EYE CHECKLIST

EYELIDS :
▪️ Inflammatory Disorder / Lid Swellings:
1- Blepharitis
> Anterior Blepharitis
●​ Infective/Ulcerative/Staphylococcal Blepharitis
●​ Non-Infective/Squamous/Seborrhoeic Blepharitis
> Posterior Blepharitis
●​ Meibomian Gland Dysfunction (Meibomianitis)
2- Hordeolum
●​ Hordeolum Externum (STYE)
●​ Hordeolum Internum
3- Chalazion (Tarsal or Meibomian Cyst)
▪️ Lid Malpositions/Anomalies in Eyelids Position:
1- Trichiasis and Pseudo Trichiasis
2- Entropion
> Congenital
> Acquired
●​ Senile / Involutional Entropion
●​ Cicatricial Entropion
●​ Spastic Entropion
3- Ectropion
> Congenital
> Acquired
●​ Senile / Involutional Ectropion
●​ Cicatricial Ectropion
●​ Paralytic Ectropion
4- Symblepharon
5- Ankyloblepharon
6- Blepharophimosis
7- Lagophthalmos
8- Madarosis
9- Poliosis
10- Tylosis
11- Ptosis
> Congenital
●​ Simple Congenital Ptosis
●​ Blepharophimosis Syndrome
●​ Marcus Gunn Jaw-Winking Syndrome
●​ Double Elevator Palsy
> Acquired
●​ Neurogenic Ptosis (3rd Nerve Palsy, Horner’s Syndrome)
●​ Myogenic Ptosis (Myasthenia Gravis, Ocular Myopathies)
●​ Aponeurotic Ptosis (Senile, Traumatic, Post-op Drugs)
●​ Mechanical Ptosis (Eyelid Tumours, Inflammation)
12- Pseudoptosis (Enophthalmos, Microphthalmia)
13- Madarosis (Loss of eyelashes & eyebrows)
▪️ Tumours of the Eyelids:
BENIGN:
~ Squamous cell papilloma ~ Basal cell papilloma
~ Pyogenic granuloma ~ Keratoacanthoma
~ Capillary Hemangioma ~ Xanthelasma
~ Neurofibroma
MALIGNANT:
~ Basal Cell Carcinoma ~ Merkel Cell Carcinoma
~ Squamous Cell Carcinoma ~ Kaposi Sarcoma
~ Sebaceous Gland Carcinoma ~ Malignant Melanoma
▪️ Congenital Disorders of Eyelids:
1- Distichiasis
2- Coloboma
3- Epicanthus
4- Microblepharon
5- Cryptophthalmos

LACRIMAL SYSTEM :
▪️ Diseases of Lacrimal Drainage System:
1- Nasolacrimal Duct Obstruction (NLDO)
●​ Congenital NLDO
●​ Acquired NLDO
2- Canaliculitis
●​ Acute Canaliculitis
●​ Chronic Canaliculitis
3- Dacryocystitis
●​ Congenital Dacryocystitis
●​ Acquired Dacryocystitis
> Acute Acquired Dacryocystitis
> Chronic Acquired Dacryocystitis
▪️ Diseases of the Lacrimal Gland:
1- Dacryoadenitis
●​ Acute Dacryoadenitis
●​ Chronic Dacryoadenitis
2- Keratoconjunctivitis Sicca / Dry Eye Syndrome
●​ Aqueous - Deficient Dry Eye
●​ Evaporative Dry Eye

ORBIT :
1- Proptosis and its types
2- Pre - Septal Cellulitis
3- Orbital Cellulitis
5- Thyroid Eye Disease / Grave’s Ophthalmopathy
6- Cavernous Sinus Thrombosis
7- Pulsating Proptosis (Carotico-Cavernous Fistula)

CONJUNCTIVA :
▪️ Inflammation (Conjunctivitis):
Classified:
> On The Basis of Aetiology
> On The Basis of Exudate / Discharge
> On The Basis of Conjunctival Reaction

▪️Degenerative Conditions:
1- Pterygium
2- Pinguecula

▪️Symptomatic Conditions:
1- Subconjunctival Haemorrhage
2- Xerosis (Dry Eye)
3- Chemosis (Conjunctival Edema)
4- Argyrosis

