COMMON DISEASES AND DISORDERS OF THE EYES

 

 

 

Normal Vision

Eye Anatomy: Posterior Segment

Eye Anatomy: Anterior Segment

More Information:


AMBLYOPIA (lazy eye)


Definition:
Decreased vision in an anatomical normal eye.
Causes:

  1. Refractive: near-sighted, far-sighted, astigmatism
  2. Strabismic: eye-turn
  3. Occlusion: cataract, droopy eyelid, corneal opacity

Symptoms: decreased vision, eye-turn in/out, droopy eyelid, white pupil
Treatment: eye glasses, patching, surgery
Outcome:

  1. Refractive, Strabismic: good
  2. Occlusion: poor

More Information:

ASTIGMATISM


Definition:
Decreased vision due to different curvatures of the cornea and/or lens in different meridians.
Causes: hereditary, eyelid pressure on cornea
Types:

  1. With the Rule:cornea steeper in the vertical meridian
  2. Against the Rule: cornea steeper in the horizontal meridian

Symptoms: decreased vision, eyestrain, fatigue, headache
Treatment: eye glasses, contact lens, refractive surgery
Outcome: good
More Information:

BLEPHARITIS


Definition:
Inflammation of the eyelid margins.
Causes: bacteria, excess sebum production
Types:

  1. Anterior: eyelid margins and eyelashes
  2. 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
More Information:

CATARACT
 
  Cataract Vision        Normal Vision


Definition:
Decreased vision due to cloudiness of the crystalline lens.
Causes: Ultra-violet exposure, medications, trauma, age
Types:

  1. Cortical: peripheral of lens
  2. Nuclear Sclerosis: center of lens
  3. Posterior Subcapsular: back surface of lens

Symptoms: decreased vision, color changes, glare, double vision (one-eye)
Treatment: cataract surgery
Outcome: good
More Information:

COMPUTER VISION SYNDROME


Definition:
Eyestrain due to excessive use of computer.
Causes:

  1. Visual Problems: nearsighted, far-sightedness, astigmatism, presbyopia
  2. Computer Glare and Reflection: indoor light sources, sunlight
  3. Improper Work Station Design: monitor tilting angle, keyboard position, posture
  4. 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
More Information:

CONJUNCTIVITIS


Definition:
Inflammation of the conjunctiva
Causes:

  1. Allergic: animal, dust/pollens, allergens
  2. Bacterial
  3. Viral

Symptoms:

  1. Allergic: itching, burning, redness, tearing, swollen eyelids
  2. Bacterial: mucus discharge (eyelids adhesion at awakening), redness, reduced vision
  3. Viral: redness, tearing, fever, swollen eyelids

Treatment:

  1. Allergic: anti-histamine, lubricant eye drops
  2. Bacterial: topical anti-biotics, lubricant eye drops
  3. Viral: hygiene, lubricant eye drops

Outcome: good
More Information:

DIABETIC RETINOPATHY


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

  1. Mild: good
  2. Moderate: fair
  3. Severe: poor

More Information:

DRY EYE SYNDROME
Image Preview


Definition:
Decreased vision due to incorrect tear film composition.
Causes:

  1. Ketatoconjunctivitis Sicca (Aqueous Tear Deficiency): systemic diseases (collagen vascular diseases)
  2. Inflammatory Disease: Acne Rosacea
  3. Vitamin A Deficiency: lack of mucin

Symptoms: decresased vision, burning, tearing, redness, photophobia
Treatment:

  1. Ketatoconjunctivitis Sicca (Aqueous Tear Deficiency): lubricant eye drops/gel, punctal occlusion
  2. Inflammatory Disease (Acne Rosacea): oral anti-biotics
  3. Vitamin A Deficiency: Vitamin-A supplement

Outcome: good
More Information:

FLOATERS AND FLASHES


Definition:
Linear streak or circular shape of lights and/or mobile spots/dots in the line of vision.
Causes:

  1. Posterior Vitreous Detachment: liquifaction of the vitreous gel secondary to age, trauma, surgery
  2. Retinal Detachment: separation of the retina from its base secondary to a break/hole, tractional forces, subretinal fluid

Symptoms:

  1. Flashes: linear streak or dots of lights
  2. Floaters: mobile spots of different size, shape, color

Treatment:

  1. Flashes: dilated fundus exam and/or laser treatment if needed
  2. Floaters: observation and monitor

Outcome: good
More Information:

GLAUCOMA
  
  Glaucoma Vision         Normal Vision


Definition:
Decreased vision due to incorrect aqueous inflow/outflow rate.
Types:

  1. Primary Open Angle: imbalance in/out flow rate
  2. Acute Angle Closure: narrow anatomical anterior chamber angle

Symptoms:

  1. Primary Open Angle: none
  2. Acute Angle Closure: pain, mid-dilated pupils, halos around light, redness

Treatment:

  1. Primary Open Angle: anti-glaucomatic medications, Selective Laser Trabeculoplasty
  2. Acute Angle Closure: Laser Peripheral Iridotomy, anti-glaucomatic medications

Outcome: depend on severity of disease

  1. Mild: good
  2. Moderate: fair
  3. Severe: poor

More Information:

HYPEROPIA (far-sightedness)


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
More Information:

KERATOCONUS


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
More Information:

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:

  1. Dry (non-exudative): absence of blood on retina
  2. Wet (exudative): presence of blood on retina

Symptoms: decreased central vision, distortion
Treatment:

  1. Dry: Amsler Grid, regular eye exams
  2. Wet: Amsler Grid, laser treatment, low vision aids

Outcome: depend on severity of disease

  1. Mild: good
  2. Moderate: fair
  3. Severe: poor

More Information:

MYOPIA (near-sightedness)


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
More Information:

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
More Information:

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:

  1. Rhegmatogenous: retinal break, tear, hole
  2. Serous/Exudative: fluid accumulation
  3. Traction: fibrovascular proliferation

Symptoms: flashes, floaters, peripheral vision loss
Treatment:

  1. Rhegmatogenous: retinal surgery (within 24-48 hours of onset)
  2. Serous/Exudative: treat underlying condition
  3. Traction: retinal surgery

Outcome: good
More Information: