Quiz in Complication in CL Wear

Where do we find more dry eye ?
1. Women
2. Men
3. equal
What is not a cause for reduced comfort after removing CL
1. Damaged hydrogel lens
2. foreign body underneath CL
3. epithelial splitting
4. GPC
Cornea: The door is open when there is/are ... ?
1. microcysts
2. stainings
3. airbubble under CL
4. bullae
5. vacuoles
What is a sign of MGD (Meibomian Gland Dysfunction) ?
1. staining
2. Foaming of tearfilm
3. Lipid depositing on CL
4. all are true
5. Conjunctival Hyperemia
What is not a Management by MGD (Meibomian Gland Dysfunction) ?
1. Hot compresses
2. cleaning CL with Miraflow
3. squeeze out secretion from Meibomian glands
4. take Hylocomod
Blepharitis is a Bacterial toxins from Staph an is seen often in young males
1. True
2. False
What is a good predictor of the integrity of the anterior eye
1. Tear film
2. Conjunctiva
3. both are good predictors
Folliques in the Limbal Conjunctiva is seen in
1. viral infection
2. bacterial infection
3. allergic reaction
Chemosis is a sign of
1. Allergic reaction Typ I
2. Allergic reaction Typ III
3. Allergic reaction Typ IV
4. all are true
5. Allergic reaction Typ II
Causes of Dry spots in the Conjunctiva are
1. Dryness
2. Mechanical
3. Toxic
4. all are true
In a progressive stade of GPC you should consider...
1. change to daily disposables
2. stop waering CL immediatly
3. change to RGP lenses
4. taking antibiotics
Follicles in the Tarsal Conjunctiva (Lower Lid) are never
1. Virus
2. Chlamydia
3. Allergic Reaction
4. idiopathic
Staining Epithelium can have different Causes. One Cause is “allergic Reaction”
1. True
2. False
A Classification of Staining (CCLRU- “Kind”) “3” means
1. Patch of Staining
2. Coalescent Marcropunctate
3. Micropunctate
4. Macropunctate
5. absent
With rewetting drops I can reduce the symptoms of staining
1. True
2. False
What is not a good managament option in staining?
1. Remove deposits on CL
2. Change to a thinner lens if it is a GP-CL
3. Modification of Material (DK, Water content)
4. Blinking exercises
5. Change to a thinner lens if it is a hydrogel-CL
6. Modification of CL fit
Lesions, that do not include ________ , heal without scarring.
1. Epithelium
2. Bowmans layer
3. Stroma
4. Bowmans layer and stroma
5. Basalmembrane
What management in 3/9 o Clock staining in mechanical problems is wrong:
1. smaller CL diameter
2. flatter base curve
3. thinner
4. change to hydrogel-CL
5. smaller base curve
SEAL (superior Epithelial Arcurate Lesion) is an typical complication with
1. Gaz-permeable CL
2. Hydrogel-CL
3. Silicone-Hydrogel-CL
4. PMMA Lenses
SEAL (superior Epithelial Arcurate Lesion) is usually marable with fluorescein
1. in epithel of conjunctiva 1mm outside of limbus
2. exact in limbus
3. in epthitel of Cornea 1mm inside of the limbus
Most longlasting management in SEAL (superior Epithelial Arcurate Lesion) is
1. change to Daily disposable CL
2. change to conventional hydrogel CL
3. change to GP-CL
4. change to wearing Glasses
Focal hypermia and swelling of the upper limbus, Pannus, Infiltrates, and staining of the upper Cornea and the adjacent Conjunctiva are signs of:
1. SLK Superior Limbal Keratoconjunctivitis
2. EKC Epidemic Keratoconjunctivitis
3. SEAL superior epithelial Arcurate Lesion
The Etiology of Microcysts are:
1. Hypoxia (mostly CL induced)
2. Virus
3. bacterial
4. Allergic reaction
if I see 7 Microcysts, the management is
1. nothing, it is harmless
2. Improve oxygen, higher DK/L…
3. Improve oxygen, change from EW, to DW
4. Improve really more oxygen, max wearing CL 6 h / Day
Microcysts, what is true
1. Microcysts are bubbles in the epithelium
2. Microcysts are in groups 2-6
3. all are true
4. all are false
5. Microcysts are bigger than Vacuolen
What is false about Dellen from air bubbles “pseudo staining”
1. in retrolumination, bullae looks like vacuols
2. in retrolumination, bullae looks like microzysts
3. Impressions from air bubble
4. are fluo positive
Long time management in Mucinballs is
1. Change to second generation of silicon-hydrogel-CL
2. change to GP-CL
3. both are appropriate
How much thickening in % has a stromal edema to have, to decrease the VA ?
1. 5%
2. 10%
3. 20%
How much thickening in % has a stromal edema to have, to produce halos ?
1. 5%
2. 10%
3. 20%
How much thickening in % has a stromal edema to have, to show folds in descements ?
1. 5%
2. 10%
3. 20%
Is toxic allergic reaction a possible cause of Neovascularisation in Corneas ?
1. Yes
2. No
What is false ?
1. sterile Infiltrates do not stain with Fluorescein
2. sterile Infiltrates can have the cause of bacterial toxins
3. with sterile Infiltrates, the Patient never has symptoms
4. sterile Infiltrates look white-grey and can be in both eyes
CLARE (Contactlens Induced red Eye) is see in
1. Daily changes CL
2. EW hydogels
3. GP CL
4. PMMA Lens
5. possible in all cases
What does not belong to MK (microbacterial Keratitis)
1. Inflammation
2. Slight tearin
3. sometimes hypopyion
4. Irregular Form
5. bigger than 1mm
6. Heavy pain, increasingly
7. Lid edema

Quiz in Complication in CL Wear - by Nic (mj)

Quiz