▪️Conjunctival Cysts:
1- Retention Cyst
2- Implantation Cyst

▪️Conjunctival Tumours:
1- Dermoid
2- Dermolipoma
3- Papilloma
4- Pyogenic Granuloma
5- Bowen’s Intraepithelial Epithelioma
6- Squamous Cell Carcinoma of Conjunctiva
7- Malignant Melanoma
BACTERIAL CONJUNCTIVITIS :
 ●​ Mucopurulent Conjunctivitis
●​ Purulent Conjunctivitis
●​ Membranous Conjunctivitis
●​ Pseudomembranous Conjunctivitis

VIRAL CONJUNCTIVITIS :
●​ Adenovirus Conjunctivitis
> Epidemic Keratoconjunctivitis
> Pharyngoconjunctival Fever
●​ Herpes Simplex Conjunctivitis
●​ Picornavirus Conjunctivitis
●​ Measles Virus Conjunctivitis
●​ Chickenpox Virus Conjunctivitis
●​ Molluscum Contagiosum Conjunctivitis
●​ Coronavirus Conjunctivitis

CHLAMYDIAL CONJUNCTIVITIS :
●​ Trachoma
> Mac Callan Staging (I-IV)
> WHO Staging (FISTO)
●​ Adult Inclusion Conjunctivitis

OPHTHALMIA NEONATORUM :
●​ Chlamydial Conjunctivitis
●​ Gonococcal Conjunctivitis
●​ Other Bacteria (Staph, Strep, [Link])
●​ Viral Conjunctivitis
●​ Chemical Conjunctivitis
ALLERGIC CONJUNCTIVITIS :
 ●​ Acute Allergic Conjunctivitis
> Seasonal Allergic Conjunctivitis
> Perennial Allergic Conjunctivitis
●​ Vernal Keratoconjunctivitis (VKC) / Spring Catarrh
> Palpebral Form
> Limbal / Bulbar Form
> Mixed Form
●​ Atopic Keratoconjunctivitis (AKC)
●​ Giant Papillary Conjunctivitis (GPC)
●​ Phlyctenular Keratoconjunctivitis (PKC)

Ocular Cicatricial Pemphigoid (OCP)

Steven Johnson Syndrome (SJS)

Pseudopterygium

Vitamin - A Deficiency / Hypovitaminosis A

( Xerophthalmia )
> Signs of Xerophthalmia
●​ Conjunctival Signs
●​ Corneal Signs
●​ Retinal Signs
> WHO Grading of Xerophthalmia
●​ Xn, X1a, X1b, X2, X3a, X3b, Xs, Xf

CORNEA :
▪️Keratitis:
1- Infective Keratitis
2- Non - Infective Keratitis

▪️Corneal Degenerations:
1- Arcus Senilis
2- Arcus Juvenilis
3- Band Keratopathy
4- Lipid Keratopathy

▪️Corneal Ectasias:
1- Keratoconus
2- Keratoglobus

▪️Keratopathy:
1- Exposure Keratopathy
2- Metabolic Keratopathies
3- Neurotrophic Keratopathy
4- Neuroparalytic Keratopathy

▪️Corneal Dystrophies:
1- Anterior Dystrophies
2- Stromal Dystrophies
3- Posterior Dystrophies

▪️Congenital Anomalies:
Anophthalmia,Microphthalmia,Megalocornea,Sclerocornea
BACTERIAL KERATITIS :
 ●​ Staphylococcus aureus
●​ Streptococcus pneumoniae
●​ Gonococcus
●​ Pseudomonas aeruginosa

FUNGAL KERATITIS :
●​ Candidal Keratitis
●​ Filamentous Keratitis
> Aspergillus
> Fusarium
> Curvularia

VIRAL KERATITIS :
●​ Herpes Simplex Keratitis
1- Primary Infection
2- Secondary Infection
> Active Epithelial Keratitis
●​ Dendritic Ulcer
●​ Geographical Ulcer
> Stromal Necrotizing Keratitis
●​ Necrotic Keratitis
●​ Disciform Keratitis
> Kerato-Uveitis
●​ Herpes Zoster Ophthalmicus
●​ Adenovirus
●​ Measles
●​ Mumps

