refractive surgery
Outcome: good
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BLEPHARITIS
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Definition: Inflammation of the eyelid margins.
Causes: bacteria, excess sebum production
Types:
- Anterior: eyelid margins and eyelashes
- Posterior: inner eyelid, oil-producing meibomian glands
Symptoms: itching, burning, redness, tearing, crusty debris at eyelashes
Treatment: eyelid hygiene (lid scrubs and warm compresses), topical/oral anti-biotics
Outcome: good
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CATARACT

Cataract Vision Normal Vision |
Definition: Decreased vision due to cloudiness of the crystalline lens.
Causes: Ultra-violet exposure, medications, trauma, age
Types:
- Cortical: peripheral of lens
- Nuclear Sclerosis: center of lens
- Posterior Subcapsular: back surface of lens
Symptoms: decreased vision, color changes, glare, double vision (one-eye)
Treatment: cataract surgery
Outcome: good
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COMPUTER VISION SYNDROME
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Definition: Eyestrain due to excessive use of computer.
Causes:
- Visual Problems: nearsighted, far-sightedness, astigmatism, presbyopia
- Computer Glare and Reflection: indoor light sources, sunlight
- Improper Work Station Design: monitor tilting angle, keyboard position, posture
- Environment: poor air quality, dehydration
Symptoms: eyestrain, fatigue, headache, redness, tearing
Treatment: computer glasses, anti-glare filter, window blind/shade, ergonomic chair/table, fluid
Outcome: good
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CONJUNCTIVITIS
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Definition: Inflammation of the conjunctiva
Causes:
- Allergic: animal, dust/pollens, allergens
- Bacterial
- Viral
Symptoms:
- Allergic: itching, burning, redness, tearing, swollen eyelids
- Bacterial: mucus discharge (eyelids adhesion at awakening), redness, reduced vision
- Viral: redness, tearing, fever, swollen eyelids
Treatment:
- Allergic: anti-histamine, lubricant eye drops
- Bacterial: topical anti-biotics, lubricant eye drops
- Viral: hygiene, lubricant eye drops
Outcome: good
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DIABETIC RETINOPATHY
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Definition: Decreased vision due to microvascular disease.
Causes: Diabetes mellitus
Symptoms: decresased and/or fluctuating vision
Treatment: oral medications, regular exams, monitor blood glucose level, laser treatments
Outcome: depend on severity of disease
- Mild: good
- Moderate: fair
- Severe: poor
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DRY EYE SYNDROME
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Definition: Decreased vision due to incorrect tear film composition.
Causes:
- Ketatoconjunctivitis Sicca (Aqueous Tear Deficiency): systemic diseases (collagen vascular diseases)
- Inflammatory Disease: Acne Rosacea
- Vitamin A Deficiency: lack of mucin
Symptoms: decresased vision, burning, tearing, redness, photophobia
Treatment:
- Ketatoconjunctivitis Sicca (Aqueous Tear Deficiency): lubricant eye drops/gel, punctal occlusion
- Inflammatory Disease (Acne Rosacea): oral anti-biotics
- Vitamin A Deficiency: Vitamin-A supplement
Outcome: good
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FLOATERS AND FLASHES
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Definition: Linear streak or circular shape of lights and/or mobile spots/dots in the line of vision.
Causes:
- Posterior Vitreous Detachment: liquifaction of the vitreous gel secondary to age, trauma, surgery
- Retinal Detachment: separation of the retina from its base secondary to a break/hole, tractional forces, subretinal fluid
Symptoms:
- Flashes: linear streak or dots of lights
- Floaters: mobile spots of different size, shape, color
Treatment:
- Flashes: dilated fundus exam and/or laser treatment if needed
- Floaters: observation and monitor
Outcome: good
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GLAUCOMA
Glaucoma Vision Normal Vision |
Definition: Decreased vision due to incorrect aqueous inflow/outflow rate.
Types:
- Primary Open Angle: imbalance in/out flow rate
- Acute Angle Closure: narrow anatomical anterior chamber angle
Symptoms:
- Primary Open Angle: none
- Acute Angle Closure: pain, mid-dilated pupils, halos around light, redness
Treatment:
- Primary Open Angle: anti-glaucomatic medications, Selective Laser Trabeculoplasty
- Acute Angle Closure: Laser Peripheral Iridotomy, anti-glaucomatic medications
Outcome: depend on severity of disease
- Mild: good
- Moderate: fair
- Severe: poor
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HYPEROPIA (far-sightedness)
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Definition: Decreased vision due to incorrect focusing of light rays on the retina.
Causes: axial length of eye too short, front curvature of eye too flat
Symptoms: decreased near vision
Treatment: eye glasses, contact lens, refractive surgery
Outcome: good
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KERATOCONUS
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Definition: Decreased vision due to incorrect focusing of light rays on the retina.
Causes: cone-shaped deformity of cornea due to thinning of central area
Symptoms: decreased vision at all distances, distortion
Treatment: eye glasses, contact lens, corneal surgery
Outcome: good
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MACULAR DEGENERATION

ARMD Vision Normal Vision |
Definition: Decreased vision due to abnormal functions of the retinal pigment epithelium.
Causes: hereditary, age, smoking, ultraviolet, hypertension, far-sighted, cardiovascular, light iris color
Types:
- Dry (non-exudative): absence of blood on retina
- Wet (exudative): presence of blood on retina
Symptoms: decreased central vision, distortion
Treatment:
- Dry: Amsler Grid, regular eye exams
- Wet: Amsler Grid, laser treatment, low vision aids
Outcome: depend on severity of disease
- Mild: good
- Moderate: fair
- Severe: poor
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MYOPIA (near-sightedness)
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Definition: Decreased vision due to incorrect focusing of light rays on the retina.
Causes: axial length of eye too long, front curvature of eye too steep
Symptoms: decreased distance vision
Treatment: eye glasses, contact lens, refractive surgery
Outcome: good
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PRESBYOPIA

Presbyopia Vision Normal Vision |
Definition: Decreased vision due to incorrect focusing of light rays on the retina.
Causes: axial length of eye too long, front curvature of eye too steep
Symptoms: decreased distance vision
Treatment: eye glasses, contact lens, refractive surgery
Outcome: good
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RETINAL DETACHMENT

RD Vision Normal Vision |
Definition: Decreased vision due to separation of the retinal layers
Causes: lattice degeneration, trauma, previous ocular surgery, myopia, vitreous detachment, diabetic retinopathy, hypertensive retinopathy
Types:
- Rhegmatogenous: retinal break, tear, hole
- Serous/Exudative: fluid accumulation
- Traction: fibrovascular proliferation
Symptoms: flashes, floaters, peripheral vision loss
Treatment:
- Rhegmatogenous: retinal surgery (within 24-48 hours of onset)
- Serous/Exudative: treat underlying condition
- Traction: retinal surgery
Outcome: good
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