NRE Step 1: Opthalmology Made Simple – Pass with Precision

Ophthalmology

Eye Muscles

  • Medial rectus muscle: Helps your eye look inward. If it’s weak, your eyes might look outward (diverge).
  • Lateral rectus muscle: Helps your eye look outward. If it’s weak, your eyes might look inward (converge squint).
  • Superior oblique muscle (controlled by Trochlear Nerve): Helps your eye look down and inward.

Eye Problems and What They Look Like

  • Bitot Spot: A dry patch on the white part of your eye, often from not enough Vitamin A.
  • Roth Spot: A spot on the back of your eye (retina), usually a sign of a heart infection.

Pink Eye (Conjunctivitis)

  • Viral: Watery eye discharge, red eyes, mild fever.
  • Bacterial: Thick yellow or green discharge, watery eyes, high fever.
  • Allergic: Itchy, watery eyes.

Night Blindness

  • Trouble seeing in the dark, often because of not enough Vitamin A.

Eyelid Problems

  • Entropion: Eyelashes turn inward and rub the eye.
  • Ectropion: Eyelashes turn outward.
  • Stye: A tender, painful bump on the eyelid, sometimes with a fever.
  • Chalazion: A bump on the eyelid that’s usually not very painful.

Glaucoma (Too Much Eye Pressure)

  • This happens when the fluid in your eye builds up.
    • Close-angle glaucoma: More serious, fluid can’t drain well.
    • Open-angle glaucoma: The most common type, where the drain (trabecular meshwork) isn’t working right.
  • Symptoms: Blurred vision, red eye, high eye pressure.
  • Treatment: Eye drops (like Timolol, Acetazolamide) or surgery (Iridotomy) to help the fluid drain.

Other Eye Problems

  • Keratitis: A problem with the front clear part of your eye (cornea).
  • Cataract: The clear lens of your eye becomes cloudy, often as people get old.
  • Retinal Detachment: Part of the back of your eye (retina) peels away. It’s usually not painful, but your vision might seem like a curtain is falling.
  • Central Retinal Artery Occlusion: A blockage in the main blood vessel to the back of your eye. Causes painless loss of vision and the back of the eye looks pale.
  • Retinal Vein Occlusion: A blockage in a vein at the back of your eye. Causes painless vision loss.

Vision Problems

  • Myopia (Nearsightedness): You can see close things well, but far things are blurry.
  • Hyperopia (Farsightedness): You can see far things well, but near things are blurry.
  • Astigmatism: Blurry or double vision because the front of your eye isn’t shaped perfectly.
  • Presbyopia: Only happens as you get older, making it hard to see things up close.

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