PROTOZOAL KERATITIS :
 ●​ Acanthamoeba Keratitis

MOOREN ULCER :
●​ Limited Form
●​ Progressive Form

INTERSTITIAL KERATITIS :
●​ Syphilitic Interstitial Keratitis
> Congenital Syphilis
●​ Non - Syphilitic Interstitial Keratitis
> Tuberculosis
> Herpes Virus (HSV, HZV)
> Cogan’s Disease
> Leprosy
> Onchocerciasis

EXPOSURE KERATOPATHY

KERATOCONUS

KERATOPLASTY & ITS TYPES

LENS & CATARACT :

▪️Cataract:
1- Congenital Cataract
●​ Classification of Congenital Cataract
> Infantile (< 1year)
> Developmental (> 1year)
●​ Types of Congenital Cataract
●​ Differential Diagnosis of Leukocoria

2- Acquired Cataract
●​ Classification of Acquired Cataract
> Anatomical Classification / On the basis of location
> According to Maturity / On the basis of degree
> Aetiological Classification / On the basis of cause

3- Senile Cataract ( Age-Related Cataract )

●​ Types of Senile Cataract
> Cortical Cataract (Cuneiform Cataract)
> Posterior Subcapsular Cataract (Cupuliform Cataract)
> Nuclear Cataract (Hard Cataract)
●​ Stages of Cortical Cataract
> Lamellar Separation
> Incipient Cataract
> Immature Cataract
> Intumescent Cataract
> Mature Cataract
> Hypermature Cataract (Morgagnian & Sclerotic)
●​ Complications of Senile Cataract
Phacomorphic Glaucoma, Phacolytic Glaucoma,
Phacoantigenic Uveitis, Lens Dislocation, Pup. Block Glaucoma
▪️Management of Cataract:
1- Non - Surgical Treatment
2- Surgical Treatment

▪️Types of Cataract Extraction:

1- Extra Capsular Cataract Extraction ( ECCE )
●​ Phacoemulsification
●​ Femtosecond Laser (FSL) Cataract Extraction
●​ Small Incision Cataract Extraction
●​ Conventional Extracapsular Cataract Extraction
2- Intra Capsular Cataract Extraction ( ICCE )
●​ Expression Method
●​ Arruga’s Method
●​ Cryoextraction
●​ Wire Vectis Method
●​ Indian Smith Method
3- Pars Plana Lensectomy ( PPL )
●​ In Congenital Cataract
●​ In Anterior Vitrectomy alongwith Cataract Extraction

▪️Preoperative Evaluation of Cataract:

1- History
2- Ocular Examination
●​ Slit Lamp Examination, Tonometry, Fundus Examination
3- Visual Function Assessment
●​ Visual Acuity, Colour Vision, Pupil Rxn, Confrontation Test
4- Systemic Examination
●​ CVS, Systemic HTN, Diabetes Mellitus, Infection
5- Biometry ( Keratometry + A-scan )
6- Systemic and Laboratory Investigations
▪️Types of Anaesthesia in Cataract Surgery:
1- Topical (Surface) Anaesthesia
2- Retrobulbar Block
3- Peribulbar Block
4- Subtenon Block

▪️Types of Intraocular Lens Implantation:

1- Types of Intraocular Lenses
●​ Posterior Chamber Lens
●​ Anterior Chamber Lens
2- Types of IOL Design
●​ Rigid IOL ~ Polymethylmethacrylate (PMMA)
●​ Flexible IOLs ~ Acrylic IOLs, Silicone IOLs, Collamer
●​ Multifocal IOLs
●​ Toric IOLs

▪️Complications of Cataract Surgery:

1- Anaesthesia Complications
●​ Complications of Retrobulbar Block
2- Operative Complications
●​ Intraoperative Complications
●​ Early Postoperative Complications
●​ Late Postoperative Complications
●​ IOL - Related Complications

▪️Aphakia, Pseudophakia, Ectopia Lentis

▪️Dislocation and Subluxation of Lens