My Talk In National Eye Center . Cairo

1. Mnemonics ofMnemonics of
OphthalmologyOphthalmology
By
Dr.Ahmed Alsherbiny
MSc. Ophth

2. Nerves passing through superior orbital
fissure
Live Free To See No Insult At All
Lacrimal nerve
Frontal nerve
Trochlear nerve
Superior division of 3rd nerve
Nasociliary nerve
Inferior division of 3rd nerve
Abducens nerve

3. Angle structures
I Can See Till Schwalbe's Line
• Iris root
• Cilliary Body
• Scleral spur
• Trabecular Meshwork
• Schwalbe's Line

4. Keratoconus
CONES
Central scarring & Fleischer ring
Oil drop reflex / Oedema (hydrops)
Nerves prominent
Excessive bulging of lower lid on downgaze
(Munson’s sign)
Striae (Vogt’s)

5. Systemic associations of keratoconus
ABCDEF
Atopy
Bones (osteogenesis imperfecta)
Crouzon’s syndrome
Down’s syndrome
Ehler’s Danlos syndrome
Fingers (Marfan’s)

6. Organisms invade healthy corneal
epithelium
NDLH
Nisseria
Diphtheria
Listeria
Haemophilus

7. Stromal dystrophies
Marilyn Monroe Always Gets Her Man
in LA City
Macular dystrophy
Mucopolysaccharide
Alcian blue
Granular Dystrophy
Hyaline material
Masson's Trichrome
Lattice Dystrophy
Amyloid
Congo Red

8. Congenital cloudy cornea
" STUMPED "
Sclerocornea
Tears in Descmet's membrane
Uterine infections
Metabolic conditions
Peter’s anomaly
Endothelial dystrophy
Dermoid

9. Interstitial keratitis causes
TIC TAC’S
Tuberculosis
Inherited syphilis (Congenital syphilis)
Trypanosomiasis
Acquired syphilis
Cogan's syndrome
Sarcoidosis

10. Iridocorneal Endothelial Syndrome ICE
ICE
Iris Naevus
Chandler Syndrome
Essential Iris Atrophy

11. causes of trabecular pigmentation
PIGMENT
Pseudoexfoliation & Pigment dispersion syndrome
Iritis
Glaucoma (Post angle closure Glaucoma)
Melanosis of angle (oculodermal melanosis)
Endocrine (Diabetes & Addison’s Syndrome)
Naevus (Cogan-reese syndrome)
Trauma

12. Vortex Keratopathy associations
ABCDEF
Arthritis (diclofenac)
Breast Cancer (Tamoxifen)
Cardiac (amiodarone)
Dementia / Depression (Chlorpromazine)
Enzyme deficiency (see F)
Fabry's Disease “deficiency of the enzyme alpha galactosidase A”

13. Etiology of Neovascular Glaucoma
RUBEOTIC
Retinopathy and Retinal vein occlusion (PDR, CRVO)
Retinal detachment
Uveitis
BRVO
Eale's Disease
Ocular Ischemic Syndrome
Trauma
Intraocular tumours (choroidal melanoma)
Carotid Cavernous Fistula

14. Neovascular Glaucoma ttt
ABCD
Atropine
B- blockers
Cidamex
Dexamethason

15. Argyll Robertson pupil (ARP)
ARP
Accomodation Reflex Present
PRA
Pupillary Reflex Absent

16. drugs causing cataract
ABCD
Amiodarone
Busulfan
Chlorpromazine
Dexamethasone

17. Features Retinal detachment
4 F's
Floaters
Flashes
Field loss
Falling visual acuity

18. Causes Cherry red spot on Retina
Cherry Trees Never Grow Tall
Central retinal artery occlusion
Tay-Sachs disease
Niemann-Pick disease
Gaucher's disease
Trauma (Berlin's edema)

19. Indications of Vitrectomy
VITRECTOM- Y
V – Vitreous hge due to BRVO, PDR , Vasculitis
I – Infection – Endophthalmitis
T – Traction
R – Retinal detachment
E – Epiretinal Membrane
C – Cataract related complication - nucleous drop , IOL drop
T – Trauma causing vit hge , IOFB,
O – Opacity of Vitreous cavity due to severe inflammation not resolved with
medical therapy
M – Macular disease - macular hole , submacular membrane

20. causes of Choroidal neovascular
membrane
HAMMAR
Histoplasmosis
ARMD
Multifocal Choroiditis
Myopia
Angiod
Rupture of the choroid

21. Actions of Superior oblique muscle
SOLID
• Superior Oblique
• Lateral rotation
• Intorsion
• Depression

22. Uniocular diplopia
ABCD
Astigmatism
Behavioral: psychogenic
Cataract
Dislocated lens
/ iridoDialysis

23. Nerve Palsy
VITAMIN
Vascular
Idiopathic
Traumatic
Aneurysm
Miscellaneous
Inflammatory
Neoplasm

24. microtropia
3 A's
Anisometropia
Angle small
Absent central field (Central suppression scotoma)

25. Posterior scleritis
POST SCLER
Proptosis
Ophthalmoplegia
Swelling of disc
Thickening of sclera (US/CT) & T sign (fluid in sub-Tenon’s space)
Subretinal exudates
Choroidal foLds
Exudative RD
Ring choroidal detachment

26. Blue sclera
HOPES Belief
High myopia
Osteogenesis imperfecta
Pseudoxanthoma elasticum
Ehlers-danlos syndrome
Scleritis
Bupthalmos

27. systemic features of Marfan syndrome
MARFANS
• Mitral prolapse
• Aortic dissection
• Regurgitant aortic valve
• Fingers long (arachnodactyly)
• Arm span>height
• Nasal voice (high arched palate)
• Sternal excavation

28. Weill-Marchesani syndrome features
6 S's
Short
Stubby fingers
Stupid
Spherophakia
Subluxed lens
Shallow AC

29. Thank You